[Frequency of lymphoscintigraphic anomalies in the contralateral limb and progression of unilateral primary lymphedema in children]. / Fréquence des anomalies lymphoscintigraphiques infracliniques controlatérales et évolution des lymphÅdèmes primaires unilatéraux de l'enfant.
Ann Dermatol Venereol
; 141(11): 663-70, 2014 Nov.
Article
em Fr
| MEDLINE
| ID: mdl-25442470
ABSTRACT
BACKGROUND:
Primary lymphoedema (LE) is the consequence of lymphatic insufficiency, usually associated with hypoplasia of the lymph vessels and/or nodes. Lymphoscintigraphy allows early diagnosis.OBJECTIVES:
To assess the frequency of contralateral LE by lymphoscintigraphy in children with unilateral primary LE of one limb; to assess facets of clinical bilateralization of LE.METHODS:
This retrospective single-centre study included children with unilateral LE followed up at the Tours university hospital centre between 2004 and 2014. Parents were contacted by phone to obtain follow-up data.RESULTS:
Of the 13 children included, 6 (46%) displayed bilateral lymphatic anomalies on lymphoscintigraphy. Within a median follow-up period of 6 years, clinical bilateralization was observed in one girl after progression of her LE for 7 years; in her case, bilateral lymphatic insufficiency was detected at the initial lymphoscintigraphy.CONCLUSION:
While contralateral subclinical lymphatic insufficiency is frequent in children with unilateral primary LE of the limbs, clinical bilateralization appears only rarely.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Linfocintigrafia
/
Linfedema
Idioma:
Fr
Ano de publicação:
2014
Tipo de documento:
Article