๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
Sclerosing lymphangitis
Sclerosing lymphangitis
Clinical features Sclerosing lymphangitis (Mondor disease) is probably a misnomer as it likely represents a variant of superficial thrombophlebitis that most commonly affects the genitalia, chest wall, or breasts. Women with large pendulous breasts seem to be particularly predisposed.1 In these cases, and in others, trauma probably plays a significant role in development. Some
authors have reported an association with breast carcinoma.2 Intravenous drug abuse may be an occasional cause and sclerosing lymphangitis of the penis has been documented in association with an underlying sexually transmitted disease.3,4 Nonvenereal sclerosing lymphangitis has also been associated with vigorous sexual activity.5โ8 Sickle cell disease and protein S deficiency are rare associations.9,10 Patients present with sometimes painful linear cordlike lesions. Typically, lesions are a few centimeters in length but sometimes may be much larger. The overlying skin is erythematous without color change. The disorder is self-limiting and usually resolves in a few weeks.11 Rarely, persistent disease requires surgical intervention.12
769 Cocaine-related retiform purpura