Published online April 3, 2006
PEDIATRICS Vol. 117 No. 4 April 2006, pp. e814-e816 (doi:10.1542/peds.2005-0794)
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EXPERIENCE & REASON

Bloody Nipple Discharge in an Infant and a Proposed Diagnostic Approach

Victoria M. Kellya, Khuram Arif, MDb, Shawn Ralston, MDc, Nancy Greger, MDb,d and Susan Scott, MDb,d

b Department of Pediatrics, Ambulatory Care Clinic
c Pediatric Critical Care
d Pediatric Endocrinology
a University of New Mexico College of Medicine, Albuquerque, New Mexico

ABSTRACT

Bloody nipple discharge is a rare finding in infants and is associated most often with benign mammary duct ectasia. The rarity of this symptom in infants and its association with breast carcinoma in adults can lead to unnecessary investigation and treatment. Here we describe a 4-month-old boy with bilateral bloody nipple discharge that resolved spontaneously without treatment by 6 months of age. Furthermore, we propose a strategic method for the evaluation of such infants.

Key Words: blood • breast/pathology • breast/secretion • breast/surgery • breast neoplasms • infant • mammary duct ectasia • mastectomy • nipples/secretion

Accepted Oct 13, 2005.