Changes in the nail unit in patients with secondary lymphoedema identified using clinical, dermoscopic and ultrasound examination.
Identifieur interne : 002814 ( PubMed/Corpus ); précédent : 002813; suivant : 002815Changes in the nail unit in patients with secondary lymphoedema identified using clinical, dermoscopic and ultrasound examination.
Auteurs : E. Le Fourn ; E. Duhard ; V. Tauveron ; A. Maruani ; M. Samimi ; G. Lorette ; L. Vaillant ; L. MachetSource :
- The British journal of dermatology [ 1365-2133 ] ; 2011.
English descriptors
- KwdEn :
- MESH :
- complications : Lymphedema.
- diagnostic imaging : Lymphedema, Nail Diseases, Nails.
- etiology : Nail Diseases.
- pathology : Nail Diseases, Nails, Skin.
- Adult, Female, Humans, Male, Prospective Studies, Ultrasonography.
Abstract
Secondary lymphoedema is characterized by lymphatic stasis that is often the result of a lymph node lesion. At advanced stages it may cause trophic changes in the skin. However, the presence of changes in the nail unit has not been reported to date.
DOI: 10.1111/j.1365-2133.2010.10179.x
PubMed: 21155752
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Changes in the nail unit in patients with secondary lymphoedema identified using clinical, dermoscopic and ultrasound examination.</title><author><name sortKey="Le Fourn, E" sort="Le Fourn, E" uniqKey="Le Fourn E" first="E" last="Le Fourn">E. Le Fourn</name><affiliation><nlm:affiliation>Department of Dermatology Lymphology Unit, CHRU Tours, Tours, France.</nlm:affiliation></affiliation></author><author><name sortKey="Duhard, E" sort="Duhard, E" uniqKey="Duhard E" first="E" last="Duhard">E. Duhard</name></author><author><name sortKey="Tauveron, V" sort="Tauveron, V" uniqKey="Tauveron V" first="V" last="Tauveron">V. Tauveron</name></author><author><name sortKey="Maruani, A" sort="Maruani, A" uniqKey="Maruani A" first="A" last="Maruani">A. Maruani</name></author><author><name sortKey="Samimi, M" sort="Samimi, M" uniqKey="Samimi M" first="M" last="Samimi">M. Samimi</name></author><author><name sortKey="Lorette, G" sort="Lorette, G" uniqKey="Lorette G" first="G" last="Lorette">G. Lorette</name></author><author><name sortKey="Vaillant, L" sort="Vaillant, L" uniqKey="Vaillant L" first="L" last="Vaillant">L. Vaillant</name></author><author><name sortKey="Machet, L" sort="Machet, L" uniqKey="Machet L" first="L" last="Machet">L. Machet</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2011">2011</date><idno type="RBID">pubmed:21155752</idno><idno type="pmid">21155752</idno><idno type="doi">10.1111/j.1365-2133.2010.10179.x</idno><idno type="wicri:Area/PubMed/Corpus">002814</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002814</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Changes in the nail unit in patients with secondary lymphoedema identified using clinical, dermoscopic and ultrasound examination.</title><author><name sortKey="Le Fourn, E" sort="Le Fourn, E" uniqKey="Le Fourn E" first="E" last="Le Fourn">E. Le Fourn</name><affiliation><nlm:affiliation>Department of Dermatology Lymphology Unit, CHRU Tours, Tours, France.</nlm:affiliation></affiliation></author><author><name sortKey="Duhard, E" sort="Duhard, E" uniqKey="Duhard E" first="E" last="Duhard">E. Duhard</name></author><author><name sortKey="Tauveron, V" sort="Tauveron, V" uniqKey="Tauveron V" first="V" last="Tauveron">V. Tauveron</name></author><author><name sortKey="Maruani, A" sort="Maruani, A" uniqKey="Maruani A" first="A" last="Maruani">A. Maruani</name></author><author><name sortKey="Samimi, M" sort="Samimi, M" uniqKey="Samimi M" first="M" last="Samimi">M. Samimi</name></author><author><name sortKey="Lorette, G" sort="Lorette, G" uniqKey="Lorette G" first="G" last="Lorette">G. Lorette</name></author><author><name sortKey="Vaillant, L" sort="Vaillant, L" uniqKey="Vaillant L" first="L" last="Vaillant">L. Vaillant</name></author><author><name sortKey="Machet, L" sort="Machet, L" uniqKey="Machet L" first="L" last="Machet">L. Machet</name></author></analytic><series><title level="j">The British journal of dermatology</title><idno type="eISSN">1365-2133</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Lymphedema (complications)</term><term>Lymphedema (diagnostic imaging)</term><term>Male</term><term>Nail Diseases (diagnostic imaging)</term><term>Nail Diseases (etiology)</term><term>Nail Diseases (pathology)</term><term>Nails (diagnostic imaging)</term><term>Nails (pathology)</term><term>Prospective Studies</term><term>Skin (pathology)</term><term>Ultrasonography</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lymphedema</term><term>Nail Diseases</term><term>Nails</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Nail Diseases</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Nail Diseases</term><term>Nails</term><term>Skin</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Male</term><term>Prospective Studies</term><term>Ultrasonography</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Secondary lymphoedema is characterized by lymphatic stasis that is often the result of a lymph node lesion. At advanced stages it may cause trophic changes in the skin. However, the presence of changes in the nail unit has not been reported to date.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21155752</PMID><DateCreated><Year>2011</Year><Month>04</Month><Day>04</Day></DateCreated><DateCompleted><Year>2011</Year><Month>05</Month><Day>27</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>25</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1365-2133</ISSN><JournalIssue CitedMedium="Internet"><Volume>164</Volume><Issue>4</Issue><PubDate><Year>2011</Year><Month>Apr</Month></PubDate></JournalIssue><Title>The British journal of dermatology</Title><ISOAbbreviation>Br. J. Dermatol.</ISOAbbreviation></Journal><ArticleTitle>Changes in the nail unit in patients with secondary lymphoedema identified using clinical, dermoscopic and ultrasound examination.</ArticleTitle><Pagination><MedlinePgn>765-70</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/j.1365-2133.2010.10179.x</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Secondary lymphoedema is characterized by lymphatic stasis that is often the result of a lymph node lesion. At advanced stages it may cause trophic changes in the skin. However, the presence of changes in the nail unit has not been reported to date.</AbstractText><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">The aim of this study was to determine the presence of nail abnormalities in cases of secondary lymphoedema.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">This was a prospective study, conducted on patients with unilateral secondary lymphoedema. A comparative clinical and dermoscopic examination and 20-MHz high-resolution ultrasound imaging of the affected limb and the contralateral limb were performed.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Thirty-three patients were included. On physical examination, hyperkeratosis of the lateral nail folds, friability of the nail surface, 'ragged' proximal nail folds and cuticle and apparent leuconychia were observed more frequently on the lymphoedematous limb. The ultrasound study of the nails of the thumb and the big toe did not reveal any differences in thickness of the different structures of the nail between the lymphoedema side and the opposite side. The nail matrix was longer on the lymphoedema side.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Our study showed mild changes in the nail unit compatible with the xerosis often associated with severe lymphoedema. However, the study also showed frequent evidence of 'ragged' cuticles, which in these patients at high risk of erysipelas are entry points for bacteria. This should be taken into account when counselling patients with limb lymphoedema in order to prevent erysipelas.</AbstractText><CopyrightInformation>© 2011 The Authors. BJD © 2011 British Association of Dermatologists.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Le Fourn</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Dermatology Lymphology Unit, CHRU Tours, Tours, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Duhard</LastName><ForeName>E</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Tauveron</LastName><ForeName>V</ForeName><Initials>V</Initials></Author><Author ValidYN="Y"><LastName>Maruani</LastName><ForeName>A</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Samimi</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Lorette</LastName><ForeName>G</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Vaillant</LastName><ForeName>L</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Machet</LastName><ForeName>L</ForeName><Initials>L</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Br J Dermatol</MedlineTA><NlmUniqueID>0004041</NlmUniqueID><ISSNLinking>0007-0963</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009260" MajorTopicYN="N">Nail Diseases</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009262" MajorTopicYN="N">Nails</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012867" MajorTopicYN="N">Skin</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014463" MajorTopicYN="N">Ultrasonography</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2010</Year><Month>12</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2010</Year><Month>12</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2011</Year><Month>5</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">21155752</ArticleId><ArticleId IdType="doi">10.1111/j.1365-2133.2010.10179.x</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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