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Erysipelas of the upper extremity following locoregional therapy for breast cancer.

Identifieur interne : 003894 ( PubMed/Checkpoint ); précédent : 003893; suivant : 003895

Erysipelas of the upper extremity following locoregional therapy for breast cancer.

Auteurs : Nagi S. El Saghir [Liban] ; Zaher K. Otrock ; Abdul Rahman N. Bizri ; Marwan M. Uwaydah ; Gerard O. Oghlakian

Source :

RBID : pubmed:15990307

Descripteurs français

English descriptors

Abstract

Cellulitis is a well-known complication of lymphedema of the lower extremities. Erysipelas of the upper extremity complicating breast cancer therapy has never been reported in the English-language literature. We describe seven breast cancer patients with erysipelas of the upper extremity. Five had a predisposing injury to the extremity. All patients responded very well to intravenous antibiotics without any sequelae. They had rapid resolution with typical desquamation. No long-term sequelae were seen except for mild increase of lymphedema. Erysipelas should be listed as a rare complication after locoregional therapy for breast cancer. Intravenous penicillin should be used as the initial therapy. Prevention of arm lymphedema and avoidance of any trauma to the arm are important prophylactic measures. Sentinel lymph node biopsy reduces the rate of axillary lymph node dissection and thus should reduce the incidence of lymphedema and erysipelas.

DOI: 10.1016/j.breast.2005.02.011
PubMed: 15990307


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Le document en format XML

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<nlm:affiliation>Division of Hematology-Oncology, Department of Internal Medicine, American University of Beirut Medical Center, P.O. Box 113-6044, Beirut, Lebanon. nagi.saghir@aub.edu.lb</nlm:affiliation>
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<div type="abstract" xml:lang="en">Cellulitis is a well-known complication of lymphedema of the lower extremities. Erysipelas of the upper extremity complicating breast cancer therapy has never been reported in the English-language literature. We describe seven breast cancer patients with erysipelas of the upper extremity. Five had a predisposing injury to the extremity. All patients responded very well to intravenous antibiotics without any sequelae. They had rapid resolution with typical desquamation. No long-term sequelae were seen except for mild increase of lymphedema. Erysipelas should be listed as a rare complication after locoregional therapy for breast cancer. Intravenous penicillin should be used as the initial therapy. Prevention of arm lymphedema and avoidance of any trauma to the arm are important prophylactic measures. Sentinel lymph node biopsy reduces the rate of axillary lymph node dissection and thus should reduce the incidence of lymphedema and erysipelas.</div>
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