Rubeosis mammae R23.8

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Harmless, mostly symmetrical, blurred inhomogeneous spotting of the breasts.

Etiopathogenesis
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Regulation disturbance of the peripheral vascular tone; preceding cold damage(?).

Manifestation
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Middle-aged and older women with obese mamma are affected.

Clinical features
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Large, symmetrical, clearly accentuated in cold weather, blurred to the surrounding skin, reticulated to inhomogeneous, red to livid erythema (cyanotic shade in cold weather!). Teleangiectasia can also be detected by reflected light microscopy. When palpating, the skin is noticeably cool.

Diagnosis
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Discrepancy between clear erythema on unobtrusively cool skin and the absence of any inflammatory symptoms. Often analogous changes are also present on the outer sides of the thighs (never on the inner sides!) and knees. The clinical picture is diagnostic if the aforementioned symptoms are observed!

Differential diagnosis
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REM syndrome; cold panniculitis; erysipelas of the mammae (symmetry and lack of inflammatory symptoms speaks against it!)

Therapy
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Sufficiently warm, not too tight-fitting clothing is recommended.

Internal therapy
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Circulation-enhancing substances such as nifedipine are recommended, but are not very promising.

Prophylaxis
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Weight reduction, regular sports activities.

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020