Stöberl C, Partsch H
Z Hautkr. 1987 Jan 1;62(1):56-62.
The initial lymphatics and peripheral lymph-collectors of both legs of 16 patients were visualized by means of indirect lymphography, after the patients had undergone a rash of erysipelas on their lower extremities. 14 out of 19 legs showed clinical signs of lymphedema after one or several erysipelas. In 16 out of 19 legs after erysipelas, but also in 6 out of 11 healthy contralateral extremities, we found pathological initial lymphatics and changes in size, irregularities of the course, and pathological stops of peripheral lymph-collectors. These findings indicate that in the majority of the patients with erysipelas--contrary to the common opinion--resulting lymphedema should not be termed as secondary. In fact, they are primary lymphedemas deteriorated by erysipelas, with the typical pathological findings in indirect lymphography, as they are seen in simple primary forms.
16例患者在下肢发生丹毒皮疹后，通过间接淋巴管造影对双腿的初始淋巴管和外周淋巴管进行了显影。19条腿中有14条在一次或几次丹毒发作后出现了淋巴水肿的临床症状。在丹毒发作后的19条腿中，有16条腿出现这种情况，而且在11条对侧健康肢体中，有6条也发现了病理性初始淋巴管以及外周淋巴管大小改变、走行不规则和病理性停滞。这些发现表明，与普遍观点相反，大多数丹毒患者出现的淋巴水肿不应被称为继发性的。事实上，它们是因丹毒而恶化的原发性淋巴水肿，具有间接淋巴管造影中的典型病理表现，就如同在单纯原发性形式中所见。
