[Significance of cutaneous microangiopathy for the pathogenesis of dermatitis in venous congestion due to chronic venous insufficiency].
Identifieur interne : 00B267 ( Ncbi/Curation ); précédent : 00B266; suivant : 00B268[Significance of cutaneous microangiopathy for the pathogenesis of dermatitis in venous congestion due to chronic venous insufficiency].
Auteurs : M. Jünger [Allemagne] ; U. Hahn ; S. Bort ; T. Klyscz ; M. Hahn ; G. RassnerSource :
- Wiener medizinische Wochenschrift (1946) [ 0043-5341 ] ; 1994.
Descripteurs français
- KwdFr :
- Consommation d'oxygène (physiologie), Dermatite (anatomopathologie), Dermatite (physiopathologie), Humains, Insuffisance veineuse (anatomopathologie), Insuffisance veineuse (physiopathologie), Lymphoedème (anatomopathologie), Lymphoedème (physiopathologie), Peau (), Perméabilité capillaire (physiologie), Syndrome post-phlébitique (anatomopathologie), Syndrome post-phlébitique (physiopathologie), Ulcère variqueux (anatomopathologie), Ulcère variqueux (physiopathologie), Vaisseaux capillaires (anatomopathologie), Vitesse du flux sanguin (physiologie).
- MESH :
- anatomopathologie : Dermatite, Insuffisance veineuse, Lymphoedème, Syndrome post-phlébitique, Ulcère variqueux, Vaisseaux capillaires.
- physiologie : Consommation d'oxygène, Perméabilité capillaire, Vitesse du flux sanguin.
- physiopathologie : Dermatite, Insuffisance veineuse, Lymphoedème, Syndrome post-phlébitique, Ulcère variqueux.
- Humains, Peau.
English descriptors
- KwdEn :
- Blood Flow Velocity (physiology), Capillaries (pathology), Capillary Permeability (physiology), Dermatitis (pathology), Dermatitis (physiopathology), Humans, Lymphedema (pathology), Lymphedema (physiopathology), Oxygen Consumption (physiology), Postphlebitic Syndrome (pathology), Postphlebitic Syndrome (physiopathology), Skin (blood supply), Varicose Ulcer (pathology), Varicose Ulcer (physiopathology), Venous Insufficiency (pathology), Venous Insufficiency (physiopathology).
- MESH :
- blood supply : Skin.
- pathology : Capillaries, Dermatitis, Lymphedema, Postphlebitic Syndrome, Varicose Ulcer, Venous Insufficiency.
- physiology : Blood Flow Velocity, Capillary Permeability, Oxygen Consumption.
- physiopathology : Dermatitis, Lymphedema, Postphlebitic Syndrome, Varicose Ulcer, Venous Insufficiency.
- Humans.
Abstract
Skin damage due to chronic venous insufficiency is preceded by severe microangiopathy of skin. With increasing clinical symptoms like edema, hyperpigmentation, induration, ulcer and atrophy blanche number of nutritive capillaries and transcutaneous oxygen-tension decreases, transcapillary, and interstitial leakage increases and cutaneous vascular reserve disappears. These congruent results were found by means of capillaroscopy, fluorescence-videomicroscopy, transcutaneously measured oxygen partial pressure and Laser Doppler Fluxmetry. Most of capillaries are elongated and tortuous, especially in ulcer stage they look glomerular. Compared to pin-shaped capillaries glomerular capillaries contribute less to nutrition because of functional AV-shunts. As dilated capillaries are already seen in skin areas without any trophic skin changes, cutaneous microangiopathy seems to be first consequence of venous hemodynamic disturbances which then is followed by skin disease. As severe microangiopathy still remains after healing of ulcer, it explains frequent recurrencies.
PubMed: 7856186
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pubmed:7856186Le document en format XML
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<author><name sortKey="Junger, M" sort="Junger, M" uniqKey="Junger M" first="M" last="Jünger">M. Jünger</name>
<affiliation wicri:level="1"><nlm:affiliation>Universitäts-Hautklinik Tübingen, Deutschland.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Universitäts-Hautklinik Tübingen</wicri:regionArea>
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</author>
<author><name sortKey="Hahn, U" sort="Hahn, U" uniqKey="Hahn U" first="U" last="Hahn">U. Hahn</name>
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<author><name sortKey="Klyscz, T" sort="Klyscz, T" uniqKey="Klyscz T" first="T" last="Klyscz">T. Klyscz</name>
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<author><name sortKey="Rassner, G" sort="Rassner, G" uniqKey="Rassner G" first="G" last="Rassner">G. Rassner</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">[Significance of cutaneous microangiopathy for the pathogenesis of dermatitis in venous congestion due to chronic venous insufficiency].</title>
<author><name sortKey="Junger, M" sort="Junger, M" uniqKey="Junger M" first="M" last="Jünger">M. Jünger</name>
<affiliation wicri:level="1"><nlm:affiliation>Universitäts-Hautklinik Tübingen, Deutschland.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
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<author><name sortKey="Hahn, U" sort="Hahn, U" uniqKey="Hahn U" first="U" last="Hahn">U. Hahn</name>
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<author><name sortKey="Klyscz, T" sort="Klyscz, T" uniqKey="Klyscz T" first="T" last="Klyscz">T. Klyscz</name>
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<author><name sortKey="Hahn, M" sort="Hahn, M" uniqKey="Hahn M" first="M" last="Hahn">M. Hahn</name>
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<series><title level="j">Wiener medizinische Wochenschrift (1946)</title>
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<term>Capillaries (pathology)</term>
<term>Capillary Permeability (physiology)</term>
<term>Dermatitis (pathology)</term>
<term>Dermatitis (physiopathology)</term>
<term>Humans</term>
<term>Lymphedema (pathology)</term>
<term>Lymphedema (physiopathology)</term>
<term>Oxygen Consumption (physiology)</term>
<term>Postphlebitic Syndrome (pathology)</term>
<term>Postphlebitic Syndrome (physiopathology)</term>
<term>Skin (blood supply)</term>
<term>Varicose Ulcer (pathology)</term>
<term>Varicose Ulcer (physiopathology)</term>
<term>Venous Insufficiency (pathology)</term>
<term>Venous Insufficiency (physiopathology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Consommation d'oxygène (physiologie)</term>
<term>Dermatite (anatomopathologie)</term>
<term>Dermatite (physiopathologie)</term>
<term>Humains</term>
<term>Insuffisance veineuse (anatomopathologie)</term>
<term>Insuffisance veineuse (physiopathologie)</term>
<term>Lymphoedème (anatomopathologie)</term>
<term>Lymphoedème (physiopathologie)</term>
<term>Peau ()</term>
<term>Perméabilité capillaire (physiologie)</term>
<term>Syndrome post-phlébitique (anatomopathologie)</term>
<term>Syndrome post-phlébitique (physiopathologie)</term>
<term>Ulcère variqueux (anatomopathologie)</term>
<term>Ulcère variqueux (physiopathologie)</term>
<term>Vaisseaux capillaires (anatomopathologie)</term>
<term>Vitesse du flux sanguin (physiologie)</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Dermatite</term>
<term>Insuffisance veineuse</term>
<term>Lymphoedème</term>
<term>Syndrome post-phlébitique</term>
<term>Ulcère variqueux</term>
<term>Vaisseaux capillaires</term>
</keywords>
<keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Skin</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Capillaries</term>
<term>Dermatitis</term>
<term>Lymphedema</term>
<term>Postphlebitic Syndrome</term>
<term>Varicose Ulcer</term>
<term>Venous Insufficiency</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Consommation d'oxygène</term>
<term>Perméabilité capillaire</term>
<term>Vitesse du flux sanguin</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Blood Flow Velocity</term>
<term>Capillary Permeability</term>
<term>Oxygen Consumption</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Dermatite</term>
<term>Insuffisance veineuse</term>
<term>Lymphoedème</term>
<term>Syndrome post-phlébitique</term>
<term>Ulcère variqueux</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Dermatitis</term>
<term>Lymphedema</term>
<term>Postphlebitic Syndrome</term>
<term>Varicose Ulcer</term>
<term>Venous Insufficiency</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Humans</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Humains</term>
<term>Peau</term>
</keywords>
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<front><div type="abstract" xml:lang="en">Skin damage due to chronic venous insufficiency is preceded by severe microangiopathy of skin. With increasing clinical symptoms like edema, hyperpigmentation, induration, ulcer and atrophy blanche number of nutritive capillaries and transcutaneous oxygen-tension decreases, transcapillary, and interstitial leakage increases and cutaneous vascular reserve disappears. These congruent results were found by means of capillaroscopy, fluorescence-videomicroscopy, transcutaneously measured oxygen partial pressure and Laser Doppler Fluxmetry. Most of capillaries are elongated and tortuous, especially in ulcer stage they look glomerular. Compared to pin-shaped capillaries glomerular capillaries contribute less to nutrition because of functional AV-shunts. As dilated capillaries are already seen in skin areas without any trophic skin changes, cutaneous microangiopathy seems to be first consequence of venous hemodynamic disturbances which then is followed by skin disease. As severe microangiopathy still remains after healing of ulcer, it explains frequent recurrencies.</div>
</front>
</TEI>
</record>
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