Mondor's Disease
A 4-year-old boy presented to a clinic in Nairobi with fever and watery diarrhea. He was pale and icteric, with severe acute malnutrition (mid–upper arm circumference, 11.3 cm), and he had a row of painless, rubbery, mobile, subcutaneous nodules running inferomedially from his left nipple to the central epigastric region. His hemoglobin level was 5.0 g per deciliter, and hemoglobin electrophoresis revealed sickle cell disease. Doppler ultrasonography of the chest showed a dilated subcutaneous vein without flow that was noncompressible, which confirmed the diagnosis of superficial thrombophlebitis in the chest wall, or Mondor's disease. He was treated with amoxicillin and given ready-to-use therapeutic food on an outpatient basis. He had a full recovery, with complete resolution of the chest-wall thrombophlebitis by 6 weeks after presentation. Mondor's disease typically occurs in women, and breast surgery appears to be a common antecedent risk factor.
It is very sad to see people living in these precarious situations, starving. Very sad.