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Lymphedema : classification, diagnosis and therapy

Identifieur interne : 000A74 ( PascalFrancis/Corpus ); précédent : 000A73; suivant : 000A75

Lymphedema : classification, diagnosis and therapy

Auteurs : A. Szuba ; S. G. Rockson

Source :

RBID : Pascal:98-0479728

Descripteurs français

English descriptors

Abstract

This review presents the diagnostic features, the pathophysiology and the available therapies for lymphedema. This disease is often able to be diagnosed by its characteristic cliniccal presentation, yet, in some cases, ancillary tests might be necessary to establish the diagnosis, particularly in the early stages of the disease and in edemas of mixed etiology. These diagnostic modalities are also useful in clinical studies. Available modalities include isotopic lymphoscintigraphy, indirect and direct lymphography, magnetic resonance imaging, computed tomography and ultrasonography. Lymphedema may be primary or secondary to the presence of other diseases and/or to the consequences of surgery. Primary lymphedema may occur at any phase of life but it most commonly appears at puberty. Secondary lymphedema is encountered more often. The most prevalent worldwide cause of lymphedema is filariasis, which is particularly common in south-east Asia. In the USA, postsurgical lymphedema of the extremity prevails. Complications of chronic limb lymphedema include recurrent cellulitis and lymphangiosarcoma. Most patients are treated conservatively, by means of various forms of compression therapy, including complex physical therapy, pneumatic pumps and compressive garments. Volume reducing surgery is performed rarely. Lymphatic microsurgery is still in an experimental stage, although a few centers consistently report favorable outcomes.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 1358-863X
A03   1    @0 Vasc. med. : (Lond.)
A05       @2 3
A06       @2 2
A08 01  1  ENG  @1 Lymphedema : classification, diagnosis and therapy
A11 01  1    @1 SZUBA (A.)
A11 02  1    @1 ROCKSON (S. G.)
A14 01      @1 Division of Cardiovascular Medicine, Stanford University School of Medicine @2 Stanford, CA @3 USA @Z 1 aut. @Z 2 aut.
A20       @1 145-156
A21       @1 1998
A23 01      @0 ENG
A43 01      @1 INIST @2 26454 @5 354000071196710090
A44       @0 0000 @1 © 1998 INIST-CNRS. All rights reserved.
A45       @0 158 ref.
A47 01  1    @0 98-0479728
A60       @1 P
A61       @0 A
A64   1    @0 Vascular medicine : (London)
A66 01      @0 GBR
C01 01    ENG  @0 This review presents the diagnostic features, the pathophysiology and the available therapies for lymphedema. This disease is often able to be diagnosed by its characteristic cliniccal presentation, yet, in some cases, ancillary tests might be necessary to establish the diagnosis, particularly in the early stages of the disease and in edemas of mixed etiology. These diagnostic modalities are also useful in clinical studies. Available modalities include isotopic lymphoscintigraphy, indirect and direct lymphography, magnetic resonance imaging, computed tomography and ultrasonography. Lymphedema may be primary or secondary to the presence of other diseases and/or to the consequences of surgery. Primary lymphedema may occur at any phase of life but it most commonly appears at puberty. Secondary lymphedema is encountered more often. The most prevalent worldwide cause of lymphedema is filariasis, which is particularly common in south-east Asia. In the USA, postsurgical lymphedema of the extremity prevails. Complications of chronic limb lymphedema include recurrent cellulitis and lymphangiosarcoma. Most patients are treated conservatively, by means of various forms of compression therapy, including complex physical therapy, pneumatic pumps and compressive garments. Volume reducing surgery is performed rarely. Lymphatic microsurgery is still in an experimental stage, although a few centers consistently report favorable outcomes.
C02 01  X    @0 002B12B03
C03 01  X  FRE  @0 Lymphoedème @5 01
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C03 01  X  SPA  @0 Linfedema @5 01
C03 02  X  FRE  @0 Classification @5 04
C03 02  X  ENG  @0 Classification @5 04
C03 02  X  GER  @0 Klassifizierung @5 04
C03 02  X  SPA  @0 Clasificación @5 04
C03 03  X  FRE  @0 Symptomatologie @5 07
C03 03  X  ENG  @0 Symptomatology @5 07
C03 03  X  SPA  @0 Sintomatología @5 07
C03 04  X  FRE  @0 Diagnostic @5 08
C03 04  X  ENG  @0 Diagnosis @5 08
C03 04  X  SPA  @0 Diagnóstico @5 08
C03 05  X  FRE  @0 Traitement @5 10
C03 05  X  ENG  @0 Treatment @5 10
C03 05  X  GER  @0 Aufbereiten @5 10
C03 05  X  SPA  @0 Tratamiento @5 10
C03 06  X  FRE  @0 Technique @5 11
C03 06  X  ENG  @0 Technique @5 11
C03 06  X  SPA  @0 Técnica @5 11
C03 07  X  FRE  @0 Homme @5 13
C03 07  X  ENG  @0 Human @5 13
C03 07  X  SPA  @0 Hombre @5 13
C07 01  X  FRE  @0 Appareil circulatoire pathologie @5 37
C07 01  X  ENG  @0 Cardiovascular disease @5 37
C07 01  X  SPA  @0 Aparato circulatorio patología @5 37
C07 02  X  FRE  @0 Lymphatique pathologie @5 38
C07 02  X  ENG  @0 Lymphatic vessel disease @5 38
C07 02  X  SPA  @0 Linfático patología @5 38
N21       @1 313

Format Inist (serveur)

NO : PASCAL 98-0479728 INIST
ET : Lymphedema : classification, diagnosis and therapy
AU : SZUBA (A.); ROCKSON (S. G.)
AF : Division of Cardiovascular Medicine, Stanford University School of Medicine/Stanford, CA/Etats-Unis (1 aut., 2 aut.)
DT : Publication en série; Niveau analytique
SO : Vascular medicine : (London); ISSN 1358-863X; Royaume-Uni; Da. 1998; Vol. 3; No. 2; Pp. 145-156; Bibl. 158 ref.
LA : Anglais
EA : This review presents the diagnostic features, the pathophysiology and the available therapies for lymphedema. This disease is often able to be diagnosed by its characteristic cliniccal presentation, yet, in some cases, ancillary tests might be necessary to establish the diagnosis, particularly in the early stages of the disease and in edemas of mixed etiology. These diagnostic modalities are also useful in clinical studies. Available modalities include isotopic lymphoscintigraphy, indirect and direct lymphography, magnetic resonance imaging, computed tomography and ultrasonography. Lymphedema may be primary or secondary to the presence of other diseases and/or to the consequences of surgery. Primary lymphedema may occur at any phase of life but it most commonly appears at puberty. Secondary lymphedema is encountered more often. The most prevalent worldwide cause of lymphedema is filariasis, which is particularly common in south-east Asia. In the USA, postsurgical lymphedema of the extremity prevails. Complications of chronic limb lymphedema include recurrent cellulitis and lymphangiosarcoma. Most patients are treated conservatively, by means of various forms of compression therapy, including complex physical therapy, pneumatic pumps and compressive garments. Volume reducing surgery is performed rarely. Lymphatic microsurgery is still in an experimental stage, although a few centers consistently report favorable outcomes.
CC : 002B12B03
FD : Lymphoedème; Classification; Symptomatologie; Diagnostic; Traitement; Technique; Homme
FG : Appareil circulatoire pathologie; Lymphatique pathologie
ED : Lymphedema; Classification; Symptomatology; Diagnosis; Treatment; Technique; Human
EG : Cardiovascular disease; Lymphatic vessel disease
GD : Klassifizierung; Aufbereiten
SD : Linfedema; Clasificación; Sintomatología; Diagnóstico; Tratamiento; Técnica; Hombre
LO : INIST-26454.354000071196710090
ID : 98-0479728

Links to Exploration step

Pascal:98-0479728

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