Lymphatic Compression by Sclerotic Patches of Morphea: An Original Mechanism of Lymphedema in a Child
Identifieur interne : 000346 ( France/Analysis ); précédent : 000345; suivant : 000347Lymphatic Compression by Sclerotic Patches of Morphea: An Original Mechanism of Lymphedema in a Child
Auteurs : Mahtab Samimi [France] ; Annabel Maruani [France] ; Marie-Christine Machet [France] ; Françoise Baulieu [France] ; Laurent Machet [France] ; Gérard Lorette [France]Source :
- Pediatric Dermatology [ 0736-8046 ] ; 2010-01.
Descripteurs français
- KwdFr :
- Enfant d'âge préscolaire, Femelle, Humains, Lymphoedème (anatomopathologie), Lymphoedème (imagerie diagnostique), Lymphoedème (étiologie), Noeuds lymphatiques (anatomopathologie), Peau (anatomopathologie), Scintigraphie, Sclérodermie localisée (), Sclérodermie localisée (anatomopathologie), Sclérodermie localisée (imagerie diagnostique), Sclérose.
- MESH :
- anatomopathologie : Lymphoedème, Noeuds lymphatiques, Peau, Sclérodermie localisée.
- imagerie diagnostique : Lymphoedème, Sclérodermie localisée.
- étiologie : Lymphoedème.
- Enfant d'âge préscolaire, Femelle, Humains, Scintigraphie, Sclérodermie localisée, Sclérose.
- Pascal (Inist)
- Wicri :
English descriptors
- KwdEn :
- Child, Child, Preschool, Circumscribed scleroderma, Compression, Dermatology, Female, Humans, Lymph Nodes (pathology), Lymph node, Lymphatic, Lymphatic system, Lymphedema, Lymphedema (diagnostic imaging), Lymphedema (etiology), Lymphedema (pathology), Patch, Pediatrics, Radionuclide Imaging, Scleroderma, Localized (complications), Scleroderma, Localized (diagnostic imaging), Scleroderma, Localized (pathology), Sclerosis, Skin (pathology).
- MESH :
- complications : Scleroderma, Localized.
- diagnostic imaging : Lymphedema, Scleroderma, Localized.
- etiology : Lymphedema.
- pathology : Lymph Nodes, Lymphedema, Scleroderma, Localized, Skin.
- Child, Preschool, Female, Humans, Radionuclide Imaging, Sclerosis.
Abstract
Abstract: Lymphedema in children is mostly primary, due to lymphatic hypoplasia. Secondary lymphedema is caused by lymphatic injury or obstruction. We report the case of a child that developed a lymphedema of the left upper and lower extremities, with a simultaneous onset of ipsilateral hemicorporal morphea. We concluded that lymphatic obstruction was due to sclerosis from morphea. This is a unique, rarely reported mechanism of lymphedema. Lymphoscintigraphy revealed attenuated lymphatic flow in the left upper and lower limbs. Systemic corticosteroids were associated with slow improvement in the sclerotic patches. We simultaneously noticed an improvement in the lymphedema of limbs. Repeat lymphoscintigraphy revealed dramatically improved lymphatic function. This case suggests that at least in some cases lymphedema may be caused by morphea.
Url:
DOI: 10.1111/j.1525-1470.2009.01049.x
Affiliations:
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type="ISSN">0736-8046</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0736-8046</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Child</term><term>Child, Preschool</term><term>Circumscribed scleroderma</term><term>Compression</term><term>Dermatology</term><term>Female</term><term>Humans</term><term>Lymph Nodes (pathology)</term><term>Lymph node</term><term>Lymphatic</term><term>Lymphatic system</term><term>Lymphedema</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (etiology)</term><term>Lymphedema (pathology)</term><term>Patch</term><term>Pediatrics</term><term>Radionuclide Imaging</term><term>Scleroderma, Localized (complications)</term><term>Scleroderma, Localized (diagnostic imaging)</term><term>Scleroderma, Localized (pathology)</term><term>Sclerosis</term><term>Skin (pathology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Enfant d'âge préscolaire</term><term>Femelle</term><term>Humains</term><term>Lymphoedème (anatomopathologie)</term><term>Lymphoedème (imagerie diagnostique)</term><term>Lymphoedème (étiologie)</term><term>Noeuds lymphatiques (anatomopathologie)</term><term>Peau (anatomopathologie)</term><term>Scintigraphie</term><term>Sclérodermie localisée ()</term><term>Sclérodermie localisée (anatomopathologie)</term><term>Sclérodermie localisée (imagerie diagnostique)</term><term>Sclérose</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Lymphoedème</term><term>Noeuds lymphatiques</term><term>Peau</term><term>Sclérodermie localisée</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Scleroderma, Localized</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lymphedema</term><term>Scleroderma, Localized</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Lymphoedème</term><term>Sclérodermie localisée</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lymph Nodes</term><term>Lymphedema</term><term>Scleroderma, Localized</term><term>Skin</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Child, Preschool</term><term>Female</term><term>Humans</term><term>Radionuclide Imaging</term><term>Sclerosis</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Enfant d'âge préscolaire</term><term>Femelle</term><term>Humains</term><term>Scintigraphie</term><term>Sclérodermie localisée</term><term>Sclérose</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Compression</term><term>Dermatologie</term><term>Enfant</term><term>Ganglion lymphatique</term><term>Lymphatique</term><term>Lymphoedème</term><term>Patch</term><term>Pédiatrie</term><term>Sclérodermie circonscrite</term><term>Système lymphatique</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Enfant</term><term>Pédiatrie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Abstract: Lymphedema in children is mostly primary, due to lymphatic hypoplasia. Secondary lymphedema is caused by lymphatic injury or obstruction. We report the case of a child that developed a lymphedema of the left upper and lower extremities, with a simultaneous onset of ipsilateral hemicorporal morphea. We concluded that lymphatic obstruction was due to sclerosis from morphea. This is a unique, rarely reported mechanism of lymphedema. Lymphoscintigraphy revealed attenuated lymphatic flow in the left upper and lower limbs. Systemic corticosteroids were associated with slow improvement in the sclerotic patches. We simultaneously noticed an improvement in the lymphedema of limbs. Repeat lymphoscintigraphy revealed dramatically improved lymphatic function. This case suggests that at least in some cases lymphedema may be caused by morphea.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Centre-Val de Loire</li><li>Région Centre</li></region><settlement><li>Tours</li></settlement></list><tree><country name="France"><region name="Centre-Val de Loire"><name sortKey="Samimi, Mahtab" sort="Samimi, Mahtab" uniqKey="Samimi M" first="Mahtab" last="Samimi">Mahtab Samimi</name></region><name sortKey="Baulieu, Francoise" sort="Baulieu, Francoise" uniqKey="Baulieu F" first="Françoise" last="Baulieu">Françoise Baulieu</name><name sortKey="Baulieu, Francoise" sort="Baulieu, Francoise" uniqKey="Baulieu F" first="Françoise" last="Baulieu">Françoise Baulieu</name><name sortKey="Lorette, Gerard" sort="Lorette, Gerard" uniqKey="Lorette G" first="Gérard" last="Lorette">Gérard Lorette</name><name sortKey="Lorette, Gerard" sort="Lorette, Gerard" uniqKey="Lorette G" first="Gérard" last="Lorette">Gérard Lorette</name><name sortKey="Machet, Laurent" sort="Machet, Laurent" uniqKey="Machet L" first="Laurent" last="Machet">Laurent Machet</name><name sortKey="Machet, Laurent" sort="Machet, Laurent" uniqKey="Machet L" first="Laurent" last="Machet">Laurent Machet</name><name sortKey="Machet, Marie Hristine" sort="Machet, Marie Hristine" uniqKey="Machet M" first="Marie-Christine" last="Machet">Marie-Christine Machet</name><name sortKey="Machet, Marie Hristine" sort="Machet, Marie Hristine" uniqKey="Machet M" first="Marie-Christine" last="Machet">Marie-Christine Machet</name><name sortKey="Maruani, Annabel" sort="Maruani, Annabel" uniqKey="Maruani A" first="Annabel" last="Maruani">Annabel Maruani</name><name sortKey="Maruani, Annabel" sort="Maruani, Annabel" uniqKey="Maruani A" first="Annabel" last="Maruani">Annabel Maruani</name><name sortKey="Samimi, Mahtab" sort="Samimi, Mahtab" uniqKey="Samimi M" first="Mahtab" last="Samimi">Mahtab Samimi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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