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Monday, July 26, 2010 gloria adkins, Community Member, asks

Q: Itchy, sore, breast with a rash developing.

Hi recently I have been having some breast pain its like pins and needles mainly on my right breast. Also I have been having some severe itching with some swelling and a rash. Both breast are itchy ,red and sore but my right breast is worse. Also I am having some very dark discharge from my right nipple when lightly squeezed but none from the left side. I do have a family history of breast cancer in my family. My mother was diagnosed and had a double mastectomy and my grandmother also. I did make an appt with my doctor and he said it looks as if it could be from the heat like a heat rash. so I was told to put hydrocortisone on it. He ordered blood test and I had a mammogram. Blood test were normal except for my white blood cells was off and my mammogram came back normal. I am still experiencing the same symptoms.Im never in the heat and the cortisone hasnt help because the burning , itching feeling is coming from the inside of my breast. Do you have any suggestions.?

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Answers (1)
Phyllis Johnson, Health Guide
7/26/10 3:27pm

Gloria, there are quite a few kinds of rashes that are common in the breast area, and most are not dangerous.  Heat rash is very common in the summer, especially on the underside of the breasts, even if you aren't outside sweating in the sun.  Fungal rashes (think the breast version of jock itch and athlete's foot) are also common, and hydrocortisone cream won't help a fungal rash.  Because this problem is on both sides, it is less likely to be breast cancer.  However, with the discharge and the feeling that the itching and pain are on the inside of the breast, it is very important that you be persistent with your doctor until you are confident that the problem has been correctly diagnosed.  Click on this link to read more about how common breast rashes and inflammatory breast cancer symptoms can overlap.  Let your doctor know that the first cream did not work and go from there.  Consider asking for a referral to a breast specialist if you do not soon see an improvement.

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By gloria adkins, Community Member— Last Modified: 12/26/10, First Published: 07/26/10