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| Idiopathic Granulomatous Mastitis Associating With Erythema Nodosum: A Case Report
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Aboubecrine Barick, Abraham alexis sano,Fatima Zohra Fdili Alaoui, Sofia Jayi, Hikmat Chaara, Moulay Abdelilah Melhouf
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Abstract:
Background: Idiopathic granulomatous mastitis (IGM) is a chronic benign inflammatory disease of the breast that can mimic breast cancer. It is more common in young women of childbearing age and poses a diagnostic of an inflammatory breast tumor. Case presentation: This was a 26-year-old patient who consulted for the management of an inflammatory breast in whom the examination found an apyretic patient with a left breast seat of an irregular smooth edematous and painless mass measuring 4 cm surmounted by crusts and multiple scars of fistulization leaving pus emitting after pressure with a mobile homolateral axillary lymphadenopathy. The contralateral breast was without particularity. The rest of the physical examination found inflammatory erythematous plaques on the 02 legs. A mammography plus breast ultrasound were performed followed by a biopsy, which returned in favor of a fibrous mastopathy. The persistence of the symptoms led to the completion of a lumpectomy whose histology was in favor of granulomatous mastitis. Etiological research has not found an obvious cause. Corticosteroid therapy combined with antibiotic therapy was instituted with complete regression of the symptomatology after two months. Conclusion: IGM poses a diagnostic problem. Its symptoms and imaging remain atypical and non-specific. The biopsy sometimes remains unsatisfactory and the use of a wide excision for histological study is more judicious. A careful investigation would be an asset to avoid mutilating surgeries without interest.
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