{"title":"婴儿乳头溢血:初级保健的诊断方法。","authors":"Mariana Pinto Dos Reis, Daniela Bento, Mariana Azevedo, António Luz Pereira","doi":"10.1136/bcr-2024-264455","DOIUrl":null,"url":null,"abstract":"<p><p>This case details a female infant who presented with unilateral bloody nipple discharge during a primary healthcare visit, a rare but typically benign condition. The infant, exclusively breastfed and healthy, showed no signs of trauma or infection. A small, mobile nodule was found beneath the affected nipple. Investigations conducted within primary healthcare, including blood tests and a breast ultrasound, confirmed benign findings with no signs of malignancy. The case was managed entirely within primary healthcare, and the symptoms resolved spontaneously over a 2-month follow-up. This case underscores the importance of healthcare professionals being familiar with such presentations to confidently adopt a conservative management approach. This reduces unnecessary interventions and alleviates parental anxiety. The findings align with existing literature, emphasising that such cases are usually benign and self-limiting, reinforcing the value of a cautious, informed approach.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 7","pages":""},"PeriodicalIF":0.6000,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Infant bloody nipple discharge: diagnostic approach in primary healthcare.\",\"authors\":\"Mariana Pinto Dos Reis, Daniela Bento, Mariana Azevedo, António Luz Pereira\",\"doi\":\"10.1136/bcr-2024-264455\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>This case details a female infant who presented with unilateral bloody nipple discharge during a primary healthcare visit, a rare but typically benign condition. The infant, exclusively breastfed and healthy, showed no signs of trauma or infection. A small, mobile nodule was found beneath the affected nipple. Investigations conducted within primary healthcare, including blood tests and a breast ultrasound, confirmed benign findings with no signs of malignancy. The case was managed entirely within primary healthcare, and the symptoms resolved spontaneously over a 2-month follow-up. This case underscores the importance of healthcare professionals being familiar with such presentations to confidently adopt a conservative management approach. This reduces unnecessary interventions and alleviates parental anxiety. The findings align with existing literature, emphasising that such cases are usually benign and self-limiting, reinforcing the value of a cautious, informed approach.</p>\",\"PeriodicalId\":9080,\"journal\":{\"name\":\"BMJ Case Reports\",\"volume\":\"18 7\",\"pages\":\"\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2025-07-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"BMJ Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1136/bcr-2024-264455\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMJ Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1136/bcr-2024-264455","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Infant bloody nipple discharge: diagnostic approach in primary healthcare.
This case details a female infant who presented with unilateral bloody nipple discharge during a primary healthcare visit, a rare but typically benign condition. The infant, exclusively breastfed and healthy, showed no signs of trauma or infection. A small, mobile nodule was found beneath the affected nipple. Investigations conducted within primary healthcare, including blood tests and a breast ultrasound, confirmed benign findings with no signs of malignancy. The case was managed entirely within primary healthcare, and the symptoms resolved spontaneously over a 2-month follow-up. This case underscores the importance of healthcare professionals being familiar with such presentations to confidently adopt a conservative management approach. This reduces unnecessary interventions and alleviates parental anxiety. The findings align with existing literature, emphasising that such cases are usually benign and self-limiting, reinforcing the value of a cautious, informed approach.
期刊介绍:
BMJ Case Reports is an important educational resource offering a high volume of cases in all disciplines so that healthcare professionals, researchers and others can easily find clinically important information on common and rare conditions. All articles are peer reviewed and copy edited before publication. BMJ Case Reports is not an edition or supplement of the BMJ.