Lymphoscintigraphic Analysis Of Lymphatic Abnormalities In Symptomatic And Asymptomatic Human Filariasis
Identifieur interne : 00C907 ( Main/Exploration ); précédent : 00C906; suivant : 00C908Lymphoscintigraphic Analysis Of Lymphatic Abnormalities In Symptomatic And Asymptomatic Human Filariasis
Auteurs : David O. Freedman [Royaume-Uni, Brésil] ; Paulo Jose De Almeida Filho [Royaume-Uni, Brésil] ; Stephen Besh [Royaume-Uni, Brésil] ; Maria Carmelita Maia E Silva [Royaume-Uni, Brésil] ; Cynthia Braga [Royaume-Uni, Brésil] ; Amelia Maciel [Royaume-Uni, Brésil]Source :
- Journal of Infectious Diseases [ 0022-1899 ] ; 1994-10.
Abstract
To obtain high-resolution radionuclide Iymphoscintigraphic images of affected limbs in persons with both symptomatic and asymptomatic filarial infection, 36 volunteers were recruited from a Wuchereria banerolti-endemic area of Recife, Brazil, for a prospective, controlled analysis. Subjects were stratified after determination of serologic and clinical determinants of filarial infection status. Widespread lymphatic abnormalities were found in clinically asymptomatic microfilaremic persons, who had been assumed to have infection but not disease. All patients with clinical manifestations of lymphatic pathology had marked abnormalities. No correlation was found between clinical findings and actual lymphatic function as demonstrated by lymphoscintigraphy. The initial diagnosis of lymphatic filariasis, whether asymptomatic or symptomatic, is based on nonimaging laboratory criteria. After diagnosis, lymphoscintigraphy is a valuable tool for initial assessment of any lymphatic damage. Changes in strategies for therapeutic interventions in asymptomatic microfilaremic persons, who are not usually aggressively treated, may be warranted.
Url:
DOI: 10.1093/infdis/170.4.927
Affiliations:
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Le document en format XML
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<front><div type="abstract">To obtain high-resolution radionuclide Iymphoscintigraphic images of affected limbs in persons with both symptomatic and asymptomatic filarial infection, 36 volunteers were recruited from a Wuchereria banerolti-endemic area of Recife, Brazil, for a prospective, controlled analysis. Subjects were stratified after determination of serologic and clinical determinants of filarial infection status. Widespread lymphatic abnormalities were found in clinically asymptomatic microfilaremic persons, who had been assumed to have infection but not disease. All patients with clinical manifestations of lymphatic pathology had marked abnormalities. No correlation was found between clinical findings and actual lymphatic function as demonstrated by lymphoscintigraphy. The initial diagnosis of lymphatic filariasis, whether asymptomatic or symptomatic, is based on nonimaging laboratory criteria. After diagnosis, lymphoscintigraphy is a valuable tool for initial assessment of any lymphatic damage. Changes in strategies for therapeutic interventions in asymptomatic microfilaremic persons, who are not usually aggressively treated, may be warranted.</div>
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