The American text-book of obstetrics for practitioners and students . is usually described agroup of inflammatory conditions of the nipple varying in severity from asimple yet painful erythema to erosions, ulcers, and fissures that may occasionso great distress as absolutely to contra-indicate nursing. Clinically, sore nip-ples are of the greatest importance on account of their close relation to mastitisand mammary abscess. When the irritation of the nipple passes beyond simpleerythema, the epithelium is denuded at one or more points, leaving the under-lying papilla? unprotected. Within a few
The American text-book of obstetrics for practitioners and students . is usually described agroup of inflammatory conditions of the nipple varying in severity from asimple yet painful erythema to erosions, ulcers, and fissures that may occasionso great distress as absolutely to contra-indicate nursing. Clinically, sore nip-ples are of the greatest importance on account of their close relation to mastitisand mammary abscess. When the irritation of the nipple passes beyond simpleerythema, the epithelium is denuded at one or more points, leaving the under-lying papilla? unprotected. Within a few hours there is likely to appear anerosion (PI. 47) situated most often upon the apex of the nipple, next in fre-quency upon the sides, and least frequently at the base of the nipple. If atthis time proper curative treatment is neglected, the erosions are often con-verted into fissures. When the natural divisions between the papillae at the summit of the nippleare deeper, broader, and larger than normal, the removal of the overlying DISEASES OF THE BREAST. Plate it. Diseases of the Nipple: Erosion of the nipple (from a phutograph). PATHOLOGY OF ////: PUEBPERIUM. 273 epithelium by the lips and tongue of the child in theacl of sucking leaves deepfissures which are very troublesome, cause intense pain, and often bleed :ii eachnursing. Fissures situated at the base of the nipple, al the junction of 111|> 1«* is thus partially, r even wholly, amputated. The frequency of fissures of the nipple is estimated by Kehrer ;i- II percent, in primiparse, in whom sore nipples are certainly inure frequent than inmultipara1. Hiihner states that 51 percent, of nursing mothers between thethird and the fifth day will h
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectobstetrics, bookyear1
