BMJ 2007; 335 doi: https://doi.org/10.1136/bmj.39394.482025.47 (Published 15 November 2007) Cite this as: BMJ 2007;335:1052
  1. Deirdre O'Shea, specialist registrar,
  2. Matthew Fenech, foundation year 2,
  3. Raman Lakshman, consultant
  1. department of paediatrics, West Suffolk Hospitals NHS Trust, Bury St Edmunds IP33 2QZ
  1. matthew.fenech{at}gmail.com

    The parents of a 19 month old girl were concerned to find a blood spot on her vest on several occasions. There was no history of trauma and they subsequently realised that she was bleeding intermittently from her left nipple. She was otherwise well and clinical examination was normal. The presentation is alarming but in infants and small children is almost always due to ductal ectasia, a benign condition which resolves spontaneously over six months or so. No investigations are indicated.

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