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Lymphoscintigraphic analysis in chromoblastomycosis

Identifieur interne : 000289 ( PascalFrancis/Curation ); précédent : 000288; suivant : 000290

Lymphoscintigraphic analysis in chromoblastomycosis

Auteurs : Marilia M. Ogawa [Brésil] ; Mauricio M. A. Alchorne ; Antonio Barbieri ; Mario L. V. Castiglioni ; Adriana Porto Benatti Penna ; Jane Tomimori-Yamashita

Source :

RBID : Pascal:03-0501918

Descripteurs français

English descriptors

Abstract

Background One of the main complications of chromoblastomycosis is lymphedema. The purpose of this study was to evaluate the lymphatic system of the limbs of patients with chromoblastomycosis using lymphoscintigraphy. It is a reliable, objective and noninvasive means of supporting the diagnosis of lymphedema. Methods Lymphoscintigraphy was performed in seven patients with chromoblastomycosis, six with lesions in the lower limb and one in the upper limb. Tc-99 m dextran was injected into the interdigital spaces of the upper or lower extremities. The qualitative parameters analyzed were the visibilization of the lymph vessels and the lymph nodes, dermal backflow, and existence of collateral vessels. All patients were treated with the association of itraconazole and cryotherapy with liquid nitrogen. Results Three out of the 14 extremities examined had lymphedema clinically, and the lymphoscintigraphy showed abnormalities in the qualitative parameters; whereas these parameters were normal in the extremities without lymphedema. During the treatment of chromoblastomycosis, a second lymphoscintigraphy exam was performed on 10 limbs and did not show any improvement of the previous lymphoscintigraphic alterations. Conclusions The qualitative lymphoscintigraphy was a reliable method to show the morphology of the lymph vessels and confirm objectively the diagnosis of lymphedema secondary to chromoblastomycosis. The association of oral itraconazol and cryotherapy did not modify the lymphatic alterations in chromoblastomycosis.
pA  
A01 01  1    @0 0011-9059
A02 01      @0 IJDEBB
A03   1    @0 Int. j. dermatol.
A05       @2 42
A06       @2 8
A08 01  1  ENG  @1 Lymphoscintigraphic analysis in chromoblastomycosis
A11 01  1    @1 OGAWA (Marilia M.)
A11 02  1    @1 ALCHORNE (Mauricio M. A.)
A11 03  1    @1 BARBIERI (Antonio)
A11 04  1    @1 CASTIGLIONI (Mario L. V.)
A11 05  1    @1 PORTO BENATTI PENNA (Adriana)
A11 06  1    @1 TOMIMORI-YAMASHITA (Jane)
A14 01      @1 Departments of Dermatology and Nuclear Medicine, Federal University of Sao Paulo @3 BRA
A20       @1 622-625
A21       @1 2003
A23 01      @0 ENG
A43 01      @1 INIST @2 11580 @5 354000112313970080
A44       @0 0000 @1 © 2003 INIST-CNRS. All rights reserved.
A45       @0 10 ref.
A47 01  1    @0 03-0501918
A60       @1 P @3 C
A61       @0 A
A64 01  1    @0 International journal of dermatology
A66 01      @0 GBR
C01 01    ENG  @0 Background One of the main complications of chromoblastomycosis is lymphedema. The purpose of this study was to evaluate the lymphatic system of the limbs of patients with chromoblastomycosis using lymphoscintigraphy. It is a reliable, objective and noninvasive means of supporting the diagnosis of lymphedema. Methods Lymphoscintigraphy was performed in seven patients with chromoblastomycosis, six with lesions in the lower limb and one in the upper limb. Tc-99 m dextran was injected into the interdigital spaces of the upper or lower extremities. The qualitative parameters analyzed were the visibilization of the lymph vessels and the lymph nodes, dermal backflow, and existence of collateral vessels. All patients were treated with the association of itraconazole and cryotherapy with liquid nitrogen. Results Three out of the 14 extremities examined had lymphedema clinically, and the lymphoscintigraphy showed abnormalities in the qualitative parameters; whereas these parameters were normal in the extremities without lymphedema. During the treatment of chromoblastomycosis, a second lymphoscintigraphy exam was performed on 10 limbs and did not show any improvement of the previous lymphoscintigraphic alterations. Conclusions The qualitative lymphoscintigraphy was a reliable method to show the morphology of the lymph vessels and confirm objectively the diagnosis of lymphedema secondary to chromoblastomycosis. The association of oral itraconazol and cryotherapy did not modify the lymphatic alterations in chromoblastomycosis.
C02 01  X    @0 002B05D02K2
C02 02  X    @0 235
C03 01  X  FRE  @0 Chromoblastomycose @5 01
C03 01  X  ENG  @0 Chromoblastomycosis @5 01
C03 01  X  SPA  @0 Cromoblastomicosis @5 01
C03 02  X  FRE  @0 Homme @5 02
C03 02  X  ENG  @0 Human @5 02
C03 02  X  SPA  @0 Hombre @5 02
C03 03  X  FRE  @0 Brésil @2 NG @5 03
C03 03  X  ENG  @0 Brazil @2 NG @5 03
C03 03  X  SPA  @0 Brasil @2 NG @5 03
C03 04  X  FRE  @0 Scintigraphie @5 04
C03 04  X  ENG  @0 Scintigraphy @5 04
C03 04  X  SPA  @0 Centelleografía @5 04
C03 05  X  FRE  @0 Système lymphatique @5 05
C03 05  X  ENG  @0 Lymphatic system @5 05
C03 05  X  SPA  @0 Sistema linfático @5 05
C03 06  X  FRE  @0 Lymphoedème @5 07
C03 06  X  ENG  @0 Lymphedema @5 07
C03 06  X  SPA  @0 Linfedema @5 07
C03 07  X  FRE  @0 Diagnostic @5 08
C03 07  X  ENG  @0 Diagnosis @5 08
C03 07  X  SPA  @0 Diagnóstico @5 08
C07 01  X  FRE  @0 Mycose
C07 01  X  ENG  @0 Mycosis
C07 01  X  SPA  @0 Micosis
C07 02  X  FRE  @0 Infection
C07 02  X  ENG  @0 Infection
C07 02  X  SPA  @0 Infección
C07 03  X  FRE  @0 Amérique du Sud @2 NG
C07 03  X  ENG  @0 South America @2 NG
C07 03  X  SPA  @0 America del sur @2 NG
C07 04  X  FRE  @0 Amérique @2 NG
C07 04  X  ENG  @0 America @2 NG
C07 04  X  SPA  @0 America @2 NG
C07 05  X  FRE  @0 Exploration radioisotopique @5 45
C07 05  X  ENG  @0 Radionuclide study @5 45
C07 05  X  SPA  @0 Exploración radioisotópica @5 45
C07 06  X  FRE  @0 Imagerie médicale @5 46
C07 06  X  ENG  @0 Medical imagery @5 46
C07 06  X  SPA  @0 Imaginería médica @5 46
C07 07  X  FRE  @0 Appareil circulatoire pathologie @5 53
C07 07  X  ENG  @0 Cardiovascular disease @5 53
C07 07  X  SPA  @0 Aparato circulatorio patología @5 53
C07 08  X  FRE  @0 Lymphatique pathologie @5 54
C07 08  X  ENG  @0 Lymphatic vessel disease @5 54
C07 08  X  SPA  @0 Linfático patología @5 54
C07 09  X  FRE  @0 Peau pathologie @5 70
C07 09  X  ENG  @0 Skin disease @5 70
C07 09  X  SPA  @0 Piel patología @5 70
N21       @1 335
N82       @1 PSI

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Pascal:03-0501918

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<term>Lymphatic system</term>
<term>Lymphedema</term>
<term>Scintigraphy</term>
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<term>Chromoblastomycose</term>
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<div type="abstract" xml:lang="en">Background One of the main complications of chromoblastomycosis is lymphedema. The purpose of this study was to evaluate the lymphatic system of the limbs of patients with chromoblastomycosis using lymphoscintigraphy. It is a reliable, objective and noninvasive means of supporting the diagnosis of lymphedema. Methods Lymphoscintigraphy was performed in seven patients with chromoblastomycosis, six with lesions in the lower limb and one in the upper limb. Tc-99 m dextran was injected into the interdigital spaces of the upper or lower extremities. The qualitative parameters analyzed were the visibilization of the lymph vessels and the lymph nodes, dermal backflow, and existence of collateral vessels. All patients were treated with the association of itraconazole and cryotherapy with liquid nitrogen. Results Three out of the 14 extremities examined had lymphedema clinically, and the lymphoscintigraphy showed abnormalities in the qualitative parameters; whereas these parameters were normal in the extremities without lymphedema. During the treatment of chromoblastomycosis, a second lymphoscintigraphy exam was performed on 10 limbs and did not show any improvement of the previous lymphoscintigraphic alterations. Conclusions The qualitative lymphoscintigraphy was a reliable method to show the morphology of the lymph vessels and confirm objectively the diagnosis of lymphedema secondary to chromoblastomycosis. The association of oral itraconazol and cryotherapy did not modify the lymphatic alterations in chromoblastomycosis.</div>
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<s0>Background One of the main complications of chromoblastomycosis is lymphedema. The purpose of this study was to evaluate the lymphatic system of the limbs of patients with chromoblastomycosis using lymphoscintigraphy. It is a reliable, objective and noninvasive means of supporting the diagnosis of lymphedema. Methods Lymphoscintigraphy was performed in seven patients with chromoblastomycosis, six with lesions in the lower limb and one in the upper limb. Tc-99 m dextran was injected into the interdigital spaces of the upper or lower extremities. The qualitative parameters analyzed were the visibilization of the lymph vessels and the lymph nodes, dermal backflow, and existence of collateral vessels. All patients were treated with the association of itraconazole and cryotherapy with liquid nitrogen. Results Three out of the 14 extremities examined had lymphedema clinically, and the lymphoscintigraphy showed abnormalities in the qualitative parameters; whereas these parameters were normal in the extremities without lymphedema. During the treatment of chromoblastomycosis, a second lymphoscintigraphy exam was performed on 10 limbs and did not show any improvement of the previous lymphoscintigraphic alterations. Conclusions The qualitative lymphoscintigraphy was a reliable method to show the morphology of the lymph vessels and confirm objectively the diagnosis of lymphedema secondary to chromoblastomycosis. The association of oral itraconazol and cryotherapy did not modify the lymphatic alterations in chromoblastomycosis.</s0>
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<s5>70</s5>
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<fN82>
<s1>PSI</s1>
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