Abstract

Dr. Preetam Mandawat, Dr. Parul Agarwal, *Dr. Pragya Gautam

ABSTRACT

Introduction: Zuska's disease, also known as recurrent periductal mastitis, is a rare inflammatory breast condition predominantly affecting premenopausal women. It presents with painful breast lumps, nipple discharge, and erythema, which may mimic infections or malignancies. Early diagnosis and treatment are essential to prevent recurrence and complications. Case Presentation: We report a case of a 32-year-old, obese Indian Muslim female who presented with left sided mastalgia, nipple discharge, and subareolar breast lump with normal looking overlying skin for 1 month. Blood investigations were normal, and USG guided Fine Needle Aspiration Cytology (FNAC) findings were suggestive of periductal mastitis, consistent with Zuska’s disease. The patient was treated with antibiotics and analgesics for 15 days. Outcome: Following the course of treatment, the patient made a full recovery, with resolution of the subareolar breast lump and symptoms. No recurrence was noted during follow-up. Conclusion: This case underscores the importance of recognizing Zuska’s disease in patients presenting with breast lumps and discharge. Early intervention with antibiotics can lead to successful resolution and prevent the need for surgical intervention in uncomplicated cases.