Biopsy specimen findings in patients with previous lower extremity cellulitis after saphenous venectomy for coronary artery bypass graft surgery
Identifieur interne : 00BB58 ( Main/Exploration ); précédent : 00BB57; suivant : 00BB59Biopsy specimen findings in patients with previous lower extremity cellulitis after saphenous venectomy for coronary artery bypass graft surgery
Auteurs : Larry M. Baddour ; Paul B. Googe ; Scott L. StevensSource :
- Journal of the American Academy of Dermatology [ 0190-9622 ] ; 1997.
Abstract
Background: No previous study has examined the immune and inflammatory mechanisms involved in the pathogenesis of lower extremity cellulitis after saphenous venectomy for coronary artery bypass graft surgery. Objective: Our purpose was to determine the histopathologic, immunologic, and inflammatory findings in skin biopsy specimens from saphenous venectomy limbs of patients with previous bouts of cellulitis. Methods: Biopsy specimens were obtained from five patients with previous episodes of cellulitis. Specimens of the contralateral lower extremity of each patient were obtained for controlled comparisons. Results: Histopathologic findings did not provide evidence that could account for the tendency for cellulitis to develop. Moreover, the distribution of CD1a, HLA-DR, intercellular adhesion molecule–1, and lymphocyte function–associated antigen type 1 were similar in specimens from the postvenectomy and contralateral legs. No tumor necrosis factor–α expression was found in specimens from the lower extremities. Conclusion: The mechanisms responsible for the production of this disorder do not involve the mediators studied. (J Am Acad Dermatol 1997;37:246-9.)
Url:
DOI: 10.1016/S0190-9622(97)80132-6
Affiliations:
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<front><div type="abstract" xml:lang="en">Background: No previous study has examined the immune and inflammatory mechanisms involved in the pathogenesis of lower extremity cellulitis after saphenous venectomy for coronary artery bypass graft surgery. Objective: Our purpose was to determine the histopathologic, immunologic, and inflammatory findings in skin biopsy specimens from saphenous venectomy limbs of patients with previous bouts of cellulitis. Methods: Biopsy specimens were obtained from five patients with previous episodes of cellulitis. Specimens of the contralateral lower extremity of each patient were obtained for controlled comparisons. Results: Histopathologic findings did not provide evidence that could account for the tendency for cellulitis to develop. Moreover, the distribution of CD1a, HLA-DR, intercellular adhesion molecule–1, and lymphocyte function–associated antigen type 1 were similar in specimens from the postvenectomy and contralateral legs. No tumor necrosis factor–α expression was found in specimens from the lower extremities. Conclusion: The mechanisms responsible for the production of this disorder do not involve the mediators studied. (J Am Acad Dermatol 1997;37:246-9.)</div>
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