A case of topical rapamycin effective for postsurgical hypertrophic scar of superficial lymphatic malformation with possible quality-of-life improvement

Lymphatic malformation (LM) of the body surface causes symptoms such as bleeding, pain, lymphatic leakage, or infection of the lesion, usually treated with surgical resection and sclerotherapy, with limited efficacy. The vesicles of the body surface tend to recur after surgical resection and may cau...

Full description

Bibliographic Details
Main Authors: Yuki Isozaki, Motoi Kato, Naoko Fujita, Shota Tojo, Masahide Fujiki, Azusa Watanabe, Shoji Watanabe
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Journal of Dermatology and Dermatologic Surgery
Subjects:
Online Access:http://www.jddsjournal.org/article.asp?issn=2352-2410;year=2022;volume=26;issue=3;spage=11;epage=14;aulast=Isozaki
_version_ 1798037476683546624
author Yuki Isozaki
Motoi Kato
Naoko Fujita
Shota Tojo
Masahide Fujiki
Azusa Watanabe
Shoji Watanabe
author_facet Yuki Isozaki
Motoi Kato
Naoko Fujita
Shota Tojo
Masahide Fujiki
Azusa Watanabe
Shoji Watanabe
author_sort Yuki Isozaki
collection DOAJ
description Lymphatic malformation (LM) of the body surface causes symptoms such as bleeding, pain, lymphatic leakage, or infection of the lesion, usually treated with surgical resection and sclerotherapy, with limited efficacy. The vesicles of the body surface tend to recur after surgical resection and may cause lymphatic leakage, which could be long term a burden for patients, eventually decreasing their quality of life. In recent years, the efficacy of orally administered mammalian target of rapamycin inhibitor (rapamycin) has been reported for LM and other vascular anomalies but few are reported in the East Asian population. We report the case of a Japanese female with intractable gluteal LM that was successfully treated with topical rapamycin for postoperative recurrence and hypertrophic scarring.
first_indexed 2024-04-11T21:27:04Z
format Article
id doaj.art-b46cf30bb85340d689715d839c388309
institution Directory Open Access Journal
issn 2352-2410
2352-2429
language English
last_indexed 2024-04-11T21:27:04Z
publishDate 2022-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Dermatology and Dermatologic Surgery
spelling doaj.art-b46cf30bb85340d689715d839c3883092022-12-22T04:02:22ZengWolters Kluwer Medknow PublicationsJournal of Dermatology and Dermatologic Surgery2352-24102352-24292022-01-01263111410.4103/jdds.jdds_38_21A case of topical rapamycin effective for postsurgical hypertrophic scar of superficial lymphatic malformation with possible quality-of-life improvementYuki IsozakiMotoi KatoNaoko FujitaShota TojoMasahide FujikiAzusa WatanabeShoji WatanabeLymphatic malformation (LM) of the body surface causes symptoms such as bleeding, pain, lymphatic leakage, or infection of the lesion, usually treated with surgical resection and sclerotherapy, with limited efficacy. The vesicles of the body surface tend to recur after surgical resection and may cause lymphatic leakage, which could be long term a burden for patients, eventually decreasing their quality of life. In recent years, the efficacy of orally administered mammalian target of rapamycin inhibitor (rapamycin) has been reported for LM and other vascular anomalies but few are reported in the East Asian population. We report the case of a Japanese female with intractable gluteal LM that was successfully treated with topical rapamycin for postoperative recurrence and hypertrophic scarring.http://www.jddsjournal.org/article.asp?issn=2352-2410;year=2022;volume=26;issue=3;spage=11;epage=14;aulast=Isozakilymphatic malformationquality of liferapamycinscar/keloidtherapy (topical)
spellingShingle Yuki Isozaki
Motoi Kato
Naoko Fujita
Shota Tojo
Masahide Fujiki
Azusa Watanabe
Shoji Watanabe
A case of topical rapamycin effective for postsurgical hypertrophic scar of superficial lymphatic malformation with possible quality-of-life improvement
Journal of Dermatology and Dermatologic Surgery
lymphatic malformation
quality of life
rapamycin
scar/keloid
therapy (topical)
title A case of topical rapamycin effective for postsurgical hypertrophic scar of superficial lymphatic malformation with possible quality-of-life improvement
title_full A case of topical rapamycin effective for postsurgical hypertrophic scar of superficial lymphatic malformation with possible quality-of-life improvement
title_fullStr A case of topical rapamycin effective for postsurgical hypertrophic scar of superficial lymphatic malformation with possible quality-of-life improvement
title_full_unstemmed A case of topical rapamycin effective for postsurgical hypertrophic scar of superficial lymphatic malformation with possible quality-of-life improvement
title_short A case of topical rapamycin effective for postsurgical hypertrophic scar of superficial lymphatic malformation with possible quality-of-life improvement
title_sort case of topical rapamycin effective for postsurgical hypertrophic scar of superficial lymphatic malformation with possible quality of life improvement
topic lymphatic malformation
quality of life
rapamycin
scar/keloid
therapy (topical)
url http://www.jddsjournal.org/article.asp?issn=2352-2410;year=2022;volume=26;issue=3;spage=11;epage=14;aulast=Isozaki
work_keys_str_mv AT yukiisozaki acaseoftopicalrapamycineffectiveforpostsurgicalhypertrophicscarofsuperficiallymphaticmalformationwithpossiblequalityoflifeimprovement
AT motoikato acaseoftopicalrapamycineffectiveforpostsurgicalhypertrophicscarofsuperficiallymphaticmalformationwithpossiblequalityoflifeimprovement
AT naokofujita acaseoftopicalrapamycineffectiveforpostsurgicalhypertrophicscarofsuperficiallymphaticmalformationwithpossiblequalityoflifeimprovement
AT shotatojo acaseoftopicalrapamycineffectiveforpostsurgicalhypertrophicscarofsuperficiallymphaticmalformationwithpossiblequalityoflifeimprovement
AT masahidefujiki acaseoftopicalrapamycineffectiveforpostsurgicalhypertrophicscarofsuperficiallymphaticmalformationwithpossiblequalityoflifeimprovement
AT azusawatanabe acaseoftopicalrapamycineffectiveforpostsurgicalhypertrophicscarofsuperficiallymphaticmalformationwithpossiblequalityoflifeimprovement
AT shojiwatanabe acaseoftopicalrapamycineffectiveforpostsurgicalhypertrophicscarofsuperficiallymphaticmalformationwithpossiblequalityoflifeimprovement
AT yukiisozaki caseoftopicalrapamycineffectiveforpostsurgicalhypertrophicscarofsuperficiallymphaticmalformationwithpossiblequalityoflifeimprovement
AT motoikato caseoftopicalrapamycineffectiveforpostsurgicalhypertrophicscarofsuperficiallymphaticmalformationwithpossiblequalityoflifeimprovement
AT naokofujita caseoftopicalrapamycineffectiveforpostsurgicalhypertrophicscarofsuperficiallymphaticmalformationwithpossiblequalityoflifeimprovement
AT shotatojo caseoftopicalrapamycineffectiveforpostsurgicalhypertrophicscarofsuperficiallymphaticmalformationwithpossiblequalityoflifeimprovement
AT masahidefujiki caseoftopicalrapamycineffectiveforpostsurgicalhypertrophicscarofsuperficiallymphaticmalformationwithpossiblequalityoflifeimprovement
AT azusawatanabe caseoftopicalrapamycineffectiveforpostsurgicalhypertrophicscarofsuperficiallymphaticmalformationwithpossiblequalityoflifeimprovement
AT shojiwatanabe caseoftopicalrapamycineffectiveforpostsurgicalhypertrophicscarofsuperficiallymphaticmalformationwithpossiblequalityoflifeimprovement