Stewart G, Kinmonth J B, Browse N L
Ann R Coll Surg Engl. 1984 Nov;66(6):391-5.
This paper reviews the clinical, endocrine and lymphatic status of 6 patients with pretibial myxoedema. The lymphatics were studied to determine whether they were involved in the pathogenesis of the disease. The main lymph trunks were normal although there was occasionally some collateral flow and some of the lymph nodes had small irregular filling defects. These changes suggest compression of the lymphatics by the myxomatous material and the deposition of mucinous material in the lymph nodes. There was no evidence of a primary lymphatic abnormality.
本文回顾了6例胫前黏液性水肿患者的临床、内分泌及淋巴系统状况。对淋巴系统进行研究以确定其是否参与该疾病的发病机制。尽管偶尔存在一些侧支血流，且部分淋巴结有小的不规则充盈缺损，但主要淋巴干正常。这些改变提示黏液瘤样物质对淋巴管的压迫以及黏液性物质在淋巴结中的沉积。没有证据表明存在原发性淋巴系统异常。
