The
n e w e ng l a n d j o u r na l
of
m e dic i n e
images in clinical medicine Lindsey R. Baden, M.D., Editor
Mondor’s Disease
Caroline W. Munyi, K.R.C.H.N. Baraka Health Centre, German Doctors Nairobi Nairobi, Kenya
Kelsey D.J. Jones, M.R.C.P.C.H. Kenya Medical Research Institute– Wellcome Trust Research Programme Nairobi, Kenya [email protected]
A
4-year-old boy presented to a clinic in Nairobi with fever and watery diarrhea. He was pale and icteric, with severe acute malnutrition (mid–upper circumference, 11.3 cm), andRETAKE he had a1strow of painless, Munyi/Jones ICMarmAUTHOR rubbery, mobile, REG subcutaneous running inferomedially 2nd from his left nipF FIGURE nodules 1 3rd g per deciliter, ple to the centralCASE epigastric was 5.0 TITLEregion. His hemoglobin level Revised and hemoglobin EMail electrophoresis revealedLine sickle cell 4-C disease. Doppler ultrasonogSIZE Enonshowed raphy of the chest a dilated ARTIST: mst subcutaneous H/T H/T vein without flow that was 22p3 FILL Combo noncompressible, which confirmed the diagnosis of superficial thrombophlebitis in the chest wall, or Mondor’sAUTHOR, disease. PLEASE He wasNOTE: treated with amoxicillin and given Figurefood has been redrawn and type has been ready-to-use therapeutic on an outpatient basis. He reset. had a full recovery, with Please check carefully. complete resolution of the chest-wall thrombophlebitis by 6 weeks after presentation. Mondor’s disease typically occurs in women, and breast surgery appears to JOB: 37024 ISSUE: 6-19-24 be a common antecedent risk factor.
DOI: 10.1056/NEJMicm1313969 Copyright © 2014 Massachusetts Medical Society.
2426
n engl j med 370;25
nejm.org
june 19, 2014
The New England Journal of Medicine Downloaded from nejm.org at STOCKHOLMS UNIVERSTITETSBIBL on August 12, 2015. For personal use only. No other uses without permission. Copyright © 2014 Massachusetts Medical Society. All rights reserved.
n e w e ng l a n d j o u r na l
of
m e dic i n e
images in clinical medicine Lindsey R. Baden, M.D., Editor
Mondor’s Disease
Caroline W. Munyi, K.R.C.H.N. Baraka Health Centre, German Doctors Nairobi Nairobi, Kenya
Kelsey D.J. Jones, M.R.C.P.C.H. Kenya Medical Research Institute– Wellcome Trust Research Programme Nairobi, Kenya [email protected]
A
4-year-old boy presented to a clinic in Nairobi with fever and watery diarrhea. He was pale and icteric, with severe acute malnutrition (mid–upper circumference, 11.3 cm), andRETAKE he had a1strow of painless, Munyi/Jones ICMarmAUTHOR rubbery, mobile, REG subcutaneous running inferomedially 2nd from his left nipF FIGURE nodules 1 3rd g per deciliter, ple to the centralCASE epigastric was 5.0 TITLEregion. His hemoglobin level Revised and hemoglobin EMail electrophoresis revealedLine sickle cell 4-C disease. Doppler ultrasonogSIZE Enonshowed raphy of the chest a dilated ARTIST: mst subcutaneous H/T H/T vein without flow that was 22p3 FILL Combo noncompressible, which confirmed the diagnosis of superficial thrombophlebitis in the chest wall, or Mondor’sAUTHOR, disease. PLEASE He wasNOTE: treated with amoxicillin and given Figurefood has been redrawn and type has been ready-to-use therapeutic on an outpatient basis. He reset. had a full recovery, with Please check carefully. complete resolution of the chest-wall thrombophlebitis by 6 weeks after presentation. Mondor’s disease typically occurs in women, and breast surgery appears to JOB: 37024 ISSUE: 6-19-24 be a common antecedent risk factor.
DOI: 10.1056/NEJMicm1313969 Copyright © 2014 Massachusetts Medical Society.
2426
n engl j med 370;25
nejm.org
june 19, 2014
The New England Journal of Medicine Downloaded from nejm.org at STOCKHOLMS UNIVERSTITETSBIBL on August 12, 2015. For personal use only. No other uses without permission. Copyright © 2014 Massachusetts Medical Society. All rights reserved.
