Ipsilateral injury of more than one component of the knee extensor apparatus is rare. It is mostly associated with previous trauma, surgery, immunosuppression therapy and systemic disease. We present the first documented case of a spontaneous bifocal disruption of the knee extensor apparatus (i.e. floating patella) associated with lymphoedema. This case highlights the importance of considering ...

Yellow nail syndrome is characterized by primary lymphoedema, recurrent pleural effusion and yellow discoloration of the nails. Although mechanical lymphatic obstruction is assumed to be the underlying pathology, it cannot explain the common finding of high albumin concentration in the pleural space. This paper describes a case of yellow nail syndrome presenting with the classical triad of lymp...

Lipoedema is a distinct clinical condition characterized by bilateral, symmetrical enlargement of the buttocks and lower limbs owing to excess deposition of subcutaneous fat. It is found almost exclusively in women. The common features associated with this condition are 'column- shaped' legs with sparing of the feet, bruising, sensitivity to pressure, and orthostatic oedema. The progression to ...

The World Health Organization document (WHO, 2010), Wound and Lymphoedema Management, stresses the need to integrate lymphoedema, chronic oedema and wound care (Bolton, 2010). Due to skin changes that occur in patients with chronic oedema, there is the potential for venous ulceration to occur (Hampton, 2010). Thus, dressings are required to manage infection and exudate. Conditions such as lymph...

Arachnoid cysts are a congenital disorder, and most cases begin during infancy; however, onset may be delayed until adolescence. Here we present an unusual case of atypical Paraplegia with Lymphoedema, with onset during adolescence and rapid progression in a young female patient who showed the characteristic appearance of cyst on magnetic resonance imaging (MRI) of spinal cord. This report inte...

Pleural effusions occur in patients with primary lymphoedema. Twenty such cases from published reports have been reviewed by Beer et al.' Although these effusions may be massive with rapid reaccumulation after thoracocentesis, we have been able to find only two brief reports of cases in which obliteration of the pleural space by pleurectomy2 3 was considered necessary. We have found no histolog...