SciELO - Scientific Electronic Library Online

vol.111 issue6Onychomadesis associated with mouth, hand and foot disease author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




  • Have no cited articlesCited by SciELO

Related links

  • Have no similar articlesSimilars in SciELO


Archivos argentinos de pediatría

Print version ISSN 0325-0075


AFFRANCHINO, Pablo Nicolás; OGLIETTI, Juan Pablo; AMOEDO, Diego  and  NASTRI, Mariana. Bloody nipple discharge: Duct ectasia. Arch. argent. pediatr. [online]. 2013, vol.111, n.6. ISSN 0325-0075.

Bloody discharge from the nipple (thelorrhagia) is a rare symptom in childhood and is a cause of great concern due to the mistaken association with carcinoma in adults. However, in children thelorrhagia is due to benign mammary duct ectasia in the majority of cases. Up to date, only isolated case reports or case series have been published and, although different theories have been postulated, no definite etiology has been identified. We report two cases with similar clinical features and outcome, in whom bleeding resolved spontaneously 4 and 6 weeks after onset. We present a review of the literature. Based on the benign and self-limiting process and in the absence of other findings on physical examination, we suggest a watch-and-wait approach with minimally invasive studies and reassurance and support for the family as most cases resolve spontaneously.

Keywords : Thelorrhagia; Duct ectasia; Bloody nipple discharge.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License