Marsaudon E, Legal C, Gayoux D, Weber O
Service de médecine interne, centre hospitalier Côte-de-lumière, 4, rue Jacques-Monod, 85109 Les Sables-d'Olonne cedex, France.
Urgences, centre hospitalier Côte-de-lumière, 4, rue Jacques-Monod, 85109 Les Sables-d'Olonne cedex, France.
Rev Med Interne. 2016 Sep;37(9):636-8. doi: 10.1016/j.revmed.2015.11.009. Epub 2016 Mar 10.
Mondor's disease is a rare superficial thrombophlebitis, historically involving the thoracic venous system of women. However, it can occur in both gender and all over the skin.
We report a 40-year-old man with type one diabetes who presented with a thrombosis of the superficial dorsal vein of the penis that he treated as a fungal infection. Treatment with non-steroidal anti-inflammatory drugs and low molecular weight heparin contributed to a favorable outcome in 2 weeks.
Pathogenesis and treatment of Mondor's disease remain incompletely dominated. Some predisposing factors have been highlighted in the literature. It might be interesting to add diabetes, due to its frequent pelvic problems leading to a potential venous inflammatory trigger.
蒙多氏病是一种罕见的浅静脉血栓形成,历史上多见于女性的胸静脉系统。然而,它可发生于任何性别,且可累及全身皮肤。
我们报告一名40岁的1型糖尿病男性,其阴茎背浅静脉发生血栓形成,他最初当作真菌感染进行治疗。使用非甾体抗炎药和低分子量肝素治疗2周后取得了良好效果。
蒙多氏病的发病机制和治疗仍未完全明确。文献中已强调了一些诱发因素。鉴于糖尿病常伴有盆腔问题,可能引发潜在的静脉炎症,将其纳入诱发因素或许会很有意义。