A 69-year-old man with a long history of lymphedema secondary to repeated cellulitis sought medical care for mildly pruritic, nontender, purple nodules that had erupted on the bottom and side of one foot 6 months earlier. Scale surrounded the nodules.
A 69-year-old man with a long history of lymphedema secondary to repeated cellulitis sought medical care for mildly pruritic, nontender, purple nodules that had erupted on the bottom and side of one foot 6 months earlier. Scale surrounded the nodules. Dr Reynold C. Wong of Sacramento, Calif, considered Kaposi sarcoma and lymphangiomas in the differential. Microscopic examination of a biopsy specimen revealed cystically dilated lymph vessels lined with a single layer of endothelium. The vessels contained a mixture of erythrocytes and lymph. These findings confirmed the diagnosis of lymphangiomas secondary to lymphedema. A large number of lymphangiomas in a localized area, such as this patient's foot, are associated with widespread lymphatic abnormality; therefore, surgical removal of the lesions is not effective therapy. The patient was advised to wear support stockings for the underlying lymphedema.
Can Colonoscopy Interval be Safely Extended from 10 to 15 Years for Individuals at Average CRC Risk?
May 3rd 2024New research suggests the interval "could potentially be extended" without significant harms and could reduce unnecessary invasive procedures. , ie, missed early detection and CRC-specific mortality.