Abnormal lymph drainage in patients with chronic venous leg ulcers
Identifieur interne : 004F23 ( Istex/Checkpoint ); précédent : 004F22; suivant : 004F24Abnormal lymph drainage in patients with chronic venous leg ulcers
Auteurs : R. H. Bull [Royaume-Uni] ; J. N. Gane [Royaume-Uni] ; J. E. C. Evans [Royaume-Uni] ; A. E. A. Joseph [Royaume-Uni] ; Peter Mortimer (dermatologue) [Royaume-Uni]Source :
- Journal of the American Academy of Dermatology [ 0190-9622 ] ; 1993.
Abstract
Background: Edema often occurs in association with venous leg ulcers.Objective: Our purpose was to assess lymphatic function in the legs of patients with venous leg ulcers.Methods: Quantitative lymphoscintigraphy was performed in 22 normal control subjects, 32 patients with venous leg ulcers, and 7 patients with varicose veins only.Results: Lymph drainage declined with age in the normal controls (r = −0.57; p = 0.0001). Lymphatic function was reduced in the ulcerated legs compared with normal limbs (age <65 years; p < 0.0001) and in edematous legs compared with nonedematous legs (age >65 years; ulcerated legs, p = 0.016; nonulcerated legs, p = 0.021). Lymph drainage was lower in the legs of patients with varicose veins only (p = 0.004).Conclusion: Impaired lymphatic function is associated with both venous leg ulcers and chronic venous hypertension.
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DOI: 10.1016/0190-9622(93)70078-8
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S." last="Mortimer">Peter Mortimer (dermatologue)</name><affiliation><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName><orgName type="university">Université de Londres</orgName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:1CDC7B7E68FD5B91860F9A7A33EDD15580DE6482</idno><date when="1993" year="1993">1993</date><idno type="doi">10.1016/0190-9622(93)70078-8</idno><idno type="url">https://api.istex.fr/document/1CDC7B7E68FD5B91860F9A7A33EDD15580DE6482/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000D44</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000D44</idno><idno type="wicri:Area/Istex/Curation">000D44</idno><idno type="wicri:Area/Istex/Checkpoint">004F23</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">004F23</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Abnormal lymph drainage in patients with chronic venous leg ulcers</title><author><name sortKey="Bull, R H" sort="Bull, R H" uniqKey="Bull R" first="R. H." last="Bull">R. H. Bull</name><affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>London</wicri:regionArea></affiliation></author><author><name sortKey="Gane, J N" sort="Gane, J N" uniqKey="Gane J" first="J. N." last="Gane">J. N. Gane</name><affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>London</wicri:regionArea></affiliation></author><author><name sortKey="Evans, J E C" sort="Evans, J E C" uniqKey="Evans J" first="J. E. C." last="Evans">J. E. C. Evans</name><affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>London</wicri:regionArea></affiliation></author><author><name sortKey="Joseph, A E A" sort="Joseph, A E A" uniqKey="Joseph A" first="A. E. A." last="Joseph">A. E. A. 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S." last="Mortimer">Peter Mortimer (dermatologue)</name><affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName><orgName type="university">Université de Londres</orgName></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of the American Academy of Dermatology</title><title level="j" type="abbrev">YMJD</title><idno type="ISSN">0190-9622</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1993">1993</date><biblScope unit="volume">28</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="585">585</biblScope><biblScope unit="page" to="590">590</biblScope></imprint><idno type="ISSN">0190-9622</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0190-9622</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Background: Edema often occurs in association with venous leg ulcers.Objective: Our purpose was to assess lymphatic function in the legs of patients with venous leg ulcers.Methods: Quantitative lymphoscintigraphy was performed in 22 normal control subjects, 32 patients with venous leg ulcers, and 7 patients with varicose veins only.Results: Lymph drainage declined with age in the normal controls (r = −0.57; p = 0.0001). Lymphatic function was reduced in the ulcerated legs compared with normal limbs (age <65 years; p < 0.0001) and in edematous legs compared with nonedematous legs (age >65 years; ulcerated legs, p = 0.016; nonulcerated legs, p = 0.021). Lymph drainage was lower in the legs of patients with varicose veins only (p = 0.004).Conclusion: Impaired lymphatic function is associated with both venous leg ulcers and chronic venous hypertension.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement><orgName><li>Université de Londres</li></orgName></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Bull, R H" sort="Bull, R H" uniqKey="Bull R" first="R. H." last="Bull">R. H. Bull</name></noRegion><name sortKey="Evans, J E C" sort="Evans, J E C" uniqKey="Evans J" first="J. E. C." last="Evans">J. E. C. 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