Amouri Meriem, Masmoudi Abderrahmen, Boudaya Sonia, Amouri Ali, Ben Ali Issam, Bouassida Samir, Guermazi Mohamed, Turki Hamida
Department of dermatology, Hédi Chaker Hospital, Sfax, Tunisia.
Dermatol Online J. 2007 Oct 13;13(4):10.
Lymphangiomas are rare benign proliferations of the lymphatic system. Acquired lymphangioma circumscriptum of the vulva is induced by impaired lymph flow. We describe a new case of lymphangioma circumscriptum resulting from tuberculosis involving a lymph node. A 45-year-old female presented with swelling of the vulva for the past 8 years. She had a history of multiple left inguinal swellings successfully treated with four antituberculosis drugs. Her vulval swelling did not respond and was diagnosed as acquired lymphangioma circumscriptum. She becomes the fifth reported case of acquired lymphangioma circumscriptum of the vulva with tubercular lymphadenitis. The single antituberculosis treatment is insufficient to control lymphangioma. Ablative methods seem encouraging.
淋巴管瘤是淋巴系统罕见的良性增生。后天性外阴局限性淋巴管瘤是由淋巴流动受损引起的。我们描述了一例由结核累及淋巴结导致的局限性淋巴管瘤新病例。一名45岁女性，外阴肿胀8年。她有多次左侧腹股沟肿胀病史，曾用四种抗结核药物成功治疗。她的外阴肿胀没有缓解，被诊断为后天性局限性淋巴管瘤。她成为第五例报道的伴有结核性淋巴结炎的后天性外阴局限性淋巴管瘤病例。单一的抗结核治疗不足以控制淋巴管瘤。消融方法似乎很有前景。
