Lymphatic Dissemination and Axillary Web Syndrome in Primary Cutaneous Tuberculosis Secondary to Needlestick Injury

Malek, Alexandre; Fife, Caroline E.; Rasmussen, John C.; Karni, Ron J.; Morrow, J.; Wanger, Audrey; Sevick‐Muraca, Eva M.; Ostrosky-Zeichner, Luis

doi:10.1093/ofid/ofab160

Cited by 4 publications

(3 citation statements)

References 22 publications

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“…It has been reported that lymphadenopathy in the axillary region occurs as a side effect of collagenase injections into the palms [28], and the involvement of the lymphatic system affected by collagenase injections has been described. Finally, one case of AWS has been reported due to lymphatic vascular damage associated with axillary lymph node dissemination of tuberculosis [23]. In this report, drug-induced tuberculosis was treated.…”

Section: Discussionmentioning

confidence: 86%

“…Herein, we report a rare case of AWS after venous blood sampling in a patient without a history of axillary surgery. To the best of our knowledge, reports of AWS without direct invasion, such as postoperative breast cancer surgery, sentinel node dissection, or sentinel node biopsy, are rare, with only twelve cases reported in PubMed [16][17][18][19][20][21][22][23][24][25][26][27]. The cases were summarized on 20 May 2023 by searching the keywords 'Axillary Web Syndrome' in PubMed.…”

Section: Introductionmentioning

confidence: 99%

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A Case of Axillary Web Syndrome Caused by Venous Blood Sampling

Kitajima,

Ichiseki,

Kaneuji

et al. 2023

Healthcare

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Axillary web syndrome (AWS) occurs after breast cancer surgery, sentinel lymph node dissection, or sentinel lymph node biopsy. Here, cord-like structures from the axilla to the forearm limit the range of motion of the shoulder joint and cause pain. Although the etiology is unknown, AWS has been attributed to the blockage of normal lymphatic flow. Here, we report a novel case of AWS after venous blood sampling in a patient. A healthy, 31-year-old male patient experienced pain with a limited range of motion of the shoulder joint the day after venous blood was collected from the left upper extremity for a medical checkup, and he presented to an orthopedic outpatient clinic on the day. Palpation of the axillary region disclosed a cord-like structure in the axillary region of the shoulder joint during abduction, and the patient was diagnosed with AWS. The cord-like structure was noted to be a hypoechogenic luminal structure on ultrasound (US) examination of the axilla, extending from the axilla to below the ulnar cutaneous vein from which the blood was drawn. In patients with pain and a limited range of motion of the shoulder joint, only the shoulder joint is examined during an orthopedic examination. It is important to obtain appropriate physical findings for possible AWS.

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Section: Discussionmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 99%

A Case of Axillary Web Syndrome Caused by Venous Blood Sampling

Kitajima,

Ichiseki,

Kaneuji

et al. 2023

Healthcare

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“…FIGURE 10 (A) Normal lymphatic drainage in the unaffected right arm and dermal backflow in the left arm of a subject with unresolved cutaneous Mycobacterium tuberculosis. Reproduced with permission from(Malek et al, 2021). (B) Dermal backflow in the foot of a patient with HIV with no other conditions that could be associated with lymphatic dysfunction.…”

mentioning

confidence: 99%

Imaging peripheral lymphatic dysfunction in chronic conditions

2023

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The lymphatics play important roles in chronic diseases/conditions that comprise the bulk of healthcare worldwide. Yet the ability to routinely image and diagnose lymphatic dysfunction, using commonly available clinical imaging modalities, has been lacking and as a result, the development of effective treatment strategies suffers. Nearly two decades ago, investigational near-infrared fluorescence lymphatic imaging and ICG lymphography were developed as routine diagnostic for clinically evaluating, quantifying, and treating lymphatic dysfunction in cancer-related and primary lymphedema, chronic venous disease, and more recently, autoimmune and neurodegenerative disorders. In this review, we provide an overview of what these non-invasive technologies have taught us about lymphatic (dys) function and anatomy in human studies and in corollary animal studies of human disease. We summarize by commenting on new impactful clinical frontiers in lymphatic science that remain to be facilitated by imaging.

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Update October 2021

Blei

2021

Lymphatic Research and Biology

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Lymphatic Dissemination and Axillary Web Syndrome in Primary Cutaneous Tuberculosis Secondary to Needlestick Injury

Cited by 4 publications

References 22 publications

A Case of Axillary Web Syndrome Caused by Venous Blood Sampling

A Case of Axillary Web Syndrome Caused by Venous Blood Sampling

Imaging peripheral lymphatic dysfunction in chronic conditions

Update October 2021

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