MONDOR’S DISEASE

MONDOR’S DISEASE

Mondor's disease is a self-limiting condition characterized by superficial thrombophlebitis of the breast veins.

1. Definition: Mondor's disease is a rare condition where a thrombophlebitis occurs in the superficial veins of the breast.
2. Symptoms: Clinical features include a painful cord-like structure under the skin of the breast, often accompanied by redness and swelling.
3. Causes: The exact cause is unknown but may be related to trauma, surgery, or radiation therapy.
4. Pathology: The condition is characterized by a fibrinoid cord formed by thrombophlebitis of the superficial veins of the breast.

Types:

1. Primary Mondor's disease: Occurs without any underlying cause.
2. Secondary Mondor's disease: Occurs as a result of trauma, surgery, or radiation therapy.
3. Recurrent Mondor's disease: Occurs in some patients, often with a history of previous episodes.

Investigations:

1. Clinical examination: A thorough examination of the breast is essential to confirm the diagnosis.
2. Imaging studies: Ultrasound or mammography may be used to rule out other conditions.

Complications:

1. Scarring: The condition may result in scarring of the affected area.
2. Recurrence: Some patients may experience recurrent episodes of Mondor's disease.

Management:

1. Reassurance: Patients should be reassured that the condition is self-limiting and will resolve on its own.
2. Analgesics: Pain relief medication may be prescribed to manage symptoms.
3. Compression bandage: Applying a compression bandage to the affected area may help alleviate symptoms.
4. Antibiotics: In cases of secondary Mondor's disease, antibiotics may be prescribed to treat any underlying infection.

Treatment:

1. Rest: Patients should avoid strenuous activities and get plenty of rest.
2. Elevation: Elevating the affected breast may help alleviate symptoms.
3. Warm compresses: Applying warm compresses to the affected area may help promote healing.

Homoeopathic therapeutic medicines:

1. Arnica Montana: Indicated for pain and inflammation.
2. Calendula officinalis: Indicated for wound healing and tissue repair.
3. Graphites: Indicated for inflammation and pain.
4. Hypericum perforatum: Indicated for nerve pain and inflammation.
5. Aconitum Napellus: Indicated for pain and inflammation.

Blood supply:

1. The blood supply to the breast is primarily through the internal mammary artery and the thoracoacromial artery.

Nerve supply:

1. The nerve supply to the breast is primarily through the intercostal nerves.

Clinical anatomy:

1. The breast lies over the pectoralis major muscle and is divided into four quadrants.
2. The Cooper's ligaments support the breast and provide attachment to the pectoralis major muscle.

Clinical features:

1. A painful cord-like structure under the skin of the breast.
2. Redness and swelling of the affected area.
3. The patient may experience tenderness to touch.

Investigation:

1. Clinical examination: A thorough examination of the breast is essential to confirm the diagnosis.
2. Imaging studies: Ultrasound or mammography may be used to rule out other conditions.

Complications:

1. Scarring: The condition may result in scarring of the affected area.
2. Recurrence: Some patients may experience recurrent episodes of Mondor's disease.

Management:

1. Reassurance: Patients should be reassured that the condition is self-limiting and will resolve on its own.
2. Analgesics: Pain relief medication may be prescribed to manage symptoms.
3. Compression bandage: Applying a compression bandage to the affected area may help alleviate symptoms.
4. Antibiotics: In cases of secondary Mondor's disease, antibiotics may be prescribed to treat any underlying infection.