Subcutaneous Tissue Ultrasonography in Legs with Dependent Edema and Secondary Lymphedema
Identifieur interne : 002496 ( Main/Exploration ); précédent : 002495; suivant : 002497Subcutaneous Tissue Ultrasonography in Legs with Dependent Edema and Secondary Lymphedema
Auteurs : Kotaro Suehiro [Japon] ; Noriyasu Morikage [Japon] ; Masanori Murakami [Japon] ; Osamu Yamashita [Japon] ; Koshiro Ueda [Japon] ; Makoto Samura [Japon] ; Kaori Nakamur [Japon] ; Kimikazu Hamano [Japon]Source :
- Annals of Vascular Diseases [ 1881-641X ] ; 2014.
Abstract
Objectives: To elucidate the differences in subcutaneous ultrasound findings between dependent edema (DE) and secondary lower extremity lymphedema (LE).
Materials and Methods: Twenty legs in 10 patients with DE and 54 legs in 35 patients with LE, who first visited our clinic between April 2009 and December 2012, were studied retrospectively. Subcutaneous echogenicity and echo-free space (EFS) were assessed at 8 points on the thigh and leg using an 8–12 MHz ultrasound transducer.
Results: In DE, echogenicity was increased most in the lower leg, without a difference between the medial and lateral side. The EFS was most remarkable in the lower leg, and the lateral side was more severe. In the early stages of LE, echogenicity was similarly increased in the medial thigh and in the leg, while remarkable EFS was observed only in the lower leg. As clinical severity progressed, echogenicity increased in all parts of the lower extremity. EFS also increased in all parts of the leg, but the lower leg was still the most severe.
Conclusion: Echogenicity seemed to progress differently in DE and LE, but EFS progressed similarly and according to gravity. The current ultrasound findings may have added some diagnostic value in differentiating these conditions.
Url:
DOI: 10.3400/avd.oa.13-00107
PubMed: 24719658
PubMed Central: 3968411
Affiliations:
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sortKey="Suehiro, Kotaro" sort="Suehiro, Kotaro" uniqKey="Suehiro K" first="Kotaro" last="Suehiro">Kotaro Suehiro</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi</wicri:regionArea><wicri:noRegion>Yamaguchi</wicri:noRegion></affiliation></author><author><name sortKey="Morikage, Noriyasu" sort="Morikage, Noriyasu" uniqKey="Morikage N" first="Noriyasu" last="Morikage">Noriyasu Morikage</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi</wicri:regionArea><wicri:noRegion>Yamaguchi</wicri:noRegion></affiliation></author><author><name sortKey="Murakami, Masanori" sort="Murakami, Masanori" uniqKey="Murakami M" first="Masanori" last="Murakami">Masanori Murakami</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi</wicri:regionArea><wicri:noRegion>Yamaguchi</wicri:noRegion></affiliation></author><author><name sortKey="Yamashita, Osamu" sort="Yamashita, Osamu" uniqKey="Yamashita O" first="Osamu" last="Yamashita">Osamu Yamashita</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi</wicri:regionArea><wicri:noRegion>Yamaguchi</wicri:noRegion></affiliation></author><author><name sortKey="Ueda, Koshiro" sort="Ueda, Koshiro" uniqKey="Ueda K" first="Koshiro" last="Ueda">Koshiro Ueda</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi</wicri:regionArea><wicri:noRegion>Yamaguchi</wicri:noRegion></affiliation></author><author><name sortKey="Samura, Makoto" sort="Samura, Makoto" uniqKey="Samura M" first="Makoto" last="Samura">Makoto Samura</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi</wicri:regionArea><wicri:noRegion>Yamaguchi</wicri:noRegion></affiliation></author><author><name sortKey="Nakamur, Kaori" sort="Nakamur, Kaori" uniqKey="Nakamur K" first="Kaori" last="Nakamur">Kaori Nakamur</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi</wicri:regionArea><wicri:noRegion>Yamaguchi</wicri:noRegion></affiliation></author><author><name sortKey="Hamano, Kimikazu" sort="Hamano, Kimikazu" uniqKey="Hamano K" first="Kimikazu" last="Hamano">Kimikazu Hamano</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi</wicri:regionArea><wicri:noRegion>Yamaguchi</wicri:noRegion></affiliation></author></analytic><series><title level="j">Annals of Vascular Diseases</title><idno type="ISSN">1881-641X</idno><idno type="eISSN">1881-6428</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Objectives: To elucidate the differences in subcutaneous ultrasound findings between dependent edema (DE) and secondary lower extremity lymphedema (LE).</p><p>Materials and Methods: Twenty legs in 10 patients with DE and 54 legs in 35 patients with LE, who first visited our clinic between April 2009 and December 2012, were studied retrospectively. Subcutaneous echogenicity and echo-free space (EFS) were assessed at 8 points on the thigh and leg using an 8–12 MHz ultrasound transducer.</p><p>Results: In DE, echogenicity was increased most in the lower leg, without a difference between the medial and lateral side. The EFS was most remarkable in the lower leg, and the lateral side was more severe. In the early stages of LE, echogenicity was similarly increased in the medial thigh and in the leg, while remarkable EFS was observed only in the lower leg. As clinical severity progressed, echogenicity increased in all parts of the lower extremity. EFS also increased in all parts of the leg, but the lower leg was still the most severe.</p><p>Conclusion: Echogenicity seemed to progress differently in DE and LE, but EFS progressed similarly and according to gravity. The current ultrasound findings may have added some diagnostic value in differentiating these conditions.</p></div></front></TEI><affiliations><list><country><li>Japon</li></country></list><tree><country name="Japon"><noRegion><name sortKey="Suehiro, Kotaro" sort="Suehiro, Kotaro" uniqKey="Suehiro K" first="Kotaro" last="Suehiro">Kotaro Suehiro</name></noRegion><name sortKey="Hamano, Kimikazu" sort="Hamano, Kimikazu" uniqKey="Hamano K" first="Kimikazu" last="Hamano">Kimikazu Hamano</name><name sortKey="Morikage, Noriyasu" sort="Morikage, Noriyasu" uniqKey="Morikage N" first="Noriyasu" last="Morikage">Noriyasu Morikage</name><name sortKey="Murakami, Masanori" sort="Murakami, Masanori" uniqKey="Murakami M" first="Masanori" last="Murakami">Masanori Murakami</name><name sortKey="Nakamur, Kaori" sort="Nakamur, Kaori" uniqKey="Nakamur K" first="Kaori" last="Nakamur">Kaori Nakamur</name><name sortKey="Samura, Makoto" sort="Samura, Makoto" uniqKey="Samura M" first="Makoto" last="Samura">Makoto Samura</name><name sortKey="Ueda, Koshiro" sort="Ueda, Koshiro" uniqKey="Ueda K" first="Koshiro" last="Ueda">Koshiro Ueda</name><name sortKey="Yamashita, Osamu" sort="Yamashita, Osamu" uniqKey="Yamashita O" first="Osamu" last="Yamashita">Osamu Yamashita</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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