O'Driscoll J B, Chalmers R J, Warnes T W
Department of Dermatology, Manchester Skin Hospital, UK.
Clin Exp Dermatol. 1991 Mar;16(2):124-6. doi: 10.1111/j.1365-2230.1991.tb00322.x.
A 47-year-old man with primary intestinal lymphangiectasia developed chylous reflux into the skin of the right flank. The clinical appearance resembled lymphangioma circumscriptum with multiple dome-shaped vesicles filled with milky-white fluid which discharged on to surrounding skin. Backflow of chyle into the skin of the lower limb, perineum or external genitalia has been described as a rare finding in patients with primary lymphoedema but we believe this to be the first case involving the abdomen and the first case describing chylous reflux into the skin in a patient with intestinal lymphangiectasia.
一名患有原发性肠淋巴管扩张症的47岁男性出现了乳糜反流至右侧胁腹皮肤的情况。临床表现类似于局限性淋巴管瘤，有多个充满乳白色液体的圆顶状水疱，疱液流至周围皮肤。乳糜反流至下肢、会阴或外生殖器皮肤在原发性淋巴水肿患者中是一种罕见表现，但我们认为这是首例累及腹部的病例，也是首例描述肠淋巴管扩张症患者乳糜反流至皮肤的病例。
