Changes in the nail unit in patients with secondary lymphoedema identified using clinical, dermoscopic and ultrasound examination
Identifieur interne : 005354 ( Main/Curation ); précédent : 005353; suivant : 005355Changes in the nail unit in patients with secondary lymphoedema identified using clinical, dermoscopic and ultrasound examination
Auteurs : E. Le Fourn ; E. Duhard ; V. Tauveron [France] ; A. Maruani [France] ; M. Samimi [France] ; G. Lorette [France] ; L. Vaillant [France] ; L. Machet [France]Source :
- British Journal of Dermatology [ 0007-0963 ] ; 2011-04.
Descripteurs français
- KwdFr :
- Adulte, Femelle, Humains, Lymphoedème (), Lymphoedème (imagerie diagnostique), Mâle, Ongles (anatomopathologie), Ongles (imagerie diagnostique), Onychopathies (anatomopathologie), Onychopathies (imagerie diagnostique), Onychopathies (étiologie), Peau (anatomopathologie), Échographie, Études prospectives.
- MESH :
- anatomopathologie : Ongles, Onychopathies, Peau.
- imagerie diagnostique : Lymphoedème, Ongles, Onychopathies.
- étiologie : Onychopathies.
- Adulte, Femelle, Humains, Lymphoedème, Mâle, Échographie, Études prospectives.
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Adult, Dermatology, Female, Human, Humans, Lymphedema, Lymphedema (complications), Lymphedema (diagnostic imaging), Male, Nail Diseases (diagnostic imaging), Nail Diseases (etiology), Nail Diseases (pathology), Nail(anatomy), Nails (diagnostic imaging), Nails (pathology), Prospective Studies, Skin (pathology), Ultrasonography.
- MESH :
- complications : Lymphedema.
- diagnostic imaging : Lymphedema, Nail Diseases, Nails.
- etiology : Nail Diseases.
- pathology : Nail Diseases, Nails, Skin.
- Adult, Female, Humans, Male, Prospective Studies, Ultrasonography.
Abstract
Background Secondary lymphoedema is characterized by lymphatic stasis that is often the result of a lymph node lesion. At advanced stages it may cause trophic changes in the skin. However, the presence of changes in the nail unit has not been reported to date.
Url:
DOI: 10.1111/j.1365-2133.2010.10179.x
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<front><div type="abstract">Background Secondary lymphoedema is characterized by lymphatic stasis that is often the result of a lymph node lesion. At advanced stages it may cause trophic changes in the skin. However, the presence of changes in the nail unit has not been reported to date.</div>
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<series><title level="j" type="main">British journal of dermatology : (1951)</title>
<title level="j" type="abbreviated">Br. j. dermatol. : (1951)</title>
<idno type="ISSN">0007-0963</idno>
<imprint><date when="2011">2011</date>
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<seriesStmt><title level="j" type="main">British journal of dermatology : (1951)</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Dermatology</term>
<term>Human</term>
<term>Lymphedema</term>
<term>Nail(anatomy)</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Lymphoedème</term>
<term>Ongle</term>
<term>Dermatologie</term>
<term>Homme</term>
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<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term>
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<front><div type="abstract" xml:lang="en">Background Secondary lymphoedema is characterized by lymphatic stasis that is often the result of a lymph node lesion. At advanced stages it may cause trophic changes in the skin. However, the presence of changes in the nail unit has not been reported to date. Objectives The aim of this study was to determine the presence of nail abnormalities in cases of secondary lymphoedema. Methods This was a prospective study, conducted on patients with unilateral secondary lymphoedema. A comparative clinical and dermoscopic examination and 20-MHz high-resolution ultrasound imaging of the affected limb and the contralateral limb were performed. Results Thirty-three patients were included. On physical examination, hyperkeratosis of the lateral nail folds, friability of the nail surface, 'ragged' proximal nail folds and cuticle and apparent leuconychia were observed more frequently on the lymphoedematous limb. The ultrasound study of the nails of the thumb and the big toe did not reveal any differences in thickness of the different structures of the nail between the lymphoedema side and the opposite side. The nail matrix was longer on the lymphoedema side. Conclusions Our study showed mild changes in the nail unit compatible with the xerosis often associated with severe lymphoedema. However, the study also showed frequent evidence of 'ragged' cuticles, which in these patients at high risk of erysipelas are entry points for bacteria. This should be taken into account when counselling patients with limb lymphoedema in order to prevent erysipelas.</div>
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<author><name sortKey="Duhard, E" sort="Duhard, E" uniqKey="Duhard E" first="E." last="Duhard">E. Duhard</name>
<affiliation><wicri:noCountry code="no comma">Department of Dermatology</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Tauveron, V" sort="Tauveron, V" uniqKey="Tauveron V" first="V." last="Tauveron">V. Tauveron</name>
<affiliation></affiliation>
<affiliation wicri:level="3"><country xml:lang="fr">France</country>
<wicri:regionArea>Lymphology Unit, CHRU Tours, Tours</wicri:regionArea>
<placeName><region type="region">Centre-Val de Loire</region>
<region type="old region">Région Centre</region>
<settlement type="city">Tours</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Maruani, A" sort="Maruani, A" uniqKey="Maruani A" first="A." last="Maruani">A. Maruani</name>
<affiliation></affiliation>
<affiliation wicri:level="3"><country xml:lang="fr">France</country>
<wicri:regionArea>University François Rabelais de Tours, Tours</wicri:regionArea>
<placeName><region type="region">Centre-Val de Loire</region>
<region type="old region">Région Centre</region>
<settlement type="city">Tours</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><country xml:lang="fr">France</country>
<wicri:regionArea>UMR INSERM U930, ERL 3106, Tours</wicri:regionArea>
<placeName><region type="region">Centre-Val de Loire</region>
<region type="old region">Région Centre</region>
<settlement type="city">Tours</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Samimi, M" sort="Samimi, M" uniqKey="Samimi M" first="M." last="Samimi">M. Samimi</name>
<affiliation></affiliation>
<affiliation wicri:level="3"><country xml:lang="fr">France</country>
<wicri:regionArea>Lymphology Unit, CHRU Tours, Tours</wicri:regionArea>
<placeName><region type="region">Centre-Val de Loire</region>
<region type="old region">Région Centre</region>
<settlement type="city">Tours</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Lorette, G" sort="Lorette, G" uniqKey="Lorette G" first="G." last="Lorette">G. Lorette</name>
<affiliation></affiliation>
<affiliation wicri:level="3"><country xml:lang="fr">France</country>
<wicri:regionArea>University François Rabelais de Tours, Tours</wicri:regionArea>
<placeName><region type="region">Centre-Val de Loire</region>
<region type="old region">Région Centre</region>
<settlement type="city">Tours</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Vaillant, L" sort="Vaillant, L" uniqKey="Vaillant L" first="L." last="Vaillant">L. Vaillant</name>
<affiliation wicri:level="3"><country xml:lang="fr">France</country>
<wicri:regionArea>Lymphology Unit, CHRU Tours, Tours</wicri:regionArea>
<placeName><region type="region">Centre-Val de Loire</region>
<region type="old region">Région Centre</region>
<settlement type="city">Tours</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><country xml:lang="fr">France</country>
<wicri:regionArea>University François Rabelais de Tours, Tours</wicri:regionArea>
<placeName><region type="region">Centre-Val de Loire</region>
<region type="old region">Région Centre</region>
<settlement type="city">Tours</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><country xml:lang="fr">France</country>
<wicri:regionArea>UMR INSERM U930, ERL 3106, Tours</wicri:regionArea>
<placeName><region type="region">Centre-Val de Loire</region>
<region type="old region">Région Centre</region>
<settlement type="city">Tours</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Machet, L" sort="Machet, L" uniqKey="Machet L" first="L." last="Machet">L. Machet</name>
<affiliation></affiliation>
<affiliation wicri:level="3"><country xml:lang="fr">France</country>
<wicri:regionArea>University François Rabelais de Tours, Tours</wicri:regionArea>
<placeName><region type="region">Centre-Val de Loire</region>
<region type="old region">Région Centre</region>
<settlement type="city">Tours</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><country xml:lang="fr">France</country>
<wicri:regionArea>UMR INSERM U930, ERL 3106, Tours</wicri:regionArea>
<placeName><region type="region">Centre-Val de Loire</region>
<region type="old region">Région Centre</region>
<settlement type="city">Tours</settlement>
</placeName>
</affiliation>
</author>
</analytic>
<monogr></monogr>
<series><title level="j" type="main">British Journal of Dermatology</title>
<title level="j" type="alt">BRITISH JOURNAL OF DERMATOLOGY</title>
<idno type="ISSN">0007-0963</idno>
<idno type="eISSN">1365-2133</idno>
<imprint><biblScope unit="vol">164</biblScope>
<biblScope unit="issue">4</biblScope>
<biblScope unit="page" from="765">765</biblScope>
<biblScope unit="page" to="770">770</biblScope>
<biblScope unit="page-count">6</biblScope>
<publisher>Blackwell Publishing Ltd</publisher>
<pubPlace>Oxford, UK</pubPlace>
<date type="published" when="2011-04">2011-04</date>
</imprint>
<idno type="ISSN">0007-0963</idno>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><idno type="ISSN">0007-0963</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphedema (complications)</term>
<term>Lymphedema (diagnostic imaging)</term>
<term>Male</term>
<term>Nail Diseases (diagnostic imaging)</term>
<term>Nail Diseases (etiology)</term>
<term>Nail Diseases (pathology)</term>
<term>Nails (diagnostic imaging)</term>
<term>Nails (pathology)</term>
<term>Prospective Studies</term>
<term>Skin (pathology)</term>
<term>Ultrasonography</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (imagerie diagnostique)</term>
<term>Mâle</term>
<term>Ongles (anatomopathologie)</term>
<term>Ongles (imagerie diagnostique)</term>
<term>Onychopathies (anatomopathologie)</term>
<term>Onychopathies (imagerie diagnostique)</term>
<term>Onychopathies (étiologie)</term>
<term>Peau (anatomopathologie)</term>
<term>Échographie</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Ongles</term>
<term>Onychopathies</term>
<term>Peau</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lymphedema</term>
<term>Nail Diseases</term>
<term>Nails</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Nail Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Lymphoedème</term>
<term>Ongles</term>
<term>Onychopathies</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Nail Diseases</term>
<term>Nails</term>
<term>Skin</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Onychopathies</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Prospective Studies</term>
<term>Ultrasonography</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème</term>
<term>Mâle</term>
<term>Échographie</term>
<term>Études prospectives</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract">Background Secondary lymphoedema is characterized by lymphatic stasis that is often the result of a lymph node lesion. At advanced stages it may cause trophic changes in the skin. However, the presence of changes in the nail unit has not been reported to date.</div>
</front>
</TEI>
</ISTEX>
</double>
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