Abstract：
Primary lymphoedema, axillary web syndrome (AWS) and yellow nail syndrome may be related. Mr B is a 66-year-old gentleman with genital lymphoedema and lymphoedema of all four extremities. In 2023, he was diagnosed with non-Hodgkin lymphoma and also underwent cardiac surgery. In November 2023, he completed an inpatient rehabilitation at the Földi clinic in Germany, where he received intensive treatment for his lymphoedema and was also diagnosed with bilateral AWS. The presence of AWS in a patient with primary lymphoedema and no history of axillary surgery is unique. Although AWS typically presents after axillary surgery, this case highlights that it can also occur in patients without lymph node surgery. While the precise cause of this presentation of AWS is not known, it may be connected to yellow nail syndrome or potentially the recent chemotherapy treatment. This article will describe the clinical case, highlighting the need for further research on AWS present in primary lymphoedema.
摘要：
原发性淋巴水肿，腋窝网综合征(AWS)可能与黄指甲综合征有关。B先生是一位66岁的绅士，患有生殖器淋巴水肿和四肢淋巴水肿。2023年，他被诊断出患有非霍奇金淋巴瘤，并接受了心脏手术。2023年11月，他在德国Földi诊所完成了住院康复，他的淋巴水肿接受了强化治疗，并被诊断为双侧AWS。原发性淋巴水肿且无腋窝手术史的患者存在AWS是独特的。尽管AWS通常在腋窝手术后出现，这种情况突出表明，它也可以发生在患者没有淋巴结手术。虽然尚不清楚AWS出现的确切原因，它可能与黄指甲综合征或最近的化疗有关。本文将描述临床病例，强调需要进一步研究原发性淋巴水肿中存在的AWS。
