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October 1972

Xanthomatosis and Chylous Lymphedema

Author Affiliations

Hamilton, Ontario, Canada

Arch Dermatol. 1972;106(4):601-602. doi:10.1001/archderm.1972.01620130107044

In their interesting paper entitled "Xanthomatosis and Lymphedema,: Berger et al1 state that this association has not previously been described in the American literature. I do not want to detract from their observations but the record should be put straight. Goldrick and Ahrens (1964)2 from New York have reported a 6-year-old Canadian girl who had unilateral chylous lymphedema and xanthomas. One of the purposes of this letter is to give a ten-year follow-up on this case. More recently, Woolling et al (1970)3 in Indiana described a 14-year-old girl who developed an extensive normolipemic xanthomatous eruption soon after the onset of lymphedema in the leg. In addition, Ma'luf and Weed (1971)4 from New Orleans described an 18-year-old girl with unilateral lymphedema, chylous metrorrhagia and "small blisters and papules" in the right groin and valva that would occasionally rupture and drain copious milky discharge. Findings from these three

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