%0 Journal Article
%T Telorragia en el lactante Nipple discharge in an infant
%A Julieta S芍ez Garc赤a
%A Gretsy Arcas Ermeso
%A Carlos Luis Valent赤n Ruiz
%A Erick Ruano Acosta
%J Revista Cubana de Endocrinolog赤a
%D 2012
%I Editorial Ciencias M谷dicas
%X A pesar de constituir la ectasia ductal la causa que con mayor frecuencia ocasiona sangrado a trav谷s del pez車n en neonatos y lactantes, por la rareza de esta entidad, no deja de sorprender y agobiar a quienes la constatan. Se presenta un lactante masculino, de 8 semanas de nacido, cuyos padres acuden a la Consulta de Endocrinolog赤a por sangrado por ambos pezones. Ambas mamas, areolas y pezones mostraban caracter赤sticas normales, solamente se hall車 sangrado con la presi車n, y el resto del examen f赤sico no mostr車 alteraciones. La ecograf赤a mamaria fue normal y el estudio citol車gico confirm車 el diagn車stico de ectasia ductal primaria. En el paciente el sangrado cedi車 espont芍neamente con resoluci車n completa en varias semanas. Actualmente, con 3a os y 8 meses de edad, no ha presentado nuevas manifestaciones. Por la rareza de su presentaci車n en reci谷n nacidos y lactantes, son muy escasos los informes de esta entidad en la literatura m谷dica, y hasta el momento no hemos encontrado otras descripciones de esta infrecuente enfermedad en art赤culos nacionales cubanos, lo que motiv車 la presentaci車n de este caso cl赤nico. Despite the fact that duct ectasia is the most common cause of bloody nipple discharge in neonates and infants, this rare entity still surprises and causes stress on those who observe it. A male 8 weeks-old patient was presented. His parents took him to the endocrinology service because his two nipples were bleeding. His breasts, areolae, and nipples showed normal characteristics, just bleeding when squeezed; the physical exam did not show any alteration. The breast echography was normal and the cytological study confirmed the diagnosis of primary duct ectasia. The bleeding ceased spontaneously and he completely recovered after several weeks. At present, the patient is 3 years and 8 months-old and does not show any new manifestation. Due to the rareness of this illness in neonates and infants, data are very incomplete in medical literature. Other descriptions of this uncommon disease have not been found in the Cuban national literature, so this encouraged us to present this clinical case.
%K lactante
%K telorragia
%K ectasia ductal primaria
%K tratamiento
%K infant
%K nipple discharge
%K primary duct ectasia
%K treatment
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-29532012000200005