[Physiopathology of lymphedema].
Identifieur interne : 000636 ( France/Analysis ); précédent : 000635; suivant : 000637[Physiopathology of lymphedema].
Auteurs : P H Carpentier [France]Source :
- La Revue de medecine interne [ 0248-8663 ] ; 2002.
Descripteurs français
- KwdFr :
- MESH :
- physiologie : Système lymphatique.
- physiopathologie : Lymphoedème.
- Humains, Infection, Lymphoedème, Plaies et blessures, Tumeurs.
English descriptors
- KwdEn :
- MESH :
- complications : Infection, Neoplasms, Wounds and Injuries.
- physiology : Lymphatic System.
- physiopathology : Lymphedema.
- therapy : Lymphedema.
- Humans.
Abstract
Edema is defined as an excess of interstitial fluids. Its appearance is always linked to a relative functional insufficiency of the lymphatic drainage, but the use of the word lymphedema is restricted to the conditions where the lymphatic insufficiency is the primary pathogenetic factor of edema formation. The lymphatic insufficiency may result from: 1) an incompetence of the lymphatic capillaries, either due to their aplasia (Milroy's disease) or to their destruction (lipodermatosclerosis of chronic venous insufficiency); 2) an insufficiency of the lymphatic collectors related to their hypoplasia (primary lymphedema), or their destruction by trauma, infection or carcinologic treatments; a drug related functional insufficiency of lymphatic collectors is probable, but more data are needed on this topic; 3) pathologic lymphatic nodes (surgical excision, invasion by hematological disorders or cancer) could interfere with their ability to concentrate lymphatic fluids. Local tissue changes in the lymphedematous limbs are important and should be taken into account in the care management of such patients.
PubMed: 12162198
Affiliations:
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pubmed:12162198Le document en format XML
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Its appearance is always linked to a relative functional insufficiency of the lymphatic drainage, but the use of the word lymphedema is restricted to the conditions where the lymphatic insufficiency is the primary pathogenetic factor of edema formation. The lymphatic insufficiency may result from: 1) an incompetence of the lymphatic capillaries, either due to their aplasia (Milroy's disease) or to their destruction (lipodermatosclerosis of chronic venous insufficiency); 2) an insufficiency of the lymphatic collectors related to their hypoplasia (primary lymphedema), or their destruction by trauma, infection or carcinologic treatments; a drug related functional insufficiency of lymphatic collectors is probable, but more data are needed on this topic; 3) pathologic lymphatic nodes (surgical excision, invasion by hematological disorders or cancer) could interfere with their ability to concentrate lymphatic fluids. Local tissue changes in the lymphedematous limbs are important and should be taken into account in the care management of such patients.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Auvergne-Rhône-Alpes</li><li>Rhône-Alpes</li></region><settlement><li>Grenoble</li></settlement></list><tree><country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Carpentier, P H" sort="Carpentier, P H" uniqKey="Carpentier P" first="P H" last="Carpentier">P H Carpentier</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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