Large-volume sirolimus-induced upper limb lymphedema after renal transplantation ipsilateral to the arteriovenous fistula.
Identifieur interne : 006A38 ( Ncbi/Merge ); précédent : 006A37; suivant : 006A39Large-volume sirolimus-induced upper limb lymphedema after renal transplantation ipsilateral to the arteriovenous fistula.
Auteurs : Stéphane Vignes [France] ; Morgan Brunet ; Marie Blanchard ; Amar Smail ; Maria ArraultSource :
- Lymphatic research and biology [ 1557-8585 ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Bras.
- effets indésirables : Immunosuppresseurs, Sirolimus.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Lymphoedème, Lymphoscintigraphie, Mâle, Sujet âgé, Transplantation rénale.
English descriptors
- KwdEn :
- MESH :
- chemical , adverse effects : Immunosuppressive Agents, Sirolimus.
- chemically induced : Lymphedema.
- pathology : Arm.
- Adult, Aged, Female, Humans, Kidney Transplantation, Lymphoscintigraphy, Male, Middle Aged.
Abstract
To analyze upper-limb lymphedema characteristics of renal transplant recipients taking sirolimus, an mTOR inhibitor.
DOI: 10.1089/lrb.2014.0005
PubMed: 25162929
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last="Brunet">Morgan Brunet</name></author><author><name sortKey="Blanchard, Marie" sort="Blanchard, Marie" uniqKey="Blanchard M" first="Marie" last="Blanchard">Marie Blanchard</name></author><author><name sortKey="Smail, Amar" sort="Smail, Amar" uniqKey="Smail A" first="Amar" last="Smail">Amar Smail</name></author><author><name sortKey="Arrault, Maria" sort="Arrault, Maria" uniqKey="Arrault M" first="Maria" last="Arrault">Maria Arrault</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:25162929</idno><idno type="pmid">25162929</idno><idno type="doi">10.1089/lrb.2014.0005</idno><idno type="wicri:Area/PubMed/Corpus">001348</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001348</idno><idno type="wicri:Area/PubMed/Curation">001348</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001348</idno><idno 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region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Brunet, Morgan" sort="Brunet, Morgan" uniqKey="Brunet M" first="Morgan" last="Brunet">Morgan Brunet</name></author><author><name sortKey="Blanchard, Marie" sort="Blanchard, Marie" uniqKey="Blanchard M" first="Marie" last="Blanchard">Marie Blanchard</name></author><author><name sortKey="Smail, Amar" sort="Smail, Amar" uniqKey="Smail A" first="Amar" last="Smail">Amar Smail</name></author><author><name sortKey="Arrault, Maria" sort="Arrault, Maria" uniqKey="Arrault M" first="Maria" last="Arrault">Maria Arrault</name></author></analytic><series><title level="j">Lymphatic research and biology</title><idno type="eISSN">1557-8585</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Arm (pathology)</term><term>Female</term><term>Humans</term><term>Immunosuppressive Agents (adverse effects)</term><term>Kidney Transplantation</term><term>Lymphedema (chemically induced)</term><term>Lymphoscintigraphy</term><term>Male</term><term>Middle Aged</term><term>Sirolimus (adverse effects)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bras (anatomopathologie)</term><term>Femelle</term><term>Humains</term><term>Immunosuppresseurs (effets indésirables)</term><term>Lymphoedème ()</term><term>Lymphoscintigraphie</term><term>Mâle</term><term>Sirolimus (effets indésirables)</term><term>Sujet âgé</term><term>Transplantation rénale</term></keywords><keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Immunosuppressive Agents</term><term>Sirolimus</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Bras</term></keywords><keywords scheme="MESH" qualifier="chemically induced" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Immunosuppresseurs</term><term>Sirolimus</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Arm</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Kidney Transplantation</term><term>Lymphoscintigraphy</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Lymphoscintigraphie</term><term>Mâle</term><term>Sujet âgé</term><term>Transplantation rénale</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To analyze upper-limb lymphedema characteristics of renal transplant recipients taking sirolimus, an mTOR inhibitor.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25162929</PMID><DateCreated><Year>2014</Year><Month>09</Month><Day>18</Day></DateCreated><DateCompleted><Year>2015</Year><Month>05</Month><Day>25</Day></DateCompleted><DateRevised><Year>2014</Year><Month>09</Month><Day>18</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1557-8585</ISSN><JournalIssue CitedMedium="Internet"><Volume>12</Volume><Issue>3</Issue><PubDate><Year>2014</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Lymphatic research and biology</Title><ISOAbbreviation>Lymphat Res Biol</ISOAbbreviation></Journal><ArticleTitle>Large-volume sirolimus-induced upper limb lymphedema after renal transplantation ipsilateral to the arteriovenous fistula.</ArticleTitle><Pagination><MedlinePgn>185-8</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1089/lrb.2014.0005</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To analyze upper-limb lymphedema characteristics of renal transplant recipients taking sirolimus, an mTOR inhibitor.</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">Cross-sectional study of sirolimus-treated upper-limb lymphedema patients (01/2009-12/2013).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Three men and two women, whose mean age at transplantation was 60 (range: 49-76) years, were included. Sirolimus (1-2.5 mg/day) had been taken for 27.5 ± 21 (range: 7-58) months before left (n=4) or right (n=1), whole limb (n=4), or hand and forearm (n=1) upper-limb lymphedema onset, always ipsilateral to the functional arteriovenous fistula. Ultrasonography or fistulography excluded venous thrombosis in all patients. At the time lymphedema appeared, all five arteriovenous fistulas were functional. Mean upper-limb lymphedema volume, calculated with the truncated-cone formula, was 774 ± 162 [range: 594-1035] mL, (i.e. 44%± 11% [range: 36%-64%] excess volume compared to the contralateral limb. One patient also had ipsilateral breast lymphedema. The three lymphoscintigraphies obtained showed total absence of ipsilateral axillary-region tracer uptake. Sirolimus was maintained in all cases. Upper-limb lymphedema treatment included low-stretch bandages (n=4) and elastic sleeve (20-36 mm Hg) (n=5) without fistula complications. Two patients had their fistulas closed without any impact on lymphedema volume.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Sirolimus may be implicated in large-volume upper-limb lymphedema in kidney-transplant recipients, ipsilateral to the arteriovenous fistula, and requires compression-based therapy.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Vignes</LastName><ForeName>Stéphane</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>1 Department of Lymphology, Centre National de Référence des Maladies Vasculaires Rares, Hôpital Cognacq-Jay , Paris, France .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Brunet</LastName><ForeName>Morgan</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Blanchard</LastName><ForeName>Marie</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Smail</LastName><ForeName>Amar</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Arrault</LastName><ForeName>Maria</ForeName><Initials>M</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>08</Month><Day>27</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Lymphat Res Biol</MedlineTA><NlmUniqueID>101163587</NlmUniqueID><ISSNLinking>1539-6851</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D007166">Immunosuppressive Agents</NameOfSubstance></Chemical><Chemical><RegistryNumber>W36ZG6FT64</RegistryNumber><NameOfSubstance UI="D020123">Sirolimus</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001132" MajorTopicYN="N">Arm</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007166" MajorTopicYN="N">Immunosuppressive Agents</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016030" MajorTopicYN="N">Kidney Transplantation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000139" MajorTopicYN="Y">chemically induced</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D061305" MajorTopicYN="N">Lymphoscintigraphy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020123" MajorTopicYN="N">Sirolimus</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>8</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>8</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>5</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25162929</ArticleId><ArticleId IdType="doi">10.1089/lrb.2014.0005</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Île-de-France</li></region><settlement><li>Paris</li></settlement></list><tree><noCountry><name sortKey="Arrault, Maria" sort="Arrault, Maria" uniqKey="Arrault M" first="Maria" last="Arrault">Maria Arrault</name><name sortKey="Blanchard, Marie" sort="Blanchard, Marie" uniqKey="Blanchard M" first="Marie" last="Blanchard">Marie Blanchard</name><name sortKey="Brunet, Morgan" sort="Brunet, Morgan" uniqKey="Brunet M" first="Morgan" last="Brunet">Morgan Brunet</name><name sortKey="Smail, Amar" sort="Smail, Amar" uniqKey="Smail A" first="Amar" last="Smail">Amar Smail</name></noCountry><country name="France"><region name="Île-de-France"><name sortKey="Vignes, Stephane" sort="Vignes, Stephane" uniqKey="Vignes S" first="Stéphane" last="Vignes">Stéphane Vignes</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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