Histopathology of bilateral lower extremity inflammatory lymphedema in military basic trainees: A leukocytoclastic vasculitis of the deep vascular plexus.
Identifieur interne : 000515 ( Main/Exploration ); précédent : 000514; suivant : 000516Histopathology of bilateral lower extremity inflammatory lymphedema in military basic trainees: A leukocytoclastic vasculitis of the deep vascular plexus.
Auteurs : Shannan E. Mccann [États-Unis] ; Scott R. Dalton [États-Unis] ; Todd T. Kobayashi [États-Unis]Source :
- Journal of cutaneous pathology [ 1600-0560 ] ; 2017.
Descripteurs français
- KwdFr :
- Adolescent, Granulocytes neutrophiles (anatomopathologie), Granulocytes neutrophiles (métabolisme), Humains, Infiltration par les neutrophiles, Lymphoedème (anatomopathologie), Lymphoedème (métabolisme), Membre inférieur (anatomopathologie), Mâle, Vascularite leucocytoclasique cutanée (anatomopathologie), Vascularite leucocytoclasique cutanée (métabolisme).
- MESH :
- anatomopathologie : Granulocytes neutrophiles, Lymphoedème, Membre inférieur, Vascularite leucocytoclasique cutanée.
- métabolisme : Granulocytes neutrophiles, Lymphoedème, Vascularite leucocytoclasique cutanée.
- Adolescent, Humains, Infiltration par les neutrophiles, Mâle.
English descriptors
- KwdEn :
- MESH :
- metabolism : Lymphedema, Neutrophils, Vasculitis, Leukocytoclastic, Cutaneous.
- pathology : Lower Extremity, Lymphedema, Neutrophils, Vasculitis, Leukocytoclastic, Cutaneous.
- Adolescent, Humans, Male, Neutrophil Infiltration.
Abstract
Bilateral lower extremity inflammatory lymphedema (BLEIL) is a recently described condition that presents with exquisite tenderness, erythema and edema of the lower leg, ankle and dorsal foot resembling an acute cellulitis. It was first reported in healthy, young adult military basic trainees with a normal body mass index during the first 72 hours of arrival to basic training. It occurs while standing at attention for many hours, and shows rapid resolution with elevation and rest. We report an additional case of BLEIL and describe the histopathology of this case and 2 of the previously reported cases. All 3 biopsies showed a deep perivascular infiltrate of neutrophils with karyorrhectic debris and prominent red blood cell extravasation. One of the 3 cases was positive for complement by direct immunofluorescence. We postulate this condition represents a deep leukocytoclastic vascultis with secondary reactive lymphedematous changes.
DOI: 10.1111/cup.12918
PubMed: 28195354
Affiliations:
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It was first reported in healthy, young adult military basic trainees with a normal body mass index during the first 72 hours of arrival to basic training. It occurs while standing at attention for many hours, and shows rapid resolution with elevation and rest. We report an additional case of BLEIL and describe the histopathology of this case and 2 of the previously reported cases. All 3 biopsies showed a deep perivascular infiltrate of neutrophils with karyorrhectic debris and prominent red blood cell extravasation. One of the 3 cases was positive for complement by direct immunofluorescence. We postulate this condition represents a deep leukocytoclastic vascultis with secondary reactive lymphedematous changes.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Colorado</li><li>Texas</li></region></list><tree><country name="États-Unis"><region name="Texas"><name sortKey="Mccann, Shannan E" sort="Mccann, Shannan E" uniqKey="Mccann S" first="Shannan E" last="Mccann">Shannan E. Mccann</name></region><name sortKey="Dalton, Scott R" sort="Dalton, Scott R" uniqKey="Dalton S" first="Scott R" last="Dalton">Scott R. Dalton</name><name sortKey="Kobayashi, Todd T" sort="Kobayashi, Todd T" uniqKey="Kobayashi T" first="Todd T" last="Kobayashi">Todd T. Kobayashi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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