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[Idiopathic axillary web syndrome].
A B Puentes Gutiérrez1, M García Bascones1, R Puentes Gutiérrez1
1Servicio de Rehabilitación, Hospital Virgen de la Salud, Toledo, España.
Rehabilitacion
|February 3, 2020
Summary
Idiopathic axillary web syndrome (AWS) can occur without prior surgery or infection. This rare condition presents similarly to postoperative AWS, responding well to conservative management.
Area of Science:
- Medicine
- Dermatology
- Neurology
Background:
- Axillary web syndrome (AWS) is typically associated with post-surgical lymphatic changes after breast cancer treatment.
- The exact etiopathogenesis of AWS remains unclear, even in its common postoperative presentation.
Observation:
- A 67-year-old woman presented with a subcutaneous cord from the axilla to the medial arm and neuropathic pain.
- The patient had no history of surgery or infection, leading to a diagnosis of exclusion: idiopathic axillary web syndrome (AWS).
Findings:
- The patient's condition improved with conservative home exercises.
- Residual mild symptoms persisted, characterized by a small cord and reduced dysesthesia upon arm abduction.
Implications:
- This case highlights the possibility of idiopathic AWS, distinct from post-surgical or post-infectious presentations.
- The clinical course and presentation of idiopathic AWS mirror those of postoperative AWS, suggesting shared underlying mechanisms.
- Further research into the pathogenesis of AWS is warranted, particularly for non-surgical cases.
Keywords:
Axillary web syndromeDolorIdiopathicIdiopáticoIntercostobrachial nerveNervio intercostobraquialPainSíndrome axillary webMore Related Videos
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