• Internal medicine journal · Nov 2021

    Review

    Idiopathic granulomatous mastitis: case series and clinical review.

    • Matthew H Nguyen, Janice G Molland, Suellyn Kennedy, Timothy J Gray, and Sandhya Limaye.
    • Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia.
    • Intern Med J. 2021 Nov 1; 51 (11): 1791-1797.

    AbstractIdiopathic granulomatous mastitis is a chronic inflammatory breast disorder that typically affects young, parous women, often following lactation. Patients present with tender, erythematous breast lesions with histological evidence of non-caseating granulomata and an inflammatory cell infiltrate. An immune-mediated pathophysiology is hypothesised and an association with lipophilic Corynebacterium species is observed. Initial diagnosis is often delayed due to lack of awareness of the condition and management of refractory disease can be challenging. We present an extensive case series of patients collaboratively managed by subspecialty physicians and surgeons at a single centre in Sydney, Australia. The accompanying review expands on features of this condition and supports the utility of a multidisciplinary approach.© 2020 Royal Australasian College of Physicians.

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