Nodular Foot Myxedema Masquerading as Lymphedema
Identifieur interne : 000205 ( Pmc/Curation ); précédent : 000204; suivant : 000206Nodular Foot Myxedema Masquerading as Lymphedema
Auteurs : Javier A. Couto ; Birgitta A. R. Schmidt ; Arin K. GreeneSource :
- Plastic and Reconstructive Surgery Global Open [ 2169-7574 ] ; 2015.
Abstract
Lymphedema results from abnormal development or injury to the lymphatic system. One-fourth of patients with lower extremity enlargement are erroneously labeled with “lymphedema.” We describe a patient with hypothyroidism who developed soft-tissue overgrowth of her foot. She was referred to our Lymphedema Program for management of “lymphedema” and overgrown toes. The patient’s lymphoscintigram showed normal lymphatic function in her extremities, and she was diagnosed with myxedema by histopathology. Nodular localized myxedema should be included in the differential diagnosis of lymphedema.
Url:
DOI: 10.1097/GOX.0000000000000427
PubMed: 26301146
PubMed Central: 4527631
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PMC:4527631Le document en format XML
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<p>Lymphedema results from abnormal development or injury to the lymphatic system. One-fourth of patients with lower extremity enlargement are erroneously labeled with “lymphedema.” We describe a patient with hypothyroidism who developed soft-tissue overgrowth of her foot. She was referred to our Lymphedema Program for management of “lymphedema” and overgrown toes. The patient’s lymphoscintigram showed normal lymphatic function in her extremities, and she was diagnosed with myxedema by histopathology. Nodular localized myxedema should be included in the differential diagnosis of lymphedema.</p>
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<contrib-group><contrib contrib-type="author"><name><surname>Couto</surname>
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<aff id="aff1">From the<label>*</label>
Department of Plastic and Oral Surgery,<label>†</label>
Department of Pathology, and<label>‡</label>
Vascular Anomalies Center, Boston Children’s Hospital, Harvard Medical School, Boston, Mass.</aff>
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<author-notes><corresp id="c1">Arin K. Greene, MD, MMSc, Department of Plastic Surgery and Oral Surgery, Boston Children’s Hospital, 300 Longwood Ave., Boston, MA 02115, E-mail: <email xlink:href="arin.greene@childrens.harvard.edu">arin.greene@childrens.harvard.edu</email>
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<date date-type="accepted"><day>28</day>
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<permissions><copyright-statement>Copyright © 2015 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. All rights reserved.</copyright-statement>
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<license><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially.</license-p>
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<abstract><title>Summary:</title>
<p>Lymphedema results from abnormal development or injury to the lymphatic system. One-fourth of patients with lower extremity enlargement are erroneously labeled with “lymphedema.” We describe a patient with hypothyroidism who developed soft-tissue overgrowth of her foot. She was referred to our Lymphedema Program for management of “lymphedema” and overgrown toes. The patient’s lymphoscintigram showed normal lymphatic function in her extremities, and she was diagnosed with myxedema by histopathology. Nodular localized myxedema should be included in the differential diagnosis of lymphedema.</p>
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