Primary lymphedema in children and adolescents: a follow-up study and review.
Identifieur interne : 009C27 ( Ncbi/Curation ); précédent : 009C26; suivant : 009C28Primary lymphedema in children and adolescents: a follow-up study and review.
Auteurs : D M Smeltzer ; G B Stickler ; A. SchirgerSource :
- Pediatrics [ 0031-4005 ] ; 1985.
Descripteurs français
- KwdFr :
- MESH :
- diagnostic : Lymphoedème.
- malformations : Système lymphatique.
- étiologie : Lymphoedème.
- Adolescent, Adulte, Association thérapeutique, Enfant, Enfant d'âge préscolaire, Humains, Lymphoedème, Lymphographie, Nourrisson, Études de suivi.
English descriptors
- KwdEn :
- MESH :
- abnormalities : Lymphatic System.
- diagnosis : Lymphedema.
- etiology : Lymphedema.
- therapy : Lymphedema.
- Adolescent, Adult, Child, Child, Preschool, Combined Modality Therapy, Follow-Up Studies, Humans, Infant, Lymphography.
Abstract
Primary lymphedema, a disorder causing persistent swelling in an extremity, is rare in children and adolescents; it affects 1.15/100,000 persons less than age 20 years. It primarily affects girls near menarche. The records of 125 children and adolescents, aged 0 to 20 years, who were examined at the Mayo Clinic were analyzed; 99 of these patients were contacted to obtain follow-up data. The influences of estrogen and inflammation are thought to be important etiologic factors in primary lymphedema. The diagnosis can be made on the basis of a thorough history and physical examination. Lymphangiograms, venograms, and biopsies add nothing to the diagnosis because of the low incidence of tumor in children and adolescents. Conservative treatment is recommended: a Jobst-type stocking, elevation, and proper foot care. Diuretics are not recommended. Careful psychologic counseling, especially in adolescents, is highly recommended.
PubMed: 4022694
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pubmed:4022694Le document en format XML
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<term>Combined Modality Therapy</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Infant</term>
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<term>Humains</term>
<term>Lymphoedème ()</term>
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<term>Lymphoedème (étiologie)</term>
<term>Lymphographie</term>
<term>Nourrisson</term>
<term>Système lymphatique (malformations)</term>
<term>Études de suivi</term>
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<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Lymphoedème</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term>
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<term>Adult</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Combined Modality Therapy</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Infant</term>
<term>Lymphography</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Association thérapeutique</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Humains</term>
<term>Lymphoedème</term>
<term>Lymphographie</term>
<term>Nourrisson</term>
<term>Études de suivi</term>
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<front><div type="abstract" xml:lang="en">Primary lymphedema, a disorder causing persistent swelling in an extremity, is rare in children and adolescents; it affects 1.15/100,000 persons less than age 20 years. It primarily affects girls near menarche. The records of 125 children and adolescents, aged 0 to 20 years, who were examined at the Mayo Clinic were analyzed; 99 of these patients were contacted to obtain follow-up data. The influences of estrogen and inflammation are thought to be important etiologic factors in primary lymphedema. The diagnosis can be made on the basis of a thorough history and physical examination. Lymphangiograms, venograms, and biopsies add nothing to the diagnosis because of the low incidence of tumor in children and adolescents. Conservative treatment is recommended: a Jobst-type stocking, elevation, and proper foot care. Diuretics are not recommended. Careful psychologic counseling, especially in adolescents, is highly recommended.</div>
</front>
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