Mastitis classification

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Prince Tano Djan, BSc, MBChB [2]

Overview

Mastitis can be classified according to several subtypes based on the etiology, duration of the disease, anatomical location, immunological association and age of the patient.

Classification

Mastitis can be classified according to several subtypes based on the etiology, duration of the disease, anatomical location, immunological association and age of the patient as follows:

Puerperal vs. Non-puerperal Mastitis

This classification is important when counseling patients on prevention because improper latch of the baby to the breast may result in nipple injuries.

Chronic vs. Acute Mastitis

No specific timeline has been used to define the chronicity of the infection.

Periductal vs. Ductal

This classification is based on the anatomical location of the inflammatory process and may not be clinically important.

Autoimmune vs. Non-autoimmune Mastitis

Examples of autoimmune mastitis include granulomatous and lupus mastitis. This classification is especially important because granulomatous and lupus mastitis are treated differently from other types of mastitis.^[1]^[2]^[3]

Pre-pubertal Mastitis

This is usullay self-limiting and may not need any antibiotic therapy.

References

↑ Altintoprak F, Kivilcim T, Yalkin O, Uzunoglu Y, Kahyaoglu Z, Dilek ON (2015). “Topical Steroids Are Effective in the Treatment of Idiopathic Granulomatous Mastitis”. World J Surg. 39 (11): 2718–23. doi:10.1007/s00268-015-3147-9. PMID 26148520.
↑ Ocal K, Dag A, Turkmenoglu O, Kara T, Seyit H, Konca K (2010). “Granulomatous mastitis: clinical, pathological features, and management”. Breast J. 16 (2): 176–82. doi:10.1111/j.1524-4741.2009.00879.x. PMID 20030652.
↑ Summers TA, Lehman MB, Barner R, Royer MC (2009). “Lupus mastitis: a clinicopathologic review and addition of a case”. Adv Anat Pathol. 16 (1): 56–61. doi:10.1097/PAP.0b013e3181915ff7. PMID 19098467.

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[pmid26148520-1] Altintoprak F, Kivilcim T, Yalkin O, Uzunoglu Y, Kahyaoglu Z, Dilek ON (2015). “Topical Steroids Are Effective in the Treatment of Idiopathic Granulomatous Mastitis”. World J Surg. 39 (11): 2718–23. doi:10.1007/s00268-015-3147-9. PMID 26148520.

[pmid20030652-2] Ocal K, Dag A, Turkmenoglu O, Kara T, Seyit H, Konca K (2010). “Granulomatous mastitis: clinical, pathological features, and management”. Breast J. 16 (2): 176–82. doi:10.1111/j.1524-4741.2009.00879.x. PMID 20030652.

[pmid19098467-3] Summers TA, Lehman MB, Barner R, Royer MC (2009). “Lupus mastitis: a clinicopathologic review and addition of a case”. Adv Anat Pathol. 16 (1): 56–61. doi:10.1097/PAP.0b013e3181915ff7. PMID 19098467.

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