I just googled, which has not helped... I am 42, and 29 weeks pregnant, during my last pregnancy I had eczema on my nipple, so assumed same this time round but TBH, can't remember what it looked or felt like. this is a small white crusty patch, hard to describe. Saw my GP on Friday, and she used to be a dermatologist, so has presumably seen more cases of this than most GPs. She said Paget's doesn't usually look like this and to treat as eczema, with betnovate, for two weeks but if not cleared up, will refer for breast screening. I cheered up. However, have been awake since early hours with toothache, which has not helped my Monday morning positiveness. So got up and googled - macmillan website and others describe starting point as scaling or flaking. And although it's rare generally, women who have children late in life, like me, are more likely to have it. There's no improvement with the betnovate, and it usually works almost immediately IME. So now I think I should go back to GP by end of week and ask to reassess. Any thoughts please?