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Periductal mastitis, also known as Zuska’s disease, is a rare and painful inflammatory condition of the breast. It is characterized by recurrent abscesses and fistulas near the nipple area, often unrelated to breastfeeding. Here are some key details: Features Symptoms: Pain, redness, swelling, and discharge from the nipple. In advanced cases, fistulas (abnormal connections between ducts and skin) may form. Risk Factors: Strongly associated with cigarette smoking, which causes changes in the breast ducts (squamous metaplasia). It can also occur in men, though less commonly. Diagnosis Clinical Examination: Identifies abscesses or fistulas. Imaging: Ultrasound or mammography may reveal cystic masses or abscesses. Biopsy: Sometimes performed to rule out breast cancer. Treatment Antibiotics: To manage bacterial infections. Drainage: Abscesses may need to be drained. Surgery: In severe or recurrent cases, surgical removal of the affected ducts and tissue may be necessary. Smoking Cessation: Essential to prevent recurrence #Mastitis