Clinical manifestations of breast milk eczema

If female friends do not pay too much attention to their physical condition during breastfeeding, they will still experience some uncomfortable symptoms, such as breast milk eczema. The incidence of this disease is now becoming higher and higher, so you must prevent your baby from developing this disease. This disease usually has a certain incubation period. During this incubation period, the baby will not feel the symptoms, but after the incubation period is over, it will lead to more serious consequences.

Clinical manifestations

1. According to the manifestation of skin lesions, it is divided into three stages: acute, subacute and chronic.

(1) Acute eczema lesions initially appear as numerous densely packed millet-sized papules, papulovesicles or small blisters with a flushed base that gradually merge into patches. Due to scratching, the tops of the papules, papulovesicles or blisters may be scratched to reveal obvious punctate exudation and small erosive surfaces with unclear edges. If secondary infection occurs, the inflammation will be more obvious and may form pustules, pus scabs, folliculitis, furuncles, etc. Conscious severe itching. It often occurs on the head, face, behind the ears, distal limbs, scrotum, and perianal area, and is often distributed symmetrically.

(2) Subacute eczema After the inflammation of acute eczema is alleviated, the skin lesions are mainly small papules, scabs and scales, with only a small amount of papulovesicles and erosions. Still have severe itching.

(3) Chronic eczema often turns into chronic eczema due to repeated attacks of acute or subacute eczema. It may also start as chronic eczema. The symptoms include thickening and infiltration of the skin in the affected area, brown-red or pigmentation, rough surface, scaling, or scabs due to scratching. Conscious itching. It is commonly found in the calves, hands, feet, elbows, popliteal fossa, vulva, and anus. The course of the disease is uncertain, prone to relapse, and difficult to heal.

2. According to the scope of skin lesions, it is divided into two categories: localized eczema and generalized eczema.

(1) Localized eczema occurs only in specific parts of the body and can be named according to the part of the body, such as hand eczema, vulvar eczema, scrotal eczema, ear eczema, breast eczema, perianal eczema, and calf eczema.

(2) Generalized eczema has multiple lesions that spread or scatter to multiple parts of the body. Such as nummular eczema, autosensitive eczema, and xerotic eczema.

diagnosis

Mainly based on medical history, rash morphology and course of disease. The skin lesions of eczema are generally polymorphic, mainly composed of erythema, papules, and papulovesicles. The rash is obvious in the center and gradually spreads to the surrounding areas. The boundaries are unclear, diffuse, and there is a tendency to exudate. Chronic cases will show infiltration and hypertrophy. The course of the disease is irregular, with recurrent attacks and severe itching.