Differential Diagnosis for Burning Nipple Pain in a 91-year-old
- Single most likely diagnosis
- Eczema/Dermatitis: This is a common condition in the elderly, and nipple pain can be a symptom. The burning sensation can be caused by skin irritation, dryness, or an allergic reaction.
- Other Likely diagnoses
- Nipple thrush (candidiasis): This fungal infection is common in older adults, especially those with diabetes or immunosuppression. It can cause burning pain, redness, and itching around the nipple.
- Nipple vasospasm: This condition involves the constriction of blood vessels in the nipple, leading to burning pain, especially in response to cold temperatures or stress.
- Breast cysts or abscesses: These can cause localized pain, including burning sensations, especially if they become infected.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed)
- Breast cancer: Although less common in this age group, breast cancer can still occur and cause nipple pain. It's essential to rule out this possibility, especially if there are other symptoms like a lump or nipple change.
- Inflammatory breast cancer: This aggressive form of breast cancer can cause burning pain, swelling, and skin changes.
- Necrotizing fasciitis: This rare but life-threatening infection can cause severe pain, including burning sensations, and requires prompt medical attention.
- Rare diagnoses
- Nipple adenoma: A rare, benign tumor that can cause nipple pain and burning sensations.
- Pagetic disease of the breast: A rare condition characterized by an abnormal increase in bone tissue, which can cause nipple pain and burning sensations.
- Sjögren's syndrome: An autoimmune disorder that can cause dryness and burning sensations in the nipples, among other symptoms.