Reactions 1680, p299 - 2 Dec 2017 Idiopathic granulomatous mastitis with hyperprolactinaemia: case report A 55-year-old woman developed idiopathic granulomatous mastitis (IGM) with hyperprolactinaemia following the therapy with risperidone. The woman presented with a one month history of swelling and pain in her left breast. Subsequent core biopsies of the lesions demonstrated focal inflammation. Her medical history included depression and schizoaffective disorder, for which she was successfully treated with risperidone for a number of years [route and dosage not stated]. Examination showed a large mass with erythema and suppuration over the lateral aspect of her left breast. She had long standing bilateral nipple inversion. Based on the physical exam and biopsy, a presumptive diagnosis of infective duct ectasia was made. The woman received treatment with amoxicillin and clavulanic acid. However, after two weeks of the treatment, there was no improvement. The overlying skin had broken down and was suppurating. A further biopsy was conducted that confirmed the manifestation of the suspected IGM. Owing to the probability of the development of hyperprolactinaemia due to risperidone use, a serum prolactin level investigation was performed, which showed increased levels. Hence, she was diagnosed with risperidone induced hyperprolactinaemia, with associated IGM [duration of therapy to reaction onsets not stated]. She then received bromocriptine treatment. Within a month of the treatment, her condition completely resolved. At a follow up after 1.5 years, there was no sign of recurrence of events. Author comment: "We present a 55 year old female with IGM associated with risperidone induced hyperprolactinaemia." Li J, et al. Idiopathic granulomatous mastitis associated with hyperprolactinemia: A nonoperative approach. Breast Journal 23: 742-744, No. 6, Nov 2017 - Australia 803284714 0114-9954/17/1680-0001/$14.95 Adis © 2017 Springer International Publishing AG. All rights reserved Reactions 2 Dec 2017 No. 1680
Reactions Weekly – Springer Journals
Published: Dec 2, 2017
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