Balasubramanian Pradeep, Akila K, Srinivas C R, Kamaleshwar K K
Department of Dermatology, PSG IMSR, Coimbatore, Tamil Nadu, India.
Department of Nuclear Medicine, Kovai Medical Center and Hospital, Coimbatore, Tamil Nadu, India.
Indian J Dermatol. 2020 Mar-Apr;65(2):133-135. doi: 10.4103/ijd.IJD_76_19.
We report a case of a 50-year-old female who presented with multiple thick-walled vesicles involving the labia majora and minora which started developing at the age of 10 year. The vesicles extruded milky white fluid when punctured. Biochemical analysis of the fluid was consistent with chyle. Lymphoscintigraphy showed reflux of the radioactive tracer into the genitalia, thus confirming the diagnosis of primary chylous lymphangiectasia. The patient was not willing to undergo definitive surgical treatment. We report the case considering the rarity and to depict the usage of biochemical analysis of the vesicular content and lymphoscintigraphy to detect this entity.
我们报告一例50岁女性病例，该患者大阴唇和小阴唇出现多个厚壁水疱，自10岁起开始出现。水疱穿刺时可挤出乳白色液体。液体的生化分析结果与乳糜相符。淋巴闪烁造影显示放射性示踪剂反流至生殖器，从而确诊为原发性乳糜性淋巴管扩张症。患者不愿接受确定性手术治疗。鉴于该病例罕见，并为描述囊内容物生化分析及淋巴闪烁造影在诊断该疾病中的应用，我们特此报告。
