Hello,
I have gone through your query and understand your concern.
It could be either due to
allergy to fabrics/bra or a paget's disease or infection.
Paget's disease of the breast is a rare form of
breast cancer in which the first clinical finding is usually a scaling of the nipple skin. It may also be associated with nipple
redness and burning.
The first step in evaluating any patient with a change in the skin of the nipple is to obtain a careful history and perform a careful breast examination, followed by a diagnostic
mammogram.
If the mammogram is negative and our clinical suspicion is low, we usually suggest that the patient place a
cortisone cream on the nipple for two weeks.
If the condition has not responded completely to conservative treatment in two weeks, we proceed to a skin punch
biopsy.
Most of our patients who do have a skin punch biopsy end up with a benign result. These patients simply require reassurance that there is no cancer present, and follow-up observation is all that is indicated.
Sometimes a moisturizing cream is helpful to control any nipple dryness.
If Paget's is positive, We remove the nipple (and any surrounding breast tissue) that contains breast cancer.
Hope this helps.
Please write back for further queries.
Wishing you good health.