Lactating Mother

The patient is a 23 yo woman who is nursing a 4 month old infant. She has had psoriasis since childhood, often quite severe. A single mother, she comes from a disadvantaged family and is trying to do all the right things for her young daughter. Her breasts are painful from the plaques and nursing.

[I apologize for the blurry picture. The battery was low and would not allow me to use macro function -- but you can get the idea.]



I think this is psoriasis of areolae caused by the trauma of nursing. The question is how to treat. The young mother wants to continue breast feeding for a few more months.
How would you treat the aroelae and nipples considering that a baby will be sucking on the area?