You are correct. Nonlactating women may present w/ a painful red breast because of periductal inflammation, or mastitis, which can evolve into a breast abscess. Smoking and nipple piercing are risk factors for mastitis in nonlactating women. Mastitis must be differentiated from inflammatory breast CA, which is rare and may be assoc w/ rapid, global breast swelling, absence of fever/leukocytosis, generalized peau d’orange, and axillary lymphadenopathy. Consider inflammatory breast CA in pts w/ mastitis who don’t respond to warm compresses and oral abx.

You are correct. The pt was diagnosed clinically w/ herpes zoster ophthalmicus (HZO) w/ assoc anterior uveitis, which occurs in 40% to 50% of all cases of HZO. HZO can be distinguished from HSV by the dermatomal distribution of rash. Tx is w/ oral antivirals, pain control, and referral to ophthalmology w/in 24h if there is eye involvement. This pt’s eye sx resolved, and VA returned to 20/20, after 1wk of topical dexamethasone and oral acyclovir. The lesions resolved after 6wk, though she had residual forehead numbness.

BMJ 2016;353:i3221