MONDOR'S DISEASE

Mondor's disease of the penis.
Mondor's disease of the penis


The sudden appearance of a red, tender cord running along the lateral chest or breast in a woman is classic for Mondor's disease. Men may also be affected and it may occur rarely in other sites (e.g., the axilla or penis). The lesion represents a thrombosed vein. A groove may be formed if the skin is fixed to the underlying cord. Various benign trigger factors have been associated, e.g., surgery, vigorous exercise, or pendulous breasts. However, the possibility of a hypercoagulable state associated with a hereditary defect (e.g., hereditary protein S deficiency) or a malignancy (e.g., pancreatic) should be entertained.

Treatment

In the absence of a chronic stimulus, spontaneous resolution can be expected in 1-2 months. Intralesional triamcinolone injection (20 mg/cc for two treatments spaced three weeks apart) resulted in complete disease resolution in one woman with persistent Mondor's disease of 15 months duration [Journal of Clinical and Aesthetic Dermatology; 2014;7;50].

References

NEJM

Dermatology Online Journal 18(1)

Here, after breast augmentation treated successfully with IL triamcinolone. The Journal of Clinical and Aesthetic Dermatology; 2014;7;50

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