[Involvement of the lymphatic system in primary non-lymphogenic edema of the leg. Studies with 2-compartment lymphoscintigraphy].
Identifieur interne : 00BE49 ( Main/Merge ); précédent : 00BE48; suivant : 00BE50[Involvement of the lymphatic system in primary non-lymphogenic edema of the leg. Studies with 2-compartment lymphoscintigraphy].
Auteurs : P. Br Utigam ; W. Vanscheidt ; E. Földi ; T. Krause ; E. MoserSource :
- Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete [ 0017-8470 ] ; 1997.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Agrégat d'albumine marquée au technétium (99mTc), Diagnostic différentiel, Femelle, Humains, Insuffisance veineuse (imagerie diagnostique), Jambe (imagerie diagnostique), Lymphoedème (imagerie diagnostique), Lymphoedème (étiologie), Lymphoscintigraphie, Mâle, Oedème (imagerie diagnostique), Oedème (étiologie), Sujet âgé, Syndrome post-phlébitique (imagerie diagnostique), Valeurs de référence, Varices (imagerie diagnostique).
- MESH :
- imagerie diagnostique : Insuffisance veineuse, Jambe, Lymphoedème, Oedème, Syndrome post-phlébitique, Varices.
- étiologie : Lymphoedème, Oedème.
- Adulte, Adulte d'âge moyen, Agrégat d'albumine marquée au technétium (99mTc), Diagnostic différentiel, Femelle, Humains, Lymphoscintigraphie, Mâle, Sujet âgé, Valeurs de référence.
English descriptors
- KwdEn :
- Adult, Aged, Diagnosis, Differential, Edema (diagnostic imaging), Edema (etiology), Female, Humans, Leg (diagnostic imaging), Lymphedema (diagnostic imaging), Lymphedema (etiology), Lymphoscintigraphy, Male, Middle Aged, Postphlebitic Syndrome (diagnostic imaging), Reference Values, Technetium Tc 99m Aggregated Albumin, Varicose Veins (diagnostic imaging), Venous Insufficiency (diagnostic imaging).
- MESH :
- chemical : Technetium Tc 99m Aggregated Albumin.
- diagnostic imaging : Edema, Leg, Lymphedema, Postphlebitic Syndrome, Varicose Veins, Venous Insufficiency.
- etiology : Edema, Lymphedema.
- Adult, Aged, Diagnosis, Differential, Female, Humans, Lymphoscintigraphy, Male, Middle Aged, Reference Values.
Abstract
Two-compartment lymphoscintigraphy was developed to examine the sub- and epifascial lymphatics of the leg. Digital images were evaluated visually and semiquantitatively by calculating the uptake of activity within the lymph nodes. The data from patient groups with four different types of leg edema were compared with those of the control group to prove the involvement of the lymphatics in the non-lymphatic edema. The cyclic idiopathic edema demonstrated an accelerated transport of the lymph consistent with a high volume insufficiency. In phlebedema the high volume insufficiency was epifascially so distinct, that it could be detected scintigraphically. In post thrombotic syndrome the transport of the lymph was reduced dramatically corresponding to a safety valve insufficiency. Epifascially however, an accelerated lymph flow was observed due to compensatory mechanisms. The lipedema did not show any scintigraphic abnormalities. These results show that two-compartment lymphoscintigraphy can detect alterations in lymphatic function secondary to non-lymphogenic leg edema. The lymphatic function is changed according to the underlying pathophysiology which may be facilitate the differential diagnosis of such a leg edema.
PubMed: 9378636
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pubmed:9378636Le document en format XML
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Krause</name></author><author><name sortKey="Moser, E" sort="Moser, E" uniqKey="Moser E" first="E" last="Moser">E. 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Studies with 2-compartment lymphoscintigraphy].</title><author><name sortKey="Br Utigam, P" sort="Br Utigam, P" uniqKey="Br Utigam P" first="P" last="Br Utigam">P. Br Utigam</name><affiliation><nlm:affiliation>Abteilung Nuklearmedizin, Radiologische Universitätsklinik Freiburg.</nlm:affiliation><wicri:noCountry code="subField">Radiologische Universitätsklinik Freiburg</wicri:noCountry></affiliation></author><author><name sortKey="Vanscheidt, W" sort="Vanscheidt, W" uniqKey="Vanscheidt W" first="W" last="Vanscheidt">W. Vanscheidt</name></author><author><name sortKey="Foldi, E" sort="Foldi, E" uniqKey="Foldi E" first="E" last="Földi">E. Földi</name></author><author><name sortKey="Krause, T" sort="Krause, T" uniqKey="Krause T" first="T" last="Krause">T. Krause</name></author><author><name sortKey="Moser, E" sort="Moser, E" uniqKey="Moser E" first="E" last="Moser">E. Moser</name></author></analytic><series><title level="j">Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete</title><idno type="ISSN">0017-8470</idno><imprint><date when="1997" type="published">1997</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Diagnosis, Differential</term><term>Edema (diagnostic imaging)</term><term>Edema (etiology)</term><term>Female</term><term>Humans</term><term>Leg (diagnostic imaging)</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (etiology)</term><term>Lymphoscintigraphy</term><term>Male</term><term>Middle Aged</term><term>Postphlebitic Syndrome (diagnostic imaging)</term><term>Reference Values</term><term>Technetium Tc 99m Aggregated Albumin</term><term>Varicose Veins (diagnostic imaging)</term><term>Venous Insufficiency (diagnostic imaging)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Agrégat d'albumine marquée au technétium (99mTc)</term><term>Diagnostic différentiel</term><term>Femelle</term><term>Humains</term><term>Insuffisance veineuse (imagerie diagnostique)</term><term>Jambe (imagerie diagnostique)</term><term>Lymphoedème (imagerie diagnostique)</term><term>Lymphoedème (étiologie)</term><term>Lymphoscintigraphie</term><term>Mâle</term><term>Oedème (imagerie diagnostique)</term><term>Oedème (étiologie)</term><term>Sujet âgé</term><term>Syndrome post-phlébitique (imagerie diagnostique)</term><term>Valeurs de référence</term><term>Varices (imagerie diagnostique)</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Technetium Tc 99m Aggregated Albumin</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Edema</term><term>Leg</term><term>Lymphedema</term><term>Postphlebitic Syndrome</term><term>Varicose Veins</term><term>Venous Insufficiency</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Edema</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Insuffisance veineuse</term><term>Jambe</term><term>Lymphoedème</term><term>Oedème</term><term>Syndrome post-phlébitique</term><term>Varices</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term><term>Oedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Diagnosis, Differential</term><term>Female</term><term>Humans</term><term>Lymphoscintigraphy</term><term>Male</term><term>Middle Aged</term><term>Reference Values</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Agrégat d'albumine marquée au technétium (99mTc)</term><term>Diagnostic différentiel</term><term>Femelle</term><term>Humains</term><term>Lymphoscintigraphie</term><term>Mâle</term><term>Sujet âgé</term><term>Valeurs de référence</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Two-compartment lymphoscintigraphy was developed to examine the sub- and epifascial lymphatics of the leg. Digital images were evaluated visually and semiquantitatively by calculating the uptake of activity within the lymph nodes. The data from patient groups with four different types of leg edema were compared with those of the control group to prove the involvement of the lymphatics in the non-lymphatic edema. The cyclic idiopathic edema demonstrated an accelerated transport of the lymph consistent with a high volume insufficiency. In phlebedema the high volume insufficiency was epifascially so distinct, that it could be detected scintigraphically. In post thrombotic syndrome the transport of the lymph was reduced dramatically corresponding to a safety valve insufficiency. Epifascially however, an accelerated lymph flow was observed due to compensatory mechanisms. The lipedema did not show any scintigraphic abnormalities. These results show that two-compartment lymphoscintigraphy can detect alterations in lymphatic function secondary to non-lymphogenic leg edema. The lymphatic function is changed according to the underlying pathophysiology which may be facilitate the differential diagnosis of such a leg edema.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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