title: Chylous reflux into abdominal skin simulating lymphangioma circumscriptum in a patient with primary intestinal lymphangiectasia.
abstract: A 47-year-old man with primary intestinal lymphangiectasia developed chylous reflux into the skin of the right flank. The clinical appearance resembled lymphangioma circumscriptum with multiple dome-shaped vesicles filled with milky-white fluid which discharged on to surrounding skin. Backflow of chyle into the skin of the lower limb, perineum or external genitalia has been described as a rare finding in patients with primary lymphoedema but we believe this to be the first case involving the abdomen and the first case describing chylous reflux into the skin in a patient with intestinal lymphangiectasia.
authors.affiliation: Department of Dermatology, Manchester Skin Hospital, UK.
authors.forename: J B
authors.initials: JB
authors.lastname: O'Driscoll
authors.forename: R J
authors.initials: RJ
authors.lastname: Chalmers
authors.forename: T W
authors.initials: TW
authors.lastname: Warnes
mesh_terms: D001768:Blister / Q000209:etiology*; D002913:Chyle / Q000378:metabolism*; D003937:Diagnosis, Differential; D006801:Humans; D008201:Lymphangiectasis, Intestinal / Q000150:complications*; D008202:Lymphangioma / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D012871:Skin Diseases / Q000175:diagnosis; D012878:Skin Neoplasms / Q000175:diagnosis*