Lymphedema of the lower extremity: is it genetic or nongenetic?
Identifieur interne : 002809 ( Ncbi/Checkpoint ); précédent : 002808; suivant : 002810Lymphedema of the lower extremity: is it genetic or nongenetic?
Auteurs : Marwan Shinawi [États-Unis]Source :
- Clinical pediatrics [ 0009-9228 ] ; 2007.
Descripteurs français
- KwdFr :
- MESH :
- diagnostic : Lymphoedème.
- imagerie diagnostique : Lymphoedème.
- Adolescent, Femelle, Humains, Lymphoedème, Scintigraphie.
English descriptors
- KwdEn :
- MESH :
- classification : Lymphedema.
- diagnosis : Lymphedema.
- diagnostic imaging : Lymphedema.
- Adolescent, Female, Humans, Radionuclide Imaging.
Abstract
Lymphedema of the lower extremities is a diagnostic challenge. Exclusion of secondary causes of limb swelling and secondary lymphedema is the initial step. Primary lymphedema is classified into idiopathic and familial (hereditary) subgroups. Hereditary lymphedema can be nonsyndromic or associated with congenital anomalies or with abnormal physical findings. A 13-year-old girl presented with unilateral lower extremity lymphedema. Her medical and family history was unremarkable. The physical examination was negative for dysmorphic features and congenital anomalies. Lymphoscintigraphy showed no evidence of lymph flow in the left lower extremity, which persisted at the delayed 2-hour image. A comprehensive clinical and family history that includes a thorough physical examination are the mainstays of the medical assessment of lymphedema in children. Isotopic lymphoscintigraphy is generally considered the gold standard for confirmation of the diagnosis. This article discusses the differential diagnosis, reviews the literature, and suggests a simplified and an updated flowchart for the classification of unilateral limb lymphedema in children.
DOI: 10.1177/0009922807303545
PubMed: 17641125
Affiliations:
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Exclusion of secondary causes of limb swelling and secondary lymphedema is the initial step. Primary lymphedema is classified into idiopathic and familial (hereditary) subgroups. Hereditary lymphedema can be nonsyndromic or associated with congenital anomalies or with abnormal physical findings. A 13-year-old girl presented with unilateral lower extremity lymphedema. Her medical and family history was unremarkable. The physical examination was negative for dysmorphic features and congenital anomalies. Lymphoscintigraphy showed no evidence of lymph flow in the left lower extremity, which persisted at the delayed 2-hour image. A comprehensive clinical and family history that includes a thorough physical examination are the mainstays of the medical assessment of lymphedema in children. Isotopic lymphoscintigraphy is generally considered the gold standard for confirmation of the diagnosis. This article discusses the differential diagnosis, reviews the literature, and suggests a simplified and an updated flowchart for the classification of unilateral limb lymphedema in children.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country></list><tree><country name="États-Unis"><noRegion><name sortKey="Shinawi, Marwan" sort="Shinawi, Marwan" uniqKey="Shinawi M" first="Marwan" last="Shinawi">Marwan Shinawi</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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