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疣状 nostras 象皮病:下肢淋巴水肿的一种罕见并发症。

Elephantiasis nostras verrucosa: a rare complication of lower limb lymphoedema.

作者信息

Kar Keong Neoh, Siing Ngi Angelina Tang, Muniandy Pubalan, Voon Fei Wong

机构信息

Department of Internal Medicine, Sibu Hospital, Sibu, Sarawak, Malaysia.

Faculty of Medicine, SEGI University.

出版信息

BMJ Case Rep. 2017 Aug 28;2017:bcr-2017-221492. doi: 10.1136/bcr-2017-221492.

DOI:10.1136/bcr-2017-221492
PMID:28847994
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5624055/
Abstract

We reported a case of a 49-year-old man who had chronic lymphoedema of bilateral lower limbs for 30 years, but he did not seek treatment. His disease was complicated with irreversible changes of elephantiasis nostras verrucosa and had recurrent admissions due to infection. He was not keen for surgical intervention. This case report illustrated a rare and non-reversible complication of a common skin disease, lymphoedema and also the importance of identifying and treating it early.

摘要

我们报告了一例49岁男性,其双下肢慢性淋巴水肿已持续30年,但他未寻求治疗。他的病情并发了疣状非热带性象皮病的不可逆变化,并因感染多次入院。他不热衷于手术干预。本病例报告说明了一种常见皮肤病——淋巴水肿的罕见且不可逆的并发症,以及早期识别和治疗它的重要性。

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本文引用的文献

1
Current status of lymphatic reconstructive surgery for chronic lymphedema: it is still an uphill battle!慢性淋巴水肿淋巴管重建手术的现状:这仍然是一场艰苦的战斗!
Int J Angiol. 2011 Jun;20(2):73-80. doi: 10.1055/s-0031-1279685.
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A case of elephantiasis nostras verrucosa treated by acitretin.一例用阿维A治疗的疣状鼻硬结病。
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Lymphoedema: an underestimated health problem.淋巴水肿:一个被低估的健康问题。
QJM. 2003 Oct;96(10):731-8. doi: 10.1093/qjmed/hcg126.
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Differential diagnosis, investigation, and current treatment of lower limb lymphedema.下肢淋巴水肿的鉴别诊断、检查及当前治疗方法
Arch Surg. 2003 Feb;138(2):152-61. doi: 10.1001/archsurg.138.2.152.
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Lymphedema: classification, diagnosis and therapy.淋巴水肿:分类、诊断与治疗
Vasc Med. 1998;3(2):145-56. doi: 10.1177/1358836X9800300209.
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[Erysipelas and lymphedema].
Fortschr Med. 1998 Apr 30;116(12):36-40.