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Cutaneous chylous reflux.

L C Chern1, C S Lin, C K Wong

  • 1Department of Dermatology, National Yang-Ming Medical College, Taipei, Taiwan, Republic of China.

The British Journal of Dermatology
|May 1, 1989
PubMed
Summary
This summary is machine-generated.

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Cutaneous chylous reflux presents as weeping vesicles. This condition involves abnormal lymphatic vessels causing fluid leakage, confirmed by lymphangiogram and electron microscopy.

Area of Science:

  • Dermatology
  • Vascular Biology
  • Medical Imaging

Background:

  • Cutaneous chylous reflux is a rare condition characterized by the leakage of lymphatic fluid through the skin.
  • Understanding the underlying lymphatic abnormalities is crucial for diagnosis and management.

Observation:

  • Two patients presented with translucent, white vesicles on the skin.
  • These vesicles intermittently exuded a milk-like fluid, indicative of lymphatic fluid.
  • The clinical presentation suggested a significant disruption in lymphatic drainage.

Findings:

  • Lymphangiogram imaging revealed dilated and tortuous lymphatic vessels.
  • Dermal backflow was observed, indicating impaired lymphatic transport.
  • Electron microscopy identified abnormal ultrastructure within the dilated lymphatic vessels.

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Implications:

  • These findings highlight the diagnostic utility of lymphangiography and electron microscopy in cutaneous chylous reflux.
  • Abnormal lymphatic vessel structure is a key pathological feature.
  • Further research into lymphatic malformations may improve therapeutic strategies for this condition.