LYMPHOEDÈME PRIMAIRE ET PSORIASIS: SIMILITUDE ÉTIOPATHOGÈNIQUE ET ESPOIRS THÉRAPEUTIQUES

Lymphedema is a chronic and debilitating pathology due to lymphatic stasis, responsible for an increase in the volume of the affected limb. Primary and secondary lymphedemas are distinguished. The former are due to a primitive anomaly of the lymphatic vessels (hereditary or not), the latter to their obstruction or destruction. Primary lymphedemas are classified as congenital, early and late by age of onset. Apart from functional and psychological repercussions, erysipelas remains the main complication, aggravating lymphatic circulatory deficit. The treatment is based on physical methods, resection surgery or reconstruction, and drugs (diuretic type, benzopyrones, coumarinic and flavonoids). These treatments are sometimes heavy or insufficient, and the therapeutic hope lies in gene therapy. We report here the case of psoriasis occurring in a patient presenting a primary lymphedema.