| Saphenous vein graft donor site dermatitis in Japan. | |
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MedLine Citation:
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PMID: 8537556 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Four cases of saphenous vein graft donor site dermatitis are reported from Japan for the first time. The patients were four Japanese men aged from 57 to 69. They noted pruritic eruptions along the lower extremity scar after coronary artery bypass graft surgery using the autogenous saphenous vein. The eruptions appeared mainly on and around the lower end of the venectomy scars from 1.5 to 9 months after graft operations performed at three different hospitals. All four patients showed an objective sensory deficit of the saphenous nerve around the saphenous vein incision scar, although none of them complained of saphenous neuralgia subjectively. Histologically, two patients showed mild epidermal acanthosis, spongiosis, intraepidermal blisters, and perivascular infiltration of lymphocytes and a few eosinophils around dermal blood vessels. The eruption responded well to topical corticosteroids in all cases, although it recurred again in two patients. The entity is characterized by a subacute (belatedly appearing, then slowly disappearing) dermatitis and a mild sensory deficit of the saphenous nerve. Apparently, mild impediment of the saphenous nerve due to an ablational procedure of saphenous venectomy can play a role in causing saphenous vein graft donor site dermatitis. |
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Authors:
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N Kato; H Ueno |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of dermatology Volume: 22 ISSN: 0385-2407 ISO Abbreviation: J. Dermatol. Publication Date: 1995 Sep |
Date Detail:
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Created Date: 1996-02-07 Completed Date: 1996-02-07 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7600545 Medline TA: J Dermatol Country: JAPAN |
Other Details:
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Languages: eng Pagination: 681-5 Citation Subset: IM |
Affiliation:
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Department of Dermatology, National Sapporo Hospital, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Biopsy Cicatrix* / pathology Coronary Artery Bypass / adverse effects* Dermatitis / complications, etiology*, pathology Humans Japan Male Middle Aged Neuralgia / complications, etiology* Peripheral Nervous System Diseases / complications, etiology Saphenous Vein / transplantation* |
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