Baker details in full the description of a case of
vicarious menstruation from an ulcer on the right mamma of a
woman of twenty. At the time he was called to see her she was
suffering with what was called "green-sickness." The girl had
never menstruated regularly or freely. The right mamma was quite
well developed, flaccid, the nipple prominent, and the
superficial veins larger and more tortuous than usual. The
patient stated that the right mamma had always been larger than
the left. The areola was large and well marked, and 1/4 inch from
its outer edge, immediately under the nipple, there was an ulcer
with slightly elevated edges measuring about 1 1/4 inches across
the base, and having an opening in its center 1/4 inch in
diameter, covered with a thin scab. By removing the scab and
making pressure at the base of the ulcer, drops of thick,
mucopurulent matter were made to exude. This discharge, however,
was not offensive to the smell. On March 17, 1846, the breast
became much enlarged and congested, as portrayed in Plate 1. The
ulcer was much inflamed and painful, the veins corded and deep
colored, and there was a free discharge of sanguineous yellowish
matter. When the girl's general health improved and menstruation
became more natural, the vicarious discharge diminished in
proportion, and the ulcer healed shortly afterward.
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