Rubeosis mammaeR23.8
DefinitionThis section has been translated automatically.
Harmless, mostly symmetrical, blurred inhomogeneous spotting of the breasts.
EtiopathogenesisThis section has been translated automatically.
Regulation disturbance of the peripheral vascular tone; preceding cold damage(?).
ManifestationThis section has been translated automatically.
Middle-aged and older women with obese mamma are affected.
Clinical featuresThis section has been translated automatically.
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.
DiagnosisThis section has been translated automatically.
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 diagnosisThis section has been translated automatically.
REM syndrome; cold panniculitis; erysipelas of the mammae (symmetry and lack of inflammatory symptoms speaks against it!)
TherapyThis section has been translated automatically.
Sufficiently warm, not too tight-fitting clothing is recommended.
Internal therapyThis section has been translated automatically.
Circulation-enhancing substances such as nifedipine are recommended, but are not very promising.
ProphylaxisThis section has been translated automatically.
Weight reduction, regular sports activities.