Bloody niple discharge in infants, case report in a male toddler.

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Title: Bloody niple discharge in infants, case report in a male toddler.
Alternate Title: Telorragia en el lactante, reporte de caso en lactante mayor de sexo masculino.
Authors: González Vidal, Fernanda Ignacia1, Ibáñez Salinas, Daniela Constanza1, Lagos Chávez, Juan Ignacio1, Klein Díaz, Sofía Catalina1, Soto Barros, Julio César2,3, Campos Cerda, Laura Irene3 lauracampos720@gmail.com
Source: Andes Pediatrica. nov/dic2025, Vol. 96 Issue 6, p794-799. 5p.
Subjects: INFANTS, GYNECOMASTIA, FIBROADENOMAS, CYSTS (Pathology), MAMMARY glands
Abstract: Bloody nipple discharge in infants is an infrequent clinical finding and is associated with benign etiologies. Objective: To report a case of bloody nipple discharge in an older infant with gynecomastia and discuss the clinical decision-making in relation to this symptom. Clinical Case: A 13-month-old male infant who presented with a one-month history of three episodes of bilateral bloody nipple discharge, with no other associated symptoms. He was exclusively breastfed until 6 months of age and afterwards with breastfeeding and complementary feeding until the day of consultation, without history of exposure to endocrine disruptors. Physical examination revealed gynecomastia with Tanner stage 3 of breast development. No abnormalities in his growth chart were noted. Upon breast compression, dark red blood came out of the right nipple, and brownish fluid from the left one. Breast ultrasound showed a simple cyst in the right breast. The clinical and radiological findings were attributable to ductal ectasia. An expectant management approach was adopted, and spontaneous resolution occurred within two months of onset. There was no clinical recurrence after nine months of follow-up. Conclusions: The most common etiology of bloody nipple discharge in pediatric patients is ductal ectasia; however, it can be secondary to breast cysts, intraductal papilloma, fibroadenomas, and mastitis. Current literature recommends an expectant management approach with follow-up until resolution, with no need for further procedures. [ABSTRACT FROM AUTHOR]
Copyright of Andes Pediatrica is the property of Revista Chilena de Pediatria and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Bloody niple discharge in infants, case report in a male toddler.
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  Data: Telorragia en el lactante, reporte de caso en lactante mayor de sexo masculino.
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  Data: <searchLink fieldCode="AR" term="%22González+Vidal%2C+Fernanda+Ignacia%22">González Vidal, Fernanda Ignacia</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Ibáñez+Salinas%2C+Daniela+Constanza%22">Ibáñez Salinas, Daniela Constanza</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Lagos+Chávez%2C+Juan+Ignacio%22">Lagos Chávez, Juan Ignacio</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Klein+Díaz%2C+Sofía+Catalina%22">Klein Díaz, Sofía Catalina</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Soto+Barros%2C+Julio+César%22">Soto Barros, Julio César</searchLink><relatesTo>2,3</relatesTo><br /><searchLink fieldCode="AR" term="%22Campos+Cerda%2C+Laura+Irene%22">Campos Cerda, Laura Irene</searchLink><relatesTo>3</relatesTo><i> lauracampos720@gmail.com</i>
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  Data: <searchLink fieldCode="JN" term="%22Andes+Pediatrica%22">Andes Pediatrica</searchLink>. nov/dic2025, Vol. 96 Issue 6, p794-799. 5p.
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  Data: <searchLink fieldCode="DE" term="%22INFANTS%22">INFANTS</searchLink><br /><searchLink fieldCode="DE" term="%22GYNECOMASTIA%22">GYNECOMASTIA</searchLink><br /><searchLink fieldCode="DE" term="%22FIBROADENOMAS%22">FIBROADENOMAS</searchLink><br /><searchLink fieldCode="DE" term="%22CYSTS+%28Pathology%29%22">CYSTS (Pathology)</searchLink><br /><searchLink fieldCode="DE" term="%22MAMMARY+glands%22">MAMMARY glands</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Bloody nipple discharge in infants is an infrequent clinical finding and is associated with benign etiologies. Objective: To report a case of bloody nipple discharge in an older infant with gynecomastia and discuss the clinical decision-making in relation to this symptom. Clinical Case: A 13-month-old male infant who presented with a one-month history of three episodes of bilateral bloody nipple discharge, with no other associated symptoms. He was exclusively breastfed until 6 months of age and afterwards with breastfeeding and complementary feeding until the day of consultation, without history of exposure to endocrine disruptors. Physical examination revealed gynecomastia with Tanner stage 3 of breast development. No abnormalities in his growth chart were noted. Upon breast compression, dark red blood came out of the right nipple, and brownish fluid from the left one. Breast ultrasound showed a simple cyst in the right breast. The clinical and radiological findings were attributable to ductal ectasia. An expectant management approach was adopted, and spontaneous resolution occurred within two months of onset. There was no clinical recurrence after nine months of follow-up. Conclusions: The most common etiology of bloody nipple discharge in pediatric patients is ductal ectasia; however, it can be secondary to breast cysts, intraductal papilloma, fibroadenomas, and mastitis. Current literature recommends an expectant management approach with follow-up until resolution, with no need for further procedures. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Andes Pediatrica is the property of Revista Chilena de Pediatria and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.32641/andespediatr.v96i6.5792
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      – Code: eng
        Text: English
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        PageCount: 5
        StartPage: 794
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      – SubjectFull: INFANTS
        Type: general
      – SubjectFull: GYNECOMASTIA
        Type: general
      – SubjectFull: FIBROADENOMAS
        Type: general
      – SubjectFull: CYSTS (Pathology)
        Type: general
      – SubjectFull: MAMMARY glands
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      – TitleFull: Bloody niple discharge in infants, case report in a male toddler.
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            NameFull: González Vidal, Fernanda Ignacia
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              M: 11
              Text: nov/dic2025
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              Y: 2025
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