Successful management of a breastfeeding mother with severe eczema of the nipple beginning from puberty

Background Nipple eczema is the most common presentation of atopic dermatitis of the breast, which seriously influences breastfeeding of mothers. We here present a case of severe nipple eczema that started in puberty and received continuous care and interventions during pregnancy, the patient was successful in breastfeeding after the interventions. So the case was to provide a reference for nurses to formulate nursing programs. Case presentation A 36-year-old woman with 16-weeks of gestation, G1P0, visited the breastfeeding consultation clinic, complaining of excessive nipple secretion, severe itching, and concerns about breastfeeding. Severe nipple eczema was diagnosed. Through continuous monitoring and guidance of the patient, nipple eczema significantly improved, lactating confidence improved, anxiety symptoms reduced, and exclusive breastfeeding was achieved. Conclusions For lactating women with nipple eczema, breastfeeding consultants should play an important role and provide whole-process and individual guidance.