Lymphedema and Lymphography in Sarcoidosis

Inguinal Lymphadenopathy as the Initial Presentation of Sarcoidosis

“…Th is distribution is consistent with fi ndings from a US study that demonstrated that extrathoracic lymph node involvement is more common in black patients than in white patients (6). Th e location of the obstructing lymph nodes was inguinal in three cases and retroperitoneal in two (1)(2)(3)(4)(5). In these cases, systemic steroid treatment resulted in prompt resolution of the lymphadenopathy and associated edema within 2 months.…”

“…Our patient's edema illustrated this mechanism and, to our knowledge, is only the sixth case reported to date. Of these cases, four (including ours) were described in black patients, one in an Indian patient, and one in an Asian patient (1)(2)(3)(4)(5). Th is distribution is consistent with fi ndings from a US study that demonstrated that extrathoracic lymph node involvement is more common in black patients than in white patients (6).…”

An update on penile reconstruction

“…Extended inguinal and pelvic node dissections, trauma, radiotherapy, malignant and granulomatous infiltration, venereal diseases and parasitic infections all involving the inguinal lymph nodes are all known causes of genital lymphoedema. [10][11][12][13][14][15][16][17] Surgical management of penile lymphoedema involves the complete excision of all the lymphoedematous tissue and of the overlying skin followed by repair with the use of skin grafts and local flaps. The lymphoedematous tissue is dissected off Buck's fascia because the swelling involves only the skin and the underlying dartos fascia.…”

The management of genital lymphoedema

“…Common causes of secondary genital lymphoedema are surgical interventions and trauma, radiotherapy, malignant infiltration, venereal diseases and parasitic infections all involving the inguinal lymph nodes [2,3]. Rarer causes include Crohns disease, sarcoidosis, nonspecific vasculitis, rosacea, granulomatous lymphadenitis and following peritoneal dialysis [4–8].…”