Cazenave details the history of a case in which the mammary
menstruation was associated with a similar exudation from the
face, and Wolff saw an example associated with hemorrhage from
the fauces. In the Lancet (1840-1841) is an instance of monthly
discharge from beneath the left mamma. Finley also writes of an
example of mammary hemorrhage simulating menstruation. Barnes saw
a case in St. George's Hospital, London, 1876, in which the young
girl menstruated vicariously from the nipple and stomach. In a
London discussion there was mentioned the case of a healthy woman
of fifty who never was pregnant, and whose menstruation had
ceased two years previously, but who for twelve months had
menstruated regularly from the nipples, the hemorrhage being so
profuse as to require constant change of napkins. The mammae were
large and painful, and the accompanying symptoms were those of
ordinary menstruation. Boulger mentions an instance of periodic
menstrual discharge from beneath the left mamma. Jacobson speaks
of habitual menstruation by both breasts. Rouxeau describes
amenorrhea in a girl of seventeen, who menstruated from the
breast; and Teufard reports a case in which there was
reestablishment of menstruation by the mammae at the age of
fifty-six.
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