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Primary lymphedema in children and adolescents: a follow-up study and review.

Identifieur interne : 009C27 ( Ncbi/Curation ); précédent : 009C26; suivant : 009C28

Primary lymphedema in children and adolescents: a follow-up study and review.

Auteurs : D M Smeltzer ; G B Stickler ; A. Schirger

Source :

RBID : pubmed:4022694

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English descriptors

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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Le document en format XML

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<term>Humans</term>
<term>Infant</term>
<term>Lymphatic System (abnormalities)</term>
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<term>Lymphedema</term>
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<term>Système lymphatique</term>
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<term>Lymphedema</term>
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<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>
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