Treatment of classic Kaposi's sarcoma-associated lymphedema with elastic stockings.
Identifieur interne : 002336 ( Ncbi/Checkpoint ); précédent : 002335; suivant : 002337Treatment of classic Kaposi's sarcoma-associated lymphedema with elastic stockings.
Auteurs : Lucia Brambilla [Italie] ; Athanasia Tourlaki ; Silvia Ferrucci ; Marinella Brambati ; Vinicio BoneschiSource :
- The Journal of dermatology [ 0385-2407 ] ; 2006.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- complications : Sarcoma, Kaposi.
- etiology : Lymphedema.
- therapy : Lymphedema.
- Adult, Aged, Aged, 80 and over, Bandages, Case-Control Studies, Female, Humans, Male, Middle Aged, Treatment Outcome.
Abstract
Lymphedema of the lower extremities is a frequent complication of Kaposi's sarcoma (KS). Compressive therapy is the basis of treatment for lymphatic disorders, but to the authors' knowledge, there are no controlled trials to evaluate its effectiveness in KS-related lymphedema. Sixty-five patients with classic KS-associated lymphedema limited to below the knee were studied. Fifty patients received below-knee elastic stockings, whereas the remaining 15 did not use any compressive device. Among treated patients, 60% (30/50) experienced a limb volume reduction, while 40% (20/50) had an increase of limb volume. In contrast, all patients (15/15) of the untreated group had an increase of limb volume. No correlation between lymphedema reduction and systemic or local chemotherapy was observed, supporting compressive therapy as the major strategy for the treatment of this condition. Our results suggest that elastic stockings may be important tools for the management of lymphedema associated to classic KS.
DOI: 10.1111/j.1346-8138.2006.00108.x
PubMed: 16848816
Affiliations:
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Policlinico, Mangiagalli e Regina Elena, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Tourlaki, Athanasia" sort="Tourlaki, Athanasia" uniqKey="Tourlaki A" first="Athanasia" last="Tourlaki">Athanasia Tourlaki</name></author><author><name sortKey="Ferrucci, Silvia" sort="Ferrucci, Silvia" uniqKey="Ferrucci S" first="Silvia" last="Ferrucci">Silvia Ferrucci</name></author><author><name sortKey="Brambati, Marinella" sort="Brambati, Marinella" uniqKey="Brambati M" first="Marinella" last="Brambati">Marinella Brambati</name></author><author><name sortKey="Boneschi, Vinicio" sort="Boneschi, Vinicio" uniqKey="Boneschi V" first="Vinicio" last="Boneschi">Vinicio Boneschi</name></author></analytic><series><title level="j">The Journal of dermatology</title><idno type="ISSN">0385-2407</idno><imprint><date when="2006" type="published">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Bandages</term><term>Case-Control Studies</term><term>Female</term><term>Humans</term><term>Lymphedema (etiology)</term><term>Lymphedema (therapy)</term><term>Male</term><term>Middle Aged</term><term>Sarcoma, Kaposi (complications)</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bandages</term><term>Femelle</term><term>Humains</term><term>Lymphoedème ()</term><term>Lymphoedème (étiologie)</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Sarcome de Kaposi ()</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études cas-témoins</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Sarcoma, Kaposi</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Bandages</term><term>Case-Control Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bandages</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Sarcome de Kaposi</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études cas-témoins</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lymphedema of the lower extremities is a frequent complication of Kaposi's sarcoma (KS). Compressive therapy is the basis of treatment for lymphatic disorders, but to the authors' knowledge, there are no controlled trials to evaluate its effectiveness in KS-related lymphedema. Sixty-five patients with classic KS-associated lymphedema limited to below the knee were studied. Fifty patients received below-knee elastic stockings, whereas the remaining 15 did not use any compressive device. Among treated patients, 60% (30/50) experienced a limb volume reduction, while 40% (20/50) had an increase of limb volume. In contrast, all patients (15/15) of the untreated group had an increase of limb volume. No correlation between lymphedema reduction and systemic or local chemotherapy was observed, supporting compressive therapy as the major strategy for the treatment of this condition. Our results suggest that elastic stockings may be important tools for the management of lymphedema associated to classic KS.</div></front></TEI><affiliations><list><country><li>Italie</li></country><region><li>Lombardie</li></region><settlement><li>Milan</li></settlement></list><tree><noCountry><name sortKey="Boneschi, Vinicio" sort="Boneschi, Vinicio" uniqKey="Boneschi V" first="Vinicio" last="Boneschi">Vinicio Boneschi</name><name sortKey="Brambati, Marinella" sort="Brambati, Marinella" uniqKey="Brambati M" first="Marinella" last="Brambati">Marinella Brambati</name><name sortKey="Ferrucci, Silvia" sort="Ferrucci, Silvia" uniqKey="Ferrucci S" first="Silvia" last="Ferrucci">Silvia Ferrucci</name><name sortKey="Tourlaki, Athanasia" sort="Tourlaki, Athanasia" uniqKey="Tourlaki A" first="Athanasia" last="Tourlaki">Athanasia Tourlaki</name></noCountry><country name="Italie"><region name="Lombardie"><name sortKey="Brambilla, Lucia" sort="Brambilla, Lucia" uniqKey="Brambilla L" first="Lucia" last="Brambilla">Lucia Brambilla</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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