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A 28-year-old woman with bilateral pleural effusions and generalized, primary lymphedema beginning with facial erysipelas at 6 years of age is presented. The pleural effusions were exudates with 250 cells per mm3, 92 per cent of which were lymphocytes. Lymphatic stasis was demonstrated by persistence of the blue dye in the dorsa of her feet 3 months after a lymphangiogram of both lower extremities, pelvis, and abdomen. Her nails were not remarkable. Our patient represents the twentieth recorded case of pleural effusion in association with primary lymphedema. Women have been afflicted more than twice as often as men, and the age of onset has varied from birth to the eighth decade. Yellow dystrophic nails may precede or follow lymphedema or the pleural effusion and have occurred in only 11 of the 20 patients.
D J Beer, and
W Pereira, and
G L Snider
January 2004,
Clinical pediatrics,
D J Beer, and
W Pereira, and
G L Snider
August 2004,
Annals of internal medicine,
D J Beer, and
W Pereira, and
G L Snider
September 2006,
Revue des maladies respiratoires,
D J Beer, and
W Pereira, and
G L Snider
January 2004,
Duodecim; laaketieteellinen aikakauskirja,
D J Beer, and
W Pereira, and
G L Snider
June 2010,
Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society,
D J Beer, and
W Pereira, and
G L Snider
July 2014,
The clinical respiratory journal,
D J Beer, and
W Pereira, and
G L Snider
January 1971,
Bulletin de la Societe francaise de dermatologie et de syphiligraphie,
D J Beer, and
W Pereira, and
G L Snider
November 2019,
Archivos de bronconeumologia,
D J Beer, and
W Pereira, and
G L Snider
October 2014,
Respirology (Carlton, Vic.),
D J Beer, and
W Pereira, and
G L Snider
May 1991,
Medicina clinica,
