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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 : 00BB59

Biopsy 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. Stevens

Source :

RBID : ISTEX:589F05E8B1C80B6BB4103D775FF1C872FD455959

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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<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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