Lymphatic Filariasis Disseminating to the Upper Extremity
Identifieur interne : 002905 ( Main/Exploration ); précédent : 002904; suivant : 002906Lymphatic Filariasis Disseminating to the Upper Extremity
Auteurs : Catherine Maldjian [États-Unis] ; Vineet Khanna [États-Unis] ; Bevan Tandon [États-Unis] ; Matthew Then [États-Unis] ; Mohamed Yassin [États-Unis] ; Richard Adam [États-Unis] ; Michael J. Klein [États-Unis]Source :
- Case Reports in Radiology [ 2090-6862 ] ; 2014.
Abstract
Lymphatic filariasis is the most common cause of acquired lymphedema worldwide (Szuba and Rockson, 1998). It is endemic to tropical and subtropical regions, and its effects are devastating. With over 100 million infected persons, it ranks second only to leprosy as the leading cause of permanent and long-term disability.
Url:
DOI: 10.1155/2014/985680
PubMed: 24707427
PubMed Central: 3965918
Affiliations:
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Radiology, University of Pittsburgh Medical Center, Pittsburgh, PA 15213-2582, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, PA 15213-2582</wicri:regionArea><wicri:noRegion>PA 15213-2582</wicri:noRegion></affiliation></author><author><name sortKey="Tandon, Bevan" sort="Tandon, Bevan" uniqKey="Tandon B" first="Bevan" last="Tandon">Bevan Tandon</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, PA 15213-2582, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, PA 15213-2582</wicri:regionArea><wicri:noRegion>PA 15213-2582</wicri:noRegion></affiliation></author><author><name sortKey="Then, Matthew" sort="Then, Matthew" uniqKey="Then M" first="Matthew" last="Then">Matthew Then</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, PA 15213-2582, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, PA 15213-2582</wicri:regionArea><wicri:noRegion>PA 15213-2582</wicri:noRegion></affiliation></author><author><name sortKey="Yassin, Mohamed" sort="Yassin, Mohamed" uniqKey="Yassin M" first="Mohamed" last="Yassin">Mohamed Yassin</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Infectious Diseases, University of Pittsburgh Medical Center, Pittsburgh, PA 15213-2582, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Infectious Diseases, University of Pittsburgh Medical Center, Pittsburgh, PA 15213-2582</wicri:regionArea><wicri:noRegion>PA 15213-2582</wicri:noRegion></affiliation></author><author><name sortKey="Adam, Richard" sort="Adam, Richard" uniqKey="Adam R" first="Richard" last="Adam">Richard Adam</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, PA 15213-2582, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, PA 15213-2582</wicri:regionArea><wicri:noRegion>PA 15213-2582</wicri:noRegion></affiliation></author><author><name sortKey="Klein, Michael J" sort="Klein, Michael J" uniqKey="Klein M" first="Michael J." last="Klein">Michael J. Klein</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of Pathology and Laboratory Medicine, Hospital for Special Surgery, New York, NY 10021, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology and Laboratory Medicine, Hospital for Special Surgery, New York, NY 10021</wicri:regionArea><wicri:noRegion>NY 10021</wicri:noRegion></affiliation></author></analytic><series><title level="j">Case Reports in Radiology</title><idno type="ISSN">2090-6862</idno><idno type="eISSN">2090-6870</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>Lymphatic filariasis is the most common cause of acquired lymphedema worldwide (Szuba and Rockson, 1998). It is endemic to tropical and subtropical regions, and its effects are devastating. With over 100 million infected persons, it ranks second only to leprosy as the leading cause of permanent and long-term disability. <italic>Wuchereria bancrofti</italic> is the etiologic agent in 90% of cases. There is a dearth of published MRI findings with pathologically proven active infections, making this entity even more of a diagnostic dilemma. Imaging may provide the first clue that one is dealing with a parasite and may facilitate proper treatment and containment of this disease. This is the first report of pathologic correlation with MRI findings in the extremity in active filariasis. The magnetic resonance images demonstrate an enhancing, infiltrative, mass-like appearance with partial encasement of vasculature that has not been previously described in filariasis. Low signal strands in T2-hyperintense dilated lymphatic channels are seen and may depict live adult worms. We hypothesize that the low signal strands correspond to the collagen rich acellular cuticle. This, in combination with the surrounding hyperintense T2 signal, corresponding to a dilated lymphatic channel, may provide more specific MRI findings for active nematodal infection, which can prompt early biopsy, pathological correlation, and diagnosis.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Szuba, A" uniqKey="Szuba A">A Szuba</name></author><author><name sortKey="Rockson, Sg" uniqKey="Rockson S">SG Rockson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schick, C" uniqKey="Schick C">C Schick</name></author><author><name sortKey="Thalhammer, A" uniqKey="Thalhammer A">A Thalhammer</name></author><author><name sortKey="Balzer, Jo" uniqKey="Balzer J">JO Balzer</name></author><author><name sortKey="Abolmaali, N" uniqKey="Abolmaali N">N Abolmaali</name></author><author><name sortKey="Vogl, Tj" uniqKey="Vogl T">TJ Vogl</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ahn, Pj" uniqKey="Ahn P">PJ Ahn</name></author><author><name sortKey="Bertagnolli, R" uniqKey="Bertagnolli R">R Bertagnolli</name></author><author><name sortKey="Fraser, Sl" uniqKey="Fraser S">SL Fraser</name></author><author><name sortKey="Freeman, Jh" uniqKey="Freeman J">JH Freeman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Blacksin, Mf" uniqKey="Blacksin M">MF Blacksin</name></author><author><name sortKey="Lin, Ss" uniqKey="Lin S">SS Lin</name></author><author><name sortKey="Trofa, Af" uniqKey="Trofa A">AF Trofa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Case, Tc" uniqKey="Case T">TC Case</name></author><author><name sortKey="Unger, E" uniqKey="Unger E">E Unger</name></author><author><name sortKey="Bernas, Mj" uniqKey="Bernas M">MJ Bernas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yacoe, Me" uniqKey="Yacoe M">ME Yacoe</name></author><author><name sortKey="Bergman, Ag" uniqKey="Bergman A">AG Bergman</name></author><author><name sortKey="Ladd, Al" uniqKey="Ladd A">AL Ladd</name></author><author><name sortKey="Hellman, Bh" uniqKey="Hellman B">BH Hellman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Page, Ap" uniqKey="Page A">AP Page</name></author><author><name sortKey="Winter, Ad" uniqKey="Winter A">AD Winter</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country></list><tree><country name="États-Unis"><noRegion><name sortKey="Maldjian, Catherine" sort="Maldjian, Catherine" uniqKey="Maldjian C" first="Catherine" last="Maldjian">Catherine Maldjian</name></noRegion><name sortKey="Adam, Richard" sort="Adam, Richard" uniqKey="Adam R" first="Richard" last="Adam">Richard Adam</name><name sortKey="Khanna, Vineet" sort="Khanna, Vineet" uniqKey="Khanna V" first="Vineet" last="Khanna">Vineet Khanna</name><name sortKey="Klein, Michael J" sort="Klein, Michael J" uniqKey="Klein M" first="Michael J." last="Klein">Michael J. Klein</name><name sortKey="Tandon, Bevan" sort="Tandon, Bevan" uniqKey="Tandon B" first="Bevan" last="Tandon">Bevan Tandon</name><name sortKey="Then, Matthew" sort="Then, Matthew" uniqKey="Then M" first="Matthew" last="Then">Matthew Then</name><name sortKey="Yassin, Mohamed" sort="Yassin, Mohamed" uniqKey="Yassin M" first="Mohamed" last="Yassin">Mohamed Yassin</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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