Elephantiasic pretibial myxedema: a novel treatment for an uncommon disorder.
Identifieur interne : 009464 ( Main/Exploration ); précédent : 009463; suivant : 009465Elephantiasic pretibial myxedema: a novel treatment for an uncommon disorder.
Auteurs : Wendy S. Susser [États-Unis] ; Amanda G. Heermans ; M Shane Chapman ; Richard D. BaughmanSource :
- Journal of the American Academy of Dermatology [ 0190-9622 ] ; 2002.
Descripteurs français
- KwdFr :
- Dermatoses de la jambe (anatomopathologie), Dermatoses de la jambe (rééducation et réadaptation), Dermatoses de la jambe (étiologie), Femelle, Humains, Maladie de Basedow (), Maladie de Basedow (diagnostic), Myxoedème (anatomopathologie), Myxoedème (rééducation et réadaptation), Myxoedème (étiologie), Ponction-biopsie à l'aiguille, Résultat thérapeutique, Sujet âgé, Techniques de physiothérapie, Éléphantiasis (anatomopathologie), Éléphantiasis (rééducation et réadaptation), Éléphantiasis (étiologie), Études de suivi.
- MESH :
- anatomopathologie : Dermatoses de la jambe, Myxoedème, Éléphantiasis.
- diagnostic : Maladie de Basedow.
- rééducation et réadaptation : Dermatoses de la jambe, Myxoedème, Éléphantiasis.
- étiologie : Dermatoses de la jambe, Myxoedème, Éléphantiasis.
- Femelle, Humains, Maladie de Basedow, Ponction-biopsie à l'aiguille, Résultat thérapeutique, Sujet âgé, Techniques de physiothérapie, Études de suivi.
English descriptors
- KwdEn :
- Aged, Biopsy, Needle, Elephantiasis (etiology), Elephantiasis (pathology), Elephantiasis (rehabilitation), Female, Follow-Up Studies, Graves Disease (complications), Graves Disease (diagnosis), Humans, Leg Dermatoses (etiology), Leg Dermatoses (pathology), Leg Dermatoses (rehabilitation), Myxedema (etiology), Myxedema (pathology), Myxedema (rehabilitation), Physical Therapy Modalities, Treatment Outcome.
- MESH :
- complications : Graves Disease.
- diagnosis : Graves Disease.
- etiology : Elephantiasis, Leg Dermatoses, Myxedema.
- pathology : Elephantiasis, Leg Dermatoses, Myxedema.
- rehabilitation : Elephantiasis, Leg Dermatoses, Myxedema.
- Aged, Biopsy, Needle, Female, Follow-Up Studies, Humans, Physical Therapy Modalities, Treatment Outcome.
Abstract
Pretibial myxedema is a known manifestation of Graves' disease. Much less common is the elephantiasis nostras variant, which is often refractory to treatment. We therefore elected to try a new therapy, often used for the management of chronic lymphedema, called complete decongestive physiotherapy. After 6 weeks of intensive treatment, our patient lost 37 pounds and had reduced her edema volume by 47%. Her skin softened with decreased lymph seepage and she became mobile for the first time in years. At a 2-year follow-up visit, she exhibited sustained improvement. This case demonstrates that complete decongestive physiotherapy can provide effective, long-term control of this disease process. We suggest that complete decongestive physiotherapy be considered in patients with severe forms of pretibial myxedema, as well as those with refractory lymphedema.
PubMed: 12004314
Affiliations:
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Much less common is the elephantiasis nostras variant, which is often refractory to treatment. We therefore elected to try a new therapy, often used for the management of chronic lymphedema, called complete decongestive physiotherapy. After 6 weeks of intensive treatment, our patient lost 37 pounds and had reduced her edema volume by 47%. Her skin softened with decreased lymph seepage and she became mobile for the first time in years. At a 2-year follow-up visit, she exhibited sustained improvement. This case demonstrates that complete decongestive physiotherapy can provide effective, long-term control of this disease process. We suggest that complete decongestive physiotherapy be considered in patients with severe forms of pretibial myxedema, as well as those with refractory lymphedema.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country></list><tree><noCountry><name sortKey="Baughman, Richard D" sort="Baughman, Richard D" uniqKey="Baughman R" first="Richard D" last="Baughman">Richard D. Baughman</name><name sortKey="Chapman, M Shane" sort="Chapman, M Shane" uniqKey="Chapman M" first="M Shane" last="Chapman">M Shane Chapman</name><name sortKey="Heermans, Amanda G" sort="Heermans, Amanda G" uniqKey="Heermans A" first="Amanda G" last="Heermans">Amanda G. Heermans</name></noCountry><country name="États-Unis"><noRegion><name sortKey="Susser, Wendy S" sort="Susser, Wendy S" uniqKey="Susser W" first="Wendy S" last="Susser">Wendy S. Susser</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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