An Infection Under the Nipple

Asubareolarnippleabscessis a pus-filled sore found on the breast below the nipple or areola.

Theareolais the ring of darker (pigmented) skin that circles the nipple.

A subareolar nipple abscess maycause pain, a small tender lump, and drainage of pus.

Symptoms of subareolar nipple abscess

Verywell / Emily Roberts

While more common among younger or middle-aged women who are not breastfeeding, they can also form in men.

This article discusses the symptoms, causes, diagnosis, and treatment of subareolar nipple abscesses.

It can also cause the nipple to retract or turn inward.

Is a Breast Abscess Serious?

A breast abscess can be serious and typically requires antibiotics.

What Causes a Subareola Nipple Abscess?

Theareolarglands of the breasts are modified sweat glands that open on the skin’s surface.

Bacteria can enter through the glands and multiply underneath the skin, blocking the areolar gland.

Differential Diagnoses

Any painful lump under your nipple or areola should be evaluated by your healthcare provider.

In some cases, surgery may be required.

Aspiration can be done with or without ultrasound guidance.

If all the bacteria in the abscess are not killed, your symptoms are more likely to recur.

However, the abscess may persist or recur in some cases, necessitating further treatment.

Treatment in Men

Subareolar abscesses are not common in men.

Aggressive treatment with complete excision of the duct is recommended.

If not completely removed, these abscesses commonly recur.

Keep the area clean and wash your hands before and after touching the area.

Avoid pushing, popping, or squeezing the abscess.

Doing so can cause the infection to spread.

This will help the abscess to drain more easily when you go to the doctor.

Can You Breastfeed with a Nipple Abscess?

Yes, you might continue to breastfeed with a nipple abscess but, it may be very painful.

Summary

Subareolar nipple abscesses can occur in women or men.

They are often painful lumps in the area around the nipple.

2014;202(2):W133-139.

2014;12(7):753-762. doi:10.1586/14787210.2014.913982

Mount Sinai.Subareolar abscess.

2015;(8):CD010490.