Raynaud Phenomenon of the Nipple: A Clinical  Case Report

Carolina Quental; Daniel Bertoluci Brito; João Sobral; Ana Mafalda Macedo

doi:10.18502/jfrh.v17i2.12876

Carolina Quental Family Health Unit, Prelada, Porto, Portugal
Daniel Bertoluci Brito Family Health Unit, Espaço Saúde, Porto, Portugal
João Sobral Family Health Unit, Baltar, Paredes, Portugal
Ana Mafalda Macedo Family Health Unit, Prelada, Porto, Portugal

DOI: https://doi.org/10.18502/jfrh.v17i2.12876

Keywords: Nipples; Breast Feeding; Raynaud Disease; Vasoconstriction; Nifedipine

Abstract

Objective: In Raynaud's phenomenon of the nipple there is a change in color, accompanied by pain or discomfort during breastfeeding.

Case report: A 29-years old female patient, breastfeeding, develops a severe bilateral nipple pain during and after breastfeeding and biphasic change in nipple color, with difficulties in the breastfeeding technique. She was medicated with nifedipine and recommended application of warm compresses to the nipples and use of electric breast pump, showing complete resolution after four weeks of treatment.

Conclusion: Raynaud's phenomenon of the nipple should be considered in breastfeeding women who report nipple pain or discomfort. In clinical practice, nipple pain is a very frequent complaint, and responsible for many cases of early abandonment of breastfeeding. It is therefore essential to make an early diagnosis and implement a correct and immediate treatment.