Need To Treat Lymphatic Malformations

Indrani S

doi:10.4172/2165-7831.1000121

Abstract

Both truncular and extratruncular forms of lymphatic malformations; as described in the Hamburg classification; remain difficult to treat. Most of these malformations are treated adequately or present with complications (recurrent infection, cellulitis, bleeding, skin ooze) increasing the therapeutic challenge. We present a case with complications of a LM highlighting the need for early intervention for these lesions. A 19 year old male presented with watery discharge from the skin over a left thigh swelling since childhood. He was diagnosed to have an extratruncular Lymphatic Malformation (LM). Treatment was deferred. He presented with necrosis of the skin and subcutaneous tissue after 3 months requiring debridement and split thickness skin graft.

Highlights

Both truncular and extratruncular forms of lymphatic malformations; as described in the Hamburg classification; remain difficult to treat
The culture revealed streptococcus sensitive to penicillin- patient was treated with a week of culture specific antibiotics
The intermittent discharge from the surrounding skin persisted and the grafted skin developed this at 18 month follow up (Figure 3). He was continued on compression garments, manual lymphatic drainage and repeated tetracycline sclerotherapy for the remnant lesions and put on oral antibiotic prophylaxis with which the number and severity of the infections of the infections have reduced

Summary

Introduction

Both truncular and extratruncular forms of lymphatic malformations; as described in the Hamburg classification; remain difficult to treat. A 19 year old boy had presented with a left thigh swelling with intermittent serous discharge from the skin since childhood. Clinical presentation- Infected lymphovenous malformation with necrosis of overlying skin He presented 3 months later with necrosis of the skin and subcutaneous tissue.

Results

Conclusion