Chinese Medical E-ournals Database

Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition) ›› 2007, Vol. 03 ›› Issue (03): 138 -138. doi: 10.3877/cma.j.issn.1673-5250.2007.03.105

Original Article

Follow-up of one family with primary congenital lymphoedema

Feng ZENG, Ji-qun SHENG, Mu-gen LIU, Huan KE   

  1. Department of Pediatrics, Centre Hospital of Xuancheng, Xuancheng City. An Hui Province, Xuancheng, 242000, China
  • Published:2007-06-01
Objective

To analyze the clinical characteristics of Chinese primary congenital lymphoedema (PCL), also known as Milroy disease.

Methods

Through collection and diagnosis of a Chinese PCL family, the comprehensive pedigree and detailed clinical data were established. Its clinical data and relational references were analyzed.

Results

11 cases in 4 generation of the 48 family members were affected in all, including 3 male and 8 female, The patients' ages were from 3 to 85 years, 10individuals onset from birth, and remained mildly affected throughout life. The nidus were as follows: 1case is on the bilateral lower limbs, 1 case is on the bilateral lower limb and the right upper limb, 1 case is on the left upper limb, 3 cases are on the right lower limb, 3 are cases on the left lower limb, 2 cases are bilateral feet back, 2 cases are over the knee joint, 1 case is simultaneous with right hand skin cancer, 1case is simultaneous with upslanting toenails of big toes of bilateral feet ; 2 cases are early healing.

Conclusion

Genetic analysis shows that the inheritance mode in this Chinese PCL family is autosomal dominant, which women were high incidence, diversity and the limitations of the nidus sites and more on the unilateral lower limbs and less on the upper limbs with skin cancer ; Further understanding of this disease and early clinical treatment would be helpful to improve the prognosis.

图1 PCL一家系图谱
图2 Ⅲ7,女,39岁,左下肢皮肤出现色素沉着,网状花纹斑。
图3 Ⅱ1,女,62岁,双下肢水肿存在显著差异,左侧尤显,皮肤增厚、粗糙,似'象皮肿'。
图4 Ⅱ1, 10岁左右论现右上肢水肿,未超过肘关节,黑箭头所指处曾出现皮肤癌变。
图5 Ⅱ3,女,69岁,20岁左右出现左上肢水肿,未超过肘关节。
图6 Ⅲ1, Ⅳ1系母女,均为右下肢水肿,未超过膝关节。
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