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. 2021 May 19;134(15):1765–1767. doi: 10.1097/CM9.0000000000001532
Therapeutic schedule Level of evidence Strength of recommendation
2.1 Granulomatous lobular mastitis
 2.1.1 Corticosteroids[7],∗ III B
2.2 Periductal mastitis
 2.2.1 Anti-infective treatment during acute inflammation[3],† II A
 2.2.2 Anti-mycobacterial drugs for periductal mastitis with fistula formation or ulceration[8,9],‡ III B

Prednisone or methylprednisolone can be used. The usual dosage is prednisone 0.75 mg·kg−1·day−1, a 2-week course being recommended. The dose should be reduced gradually once the symptoms have resolved. The time to complete resolution is highly variable (1.5–20 months). Broad-spectrum antibiotics are used to control the inflammatory response in the acute phase; however, antibiotic treatment alone cannot cure this condition. Isoniazid (300 mg/day), rifampicin (450 mg/day) combined with ethambutol (750 mg/day) or pyrazinamide (750 mg/day). Published reports recommend treatment for 9 to 12 months.