A 32-year-old man with no medical history presented with a 7-day history of aching pain in his left axilla. He had not had any fever, trauma, sexual history or travel history in the last few months. He was right-handed and did not play any sports regularly. A physical examination revealed a tender subcutaneous cord-like induration without redness (Picture A). Ultrasonography revealed an uncompressible tubular structure with hypoechoic content (Picture B). Color Doppler sonography showed the absence of a flow signal. Mondor's disease is typically benign thrombophlebitis of a vein (1). Risk factors include a hypercoagulative state, vascular disease, carcinoma, trauma and sexually transmitted infection (2). This disease is self-limited, and it is important to reassure patients of this in order to prevent doctor shopping. He received a physical checkup every week, and his symptoms improved gradually. The lesion resolved within four weeks after presentation without any medication.
Picture.
The authors state that they have no Conflict of Interest (COI).
References
- 1. Vijayalakshmi AA, Anand S. Mondor's disease. N Engl J Med 376: e47, 2017. [DOI] [PubMed] [Google Scholar]
- 2. Amano M, Shimizu T. Mondor's disease: a review of the literature. Intern Med 57: 2607-2612, 2018. [DOI] [PMC free article] [PubMed] [Google Scholar]