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Mondor's Disease: A Rare Cause of Chest Pain
Jorge Miguel Bastos Mendes Centro Hospitalar e Universitário de Coimbra, Faculdade de Medicina da Universidade de Coimbra, Coimbra, Portugal
João Filipe Ferreira Gomes Centro Hospitalar e Universitário de Coimbra, Faculdade de Medicina da Universidade de Coimbra, Coimbra, Portugal https://orcid.org/0000-0002-0680-9543
Lurdes Rovisco Branquinho Centro Hospitalar e Universitário de Coimbra, Faculdade de Medicina da Universidade de Coimbra, Coimbra, Portugal
Catarina Oliveira Carvalho USF Novo Norte, Arouca, Portugal
Patrícia Filipa Afonso Pais Pacheco Mendes Centro Hospitalar e Universitário de Coimbra, Faculdade de Medicina da Universidade de Coimbra, Coimbra, Portugal https://orcid.org/0000-0003-0014-965X
João Luís Carvalho Madaleno Centro Hospitalar e Universitário de Coimbra; Faculdade de Medicina da Universidade de Coimbra https://orcid.org/0000-0001-5547-9424
DOI: https://doi.org/10.12890/2020_001984
Mondor, thrombophlebitis, chest pain
Introduction: Chest pain is a very frequent reason for seeking medical care. When there is no obvious cause, patients are sometimes subjected to tests and treatments that may be unnecessary and potentially harmful. Mondor's disease is a rare but usually benign and self-limited entity characterized by thrombophlebitis in a specific region.
Case report: We report the clinical case of a 51-year-old man admitted to the emergency department with a 24-hour history of left chest pain with no other symptoms. Physical examination revealed a palpable subcutaneous cord-like structure that ultrasound confirmed to be thrombophlebitis of a superficial vein in the mammary region. Secondary causes were ruled out, and the condition resolved with ibuprofen and the application of local ice.
Discussion: Mondor's disease can be associated with neoplasms, trauma or hyperviscosity states, but it is mostly idiopathic. Usually, it resolves completely in 4–8 weeks without specific treatment. Because this infrequent diagnosis mainly relies on clinical findings, it is important that clinicians can recognize the syndrome.
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Issue: Vol 8 No 1 (view)
Section: Articles
Mendes JMB, Ferreira Gomes JF, Rovisco Branquinho L, Oliveira Carvalho C, Afonso Pais Pacheco Mendes PF, Carvalho Madaleno JL. Mondor's Disease: A Rare Cause of Chest Pain. EJCRIM 2020;8 doi:10.12890/2020_001984.
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