Petiot S, Bonnin-Koang H-Y, Sotto A, Boudousq V, Cardon J-M, Pélissier J
Département de médecine physique et de réadaptation. GHU Carémeau, place du Professeur-Debré, 30029 Nîmes cedex.
Ann Readapt Med Phys. 2006 Mar;49(2):77-80. doi: 10.1016/j.annrmp.2005.09.003. Epub 2005 Oct 27.
We report the case of a 58-year-old man with erysipelas of both buttocks secondary to lymphoedema after pelvis surgery for prostatic cancer and multiple vascular interventions for iliofemoral thrombosis. The diagnosis was based on clinical examination and lymphoscintigraphy. This location of lymphoedema, limited to the buttocks, is uncommon; lower limbs are usually affected. This location needs a specific curative and preventive treatment, including antibiotic therapy, lymphatic drainage and contention to abate the condition and prevent a relapse.
我们报告了一例58岁男性患者，其双侧臀部发生丹毒，继发于前列腺癌盆腔手术后的淋巴水肿以及针对髂股静脉血栓形成的多次血管介入治疗。诊断基于临床检查和淋巴闪烁造影。这种局限于臀部的淋巴水肿部位并不常见；通常受影响的是下肢。该部位需要特定的治疗和预防措施，包括抗生素治疗、淋巴引流和加压包扎，以减轻病情并防止复发。
