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Lymphangioadenopathy of filariasis

Identifieur interne : 005268 ( Istex/Corpus ); précédent : 005267; suivant : 005269

Lymphangioadenopathy of filariasis

Auteurs : M. Akisada ; S. Tani

Source :

RBID : ISTEX:B01D4DACB53BAAA2FEA5CF72BFF0ADEDE780514E

Abstract

Lymphographical findings in 34 cases of filarial chyluria, 3 of the prechyluric state, and one of filarial elephantiasis were analysed. Lymphography of 32 of the 34 showed specifically lymphatico-pelvic fistulae. This finding is characteristic of chyluria. The lymphatico-pelvic fistulae in the lymphograms were classified into 6 types: (1) cystic types; (2) circular or semicircular type; (3) vermiform plexus type; (4) arborization type; (5) indeterminate types; and (6) type without fistulae. The lymphographic features of these are described. From the analysis of the relationship between the lymphatico-pelvic fistulae formation and the abnormalities of the para-aortic nodes or of the thoracic duct, the pathogenesis of Lipiodol U.F. reflux into the collecting lymphatics of the kidney was suggested. In other words, lymphatico-pelvic fistulae may be caused by abnormalities of the nodes associated with abnormalities of the lymphatics in the para-aortic region on the same side. From these results it is concluded that chyluria is not a disease of the kidney, but is part of the pathology of both the lymphatic vessels and nodes, i.e. lymphangio-adenopathy of many parts of the whole body, and that elephantiasis is not a disease of the legs, but shows lymphangio-adenopathy of the wider areas of the body. Four interesting cases are presented.

Url:
DOI: 10.1016/0035-9203(70)90107-0

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ISTEX:B01D4DACB53BAAA2FEA5CF72BFF0ADEDE780514E

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