Localized lymphedema (elephantiasis): a case series and review of the literature.
Identifieur interne : 002C19 ( PubMed/Checkpoint ); précédent : 002C18; suivant : 002C20Localized lymphedema (elephantiasis): a case series and review of the literature.
Auteurs : Song Lu [États-Unis] ; Tien Anh Tran ; David M. Jones ; Dale R. Meyer ; Jeffrey S. Ross ; Hugh A. Fisher ; John Andrew CarlsonSource :
- Journal of cutaneous pathology [ 1600-0560 ] ; 2009.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Maladies de la peau, Éléphantiasis.
- étiologie : Maladies de la peau.
- Adolescent, Adulte, Adulte d'âge moyen, Femelle, Humains, Mâle, Obésité, Sujet âgé, Éléphantiasis, Études cas-témoins.
English descriptors
- KwdEn :
- MESH :
- complications : Elephantiasis, Obesity.
- etiology : Skin Diseases.
- pathology : Elephantiasis, Skin Diseases.
- Adolescent, Adult, Aged, Case-Control Studies, Female, Humans, Male, Middle Aged.
Abstract
Lymphedema typically affects a whole limb. Rarely, lymphedema can present as a circumscribed plaque or an isolated skin tumor.
DOI: 10.1111/j.1600-0560.2008.00990.x
PubMed: 18564285
Affiliations:
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Jones</name></author><author><name sortKey="Meyer, Dale R" sort="Meyer, Dale R" uniqKey="Meyer D" first="Dale R" last="Meyer">Dale R. Meyer</name></author><author><name sortKey="Ross, Jeffrey S" sort="Ross, Jeffrey S" uniqKey="Ross J" first="Jeffrey S" last="Ross">Jeffrey S. Ross</name></author><author><name sortKey="Fisher, Hugh A" sort="Fisher, Hugh A" uniqKey="Fisher H" first="Hugh A" last="Fisher">Hugh A. Fisher</name></author><author><name sortKey="Carlson, John Andrew" sort="Carlson, John Andrew" uniqKey="Carlson J" first="John Andrew" last="Carlson">John Andrew Carlson</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2009">2009</date><idno type="RBID">pubmed:18564285</idno><idno type="pmid">18564285</idno><idno type="doi">10.1111/j.1600-0560.2008.00990.x</idno><idno type="wicri:Area/PubMed/Corpus">003240</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003240</idno><idno type="wicri:Area/PubMed/Curation">003240</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">003240</idno><idno type="wicri:Area/PubMed/Checkpoint">003240</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">003240</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Localized lymphedema (elephantiasis): a case series and review of the literature.</title><author><name sortKey="Lu, Song" sort="Lu, Song" uniqKey="Lu S" first="Song" last="Lu">Song Lu</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology and Laboratory Medicine, Albany Medical College, Albany, NY 12208, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology and Laboratory Medicine, Albany Medical College, Albany, NY 12208</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Tran, Tien Anh" sort="Tran, Tien Anh" uniqKey="Tran T" first="Tien Anh" last="Tran">Tien Anh Tran</name></author><author><name sortKey="Jones, David M" sort="Jones, David M" uniqKey="Jones D" first="David M" last="Jones">David M. Jones</name></author><author><name sortKey="Meyer, Dale R" sort="Meyer, Dale R" uniqKey="Meyer D" first="Dale R" last="Meyer">Dale R. Meyer</name></author><author><name sortKey="Ross, Jeffrey S" sort="Ross, Jeffrey S" uniqKey="Ross J" first="Jeffrey S" last="Ross">Jeffrey S. Ross</name></author><author><name sortKey="Fisher, Hugh A" sort="Fisher, Hugh A" uniqKey="Fisher H" first="Hugh A" last="Fisher">Hugh A. Fisher</name></author><author><name sortKey="Carlson, John Andrew" sort="Carlson, John Andrew" uniqKey="Carlson J" first="John Andrew" last="Carlson">John Andrew Carlson</name></author></analytic><series><title level="j">Journal of cutaneous pathology</title><idno type="eISSN">1600-0560</idno><imprint><date when="2009" type="published">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Case-Control Studies</term><term>Elephantiasis (complications)</term><term>Elephantiasis (pathology)</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Obesity (complications)</term><term>Skin Diseases (etiology)</term><term>Skin Diseases (pathology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Maladies de la peau (anatomopathologie)</term><term>Maladies de la peau (étiologie)</term><term>Mâle</term><term>Obésité ()</term><term>Sujet âgé</term><term>Éléphantiasis ()</term><term>Éléphantiasis (anatomopathologie)</term><term>Études cas-témoins</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Maladies de la peau</term><term>Éléphantiasis</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Elephantiasis</term><term>Obesity</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Skin Diseases</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Elephantiasis</term><term>Skin Diseases</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Maladies de la peau</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Case-Control Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Obésité</term><term>Sujet âgé</term><term>Éléphantiasis</term><term>Études cas-témoins</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lymphedema typically affects a whole limb. Rarely, lymphedema can present as a circumscribed plaque or an isolated skin tumor.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">18564285</PMID><DateCreated><Year>2009</Year><Month>01</Month><Day>07</Day></DateCreated><DateCompleted><Year>2009</Year><Month>03</Month><Day>18</Day></DateCompleted><DateRevised><Year>2012</Year><Month>03</Month><Day>22</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1600-0560</ISSN><JournalIssue CitedMedium="Internet"><Volume>36</Volume><Issue>1</Issue><PubDate><Year>2009</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Journal of cutaneous pathology</Title><ISOAbbreviation>J. Cutan. Pathol.</ISOAbbreviation></Journal><ArticleTitle>Localized lymphedema (elephantiasis): a case series and review of the literature.</ArticleTitle><Pagination><MedlinePgn>1-20</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/j.1600-0560.2008.00990.x</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Lymphedema typically affects a whole limb. Rarely, lymphedema can present as a circumscribed plaque or an isolated skin tumor.</AbstractText><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To describe the clinical and pathologic characteristics and etiologic factors of localized lymphedema.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Case-control study of skin biopsy and excision specimens histologically diagnosed with lymphedema and presenting as a localized skin tumor identified during a 4-year period.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">We identified 24 cases of localized lymphedema presenting as solitary large polyps (11), solid or papillomatous plaques (7), pendulous swellings (4), or tumors mimicking sarcoma (2). Patients were 18 females and 6 males with a mean age of 41 years (range 16-74). Anogenital involvement was most frequent (75%)--mostly vulva (58%), followed by eyelid (13%), thigh (8%) and breast (4%). Causative factors included injury due to trauma, surgery or childbirth (54%), chronic inflammatory disease (rosacea, Crohn's disease) (8%), and bacterial cellulitis (12%). Eighty-five percent of these patients were either overweight (50%) or obese (35%). Compared with a series of 80 patients with diffuse lymphedema, localized lymphedema patients were significantly younger (41 vs. 62 years old, p = 0.0001), had no history of cancer treatment (0% vs. 18%, p = 0.03), and had an injury to the affected site (54% vs. 6%, p = 0.0001). Histologically, all cases exhibited dermal edema, fibroplasia, dilated lymphatic vessels, uniformly distributed stromal cells and varying degrees of papillated epidermal hyperplasia, inflammatory infiltrates and hyperkeratosis. Tumor size significantly and positively correlated with history of cellulitis, obesity, dense inflammatory infiltrates containing abundant plasma cells, and lymphoid follicles (p < 0.05). A history of cellulitis, morbid obesity, lymphoid follicles and follicular cysts predicted recurrent or progressive swelling despite excision (p < 0.05).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Localized lymphedema should be considered in the etiology of skin tumors when assessing a polyp, plaque, swelling or mass showing dermal edema, fibrosis and dilated lymphatics on biopsy. A combination of lymph stasis promoting factors (trauma, obesity, infection and/or inflammatory disorders) produces localized elephantiasis.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lu</LastName><ForeName>Song</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Pathology and Laboratory Medicine, Albany Medical College, Albany, NY 12208, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tran</LastName><ForeName>Tien Anh</ForeName><Initials>TA</Initials></Author><Author ValidYN="Y"><LastName>Jones</LastName><ForeName>David M</ForeName><Initials>DM</Initials></Author><Author ValidYN="Y"><LastName>Meyer</LastName><ForeName>Dale R</ForeName><Initials>DR</Initials></Author><Author ValidYN="Y"><LastName>Ross</LastName><ForeName>Jeffrey S</ForeName><Initials>JS</Initials></Author><Author ValidYN="Y"><LastName>Fisher</LastName><ForeName>Hugh A</ForeName><Initials>HA</Initials></Author><Author ValidYN="Y"><LastName>Carlson</LastName><ForeName>John Andrew</ForeName><Initials>JA</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2008</Year><Month>06</Month><Day>17</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Cutan Pathol</MedlineTA><NlmUniqueID>0425124</NlmUniqueID><ISSNLinking>0303-6987</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>J Cutan Pathol. 2012 Mar;39(3):391-4</RefSource><PMID Version="1">21362016</PMID></CommentsCorrections><CommentsCorrections RefType="ErratumIn"><RefSource>J Cutan Pathol. 2009 Apr;36(4):502</RefSource></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016022" MajorTopicYN="N">Case-Control Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004604" MajorTopicYN="N">Elephantiasis</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009765" MajorTopicYN="N">Obesity</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012871" MajorTopicYN="N">Skin Diseases</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2008</Year><Month>6</Month><Day>20</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2009</Year><Month>3</Month><Day>19</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2008</Year><Month>6</Month><Day>20</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">18564285</ArticleId><ArticleId IdType="pii">CUP990</ArticleId><ArticleId IdType="doi">10.1111/j.1600-0560.2008.00990.x</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>État de New York</li></region></list><tree><noCountry><name sortKey="Carlson, John Andrew" sort="Carlson, John Andrew" uniqKey="Carlson J" first="John Andrew" last="Carlson">John Andrew Carlson</name><name sortKey="Fisher, Hugh A" sort="Fisher, Hugh A" uniqKey="Fisher H" first="Hugh A" last="Fisher">Hugh A. Fisher</name><name sortKey="Jones, David M" sort="Jones, David M" uniqKey="Jones D" first="David M" last="Jones">David M. Jones</name><name sortKey="Meyer, Dale R" sort="Meyer, Dale R" uniqKey="Meyer D" first="Dale R" last="Meyer">Dale R. Meyer</name><name sortKey="Ross, Jeffrey S" sort="Ross, Jeffrey S" uniqKey="Ross J" first="Jeffrey S" last="Ross">Jeffrey S. Ross</name><name sortKey="Tran, Tien Anh" sort="Tran, Tien Anh" uniqKey="Tran T" first="Tien Anh" last="Tran">Tien Anh Tran</name></noCountry><country name="États-Unis"><region name="État de New York"><name sortKey="Lu, Song" sort="Lu, Song" uniqKey="Lu S" first="Song" last="Lu">Song Lu</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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