Granulomatous Mastitis: A Rare Case with Sjogren's Syndrome and Complications

George Yazigi; Becca H Trieu; Michael Landis; Jignesh G Parikh; Mamta Mangal

doi:10.7759/cureus.5359

Granulomatous Mastitis: A Rare Case with Sjogren's Syndrome and Complications

Cureus. 2019 Aug 10;11(8):e5359. doi: 10.7759/cureus.5359.

Authors

George Yazigi¹, Becca H Trieu², Michael Landis², Jignesh G Parikh³, Mamta Mangal⁴

Affiliations

¹ Internal Medicine, University of Central Florida College of Medicine, Orlando, USA.
² Miscellaneous, University of Central Florida College of Medicine, Orlando, USA.
³ Pathology, Orlando VA Medical Center, Orlando, USA.
⁴ Internal Medicine, University of Central Florida College of Medicine/Orlando VA Medical Center, Orlando, USA.

Abstract

Granulomatous mastitis (GM) is a rare benign chronic inflammatory process of the breast in reproductive aged females. Although considered idiopathic in many cases, it has been associated with other conditions. Herein we report a highly complex and interesting case of GM in a young female with Sjogren's syndrome. We also review the literature and discuss challenges pertaining to the management of patients with similar risk factors. According to our knowledge, this is the third case documenting the co-occurrence of GM and Sjogren's syndrome. We focus on the challenges and complications of GM in the context of an autoimmune disease. With evidence from our patient's disease course and support from the literature, we advocate the use of corticosteroids for GM to prevent complications in patients with additional risks factors such as an autoimmune disease.

Keywords: granulomatous mastitis; mastitis; sjogren's syndrome.

Publication types

Case Reports