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Left-sided leg edema of the elderly: a common variant of the iliac compression syndrome.

Identifieur interne : 00B577 ( Ncbi/Merge ); précédent : 00B576; suivant : 00B578

Left-sided leg edema of the elderly: a common variant of the iliac compression syndrome.

Auteurs : P D Sloane ; R. Baldwin ; R. Montgomery ; F. Hargett ; A. Hartzema

Source :

RBID : pubmed:8421924

Descripteurs français

English descriptors

Abstract

Anatomically, the right common iliac artery crosses the left iliac vein and its accompanying lymphatics. We hypothesized that this situation could lead to a predominance of edema, telangiectasis, and venous varicosities on the left lower extremities of older persons.

PubMed: 8421924

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pubmed:8421924

Le document en format XML

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<title xml:lang="en">Left-sided leg edema of the elderly: a common variant of the iliac compression syndrome.</title>
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<name sortKey="Montgomery, R" sort="Montgomery, R" uniqKey="Montgomery R" first="R" last="Montgomery">R. Montgomery</name>
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<name sortKey="Hargett, F" sort="Hargett, F" uniqKey="Hargett F" first="F" last="Hargett">F. Hargett</name>
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<term>Aging (physiology)</term>
<term>Edema (epidemiology)</term>
<term>Edema (etiology)</term>
<term>Edema (physiopathology)</term>
<term>Female</term>
<term>Homes for the Aged</term>
<term>Humans</term>
<term>Iliac Artery (anatomy & histology)</term>
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<term>Male</term>
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<term>Single-Blind Method</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Artère iliaque (anatomie et histologie)</term>
<term>Artère iliaque (physiopathologie)</term>
<term>Femelle</term>
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<term>Humains</term>
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<term>Insuffisance veineuse (étiologie)</term>
<term>Lymphoedème (physiopathologie)</term>
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<term>Méthode en simple aveugle</term>
<term>Oedème (physiopathologie)</term>
<term>Oedème (épidémiologie)</term>
<term>Oedème (étiologie)</term>
<term>Pression</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Syndrome</term>
<term>Veine iliaque commune (anatomie et histologie)</term>
<term>Veine iliaque commune (physiopathologie)</term>
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<term>Artère iliaque</term>
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<term>Iliac Artery</term>
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<term>Edema</term>
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<term>Edema</term>
<term>Venous Insufficiency</term>
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<term>Aging</term>
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<term>Artère iliaque</term>
<term>Insuffisance veineuse</term>
<term>Lymphoedème</term>
<term>Oedème</term>
<term>Veine iliaque commune</term>
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<term>Edema</term>
<term>Iliac Artery</term>
<term>Iliac Vein</term>
<term>Lymphedema</term>
<term>Venous Insufficiency</term>
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<term>Oedème</term>
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<front>
<div type="abstract" xml:lang="en">Anatomically, the right common iliac artery crosses the left iliac vein and its accompanying lymphatics. We hypothesized that this situation could lead to a predominance of edema, telangiectasis, and venous varicosities on the left lower extremities of older persons.</div>
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<Title>The Journal of the American Board of Family Practice</Title>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Anatomically, the right common iliac artery crosses the left iliac vein and its accompanying lymphatics. We hypothesized that this situation could lead to a predominance of edema, telangiectasis, and venous varicosities on the left lower extremities of older persons.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">To test this hypothesis, a research assistant who was blinded to the study goals examined 215 predominantly elderly residents of North Carolina homes for the aged and disabled.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Among these subjects, 17.7 percent had predominantly left-sided edema, and 5.7 percent had predominantly right-sided edema (P < 0.001). When the 88 subjects with pitting edema greater than 3 mm were studied, 34.5 percent showed a left-sided predominance, and 6.9 percent showed a right-sided predominance (P < 0.001). In contrast, no significant difference was found in the lateralization of venous varicosities or of telangiectasis.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Asymmetric edema is common and is usually left-sided in older persons. Compression of the left common iliac vein and its accompanying lymphatics by the right iliac artery, rather than overt clinical disease, might explain the majority of asymmetric edema seen in clinical practice.</AbstractText>
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