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Differential diagnosis, investigation, and current treatment of lower limb lymphedema

Identifieur interne : 000259 ( PascalFrancis/Curation ); précédent : 000258; suivant : 000260

Differential diagnosis, investigation, and current treatment of lower limb lymphedema

Auteurs : Alok Tiwari [Royaume-Uni] ; Koon-Sung Cheng [Royaume-Uni] ; Matthew Button [Royaume-Uni] ; Fiona Myint [Royaume-Uni] ; George Hamilton [Royaume-Uni]

Source :

RBID : Pascal:03-0179722

Descripteurs français

English descriptors

Abstract

Hypothesis: The causes and management of lower limb lymphedema in the Western population are different from those in the developing world. Objective: To look at the differential diagnosis, methods of investigation, and available treatments for lower limb lymphedema in the West. Data Source: A PubMed search was conducted for the years 1980-2002 with the keyword "lymphedema." English language and human subject abstracts only were analyzed, and only those articles dealing with lower limb lymphedema were further reviewed. Other articles were extracted from cross-referencing. Results: Four hundred twenty-five review articles pertaining to lymphedema were initially examined. This review summarizes the findings of relevant articles along with our own practice regarding the management of lymphedema. Conclusions: The common differential diagnosis in Western patients with lower limb swelling is secondary lymphedema, venous disease, lipedema, and adverse reaction to ipsilateral limb surgery. Lymphedema can be confirmed by a lymphoscintigram, computed tomography, magnetic resonance imaging, or ultrasound. The lymphatic anatomy is demonstrated with lymphoscintigraphy, which is particularly indicated if surgical intervention is being considered. The treatment of choice for lymphedema is multidisciplinary. In the first instance, combined physical therapy should be commenced (complete decongestive therapy), with surgery reserved for a small number of cases.
pA  
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A08 01  1  ENG  @1 Differential diagnosis, investigation, and current treatment of lower limb lymphedema
A11 01  1    @1 TIWARI (Alok)
A11 02  1    @1 CHENG (Koon-Sung)
A11 03  1    @1 BUTTON (Matthew)
A11 04  1    @1 MYINT (Fiona)
A11 05  1    @1 HAMILTON (George)
A14 01      @1 University Department of Surgery, Royal Free Hospital National Health Service (NHS) Trust @2 London @3 GBR @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut.
A14 02      @1 North Middlesex University Hospital NHS Trust @2 London @3 GBR @Z 4 aut.
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A21       @1 2003
A23 01      @0 ENG
A43 01      @1 INIST @2 2034 @5 354000104124510060
A44       @0 0000 @1 © 2003 INIST-CNRS. All rights reserved.
A45       @0 114 ref.
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A64 01  1    @0 Archives of surgery : (Chicago, IL. 1960)
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C01 01    ENG  @0 Hypothesis: The causes and management of lower limb lymphedema in the Western population are different from those in the developing world. Objective: To look at the differential diagnosis, methods of investigation, and available treatments for lower limb lymphedema in the West. Data Source: A PubMed search was conducted for the years 1980-2002 with the keyword "lymphedema." English language and human subject abstracts only were analyzed, and only those articles dealing with lower limb lymphedema were further reviewed. Other articles were extracted from cross-referencing. Results: Four hundred twenty-five review articles pertaining to lymphedema were initially examined. This review summarizes the findings of relevant articles along with our own practice regarding the management of lymphedema. Conclusions: The common differential diagnosis in Western patients with lower limb swelling is secondary lymphedema, venous disease, lipedema, and adverse reaction to ipsilateral limb surgery. Lymphedema can be confirmed by a lymphoscintigram, computed tomography, magnetic resonance imaging, or ultrasound. The lymphatic anatomy is demonstrated with lymphoscintigraphy, which is particularly indicated if surgical intervention is being considered. The treatment of choice for lymphedema is multidisciplinary. In the first instance, combined physical therapy should be commenced (complete decongestive therapy), with surgery reserved for a small number of cases.
C02 01  X    @0 002B12B04
C03 01  X  FRE  @0 Lymphoedème @5 01
C03 01  X  ENG  @0 Lymphedema @5 01
C03 01  X  SPA  @0 Linfedema @5 01
C03 02  X  FRE  @0 Membre inférieur @5 02
C03 02  X  ENG  @0 Lower limb @5 02
C03 02  X  SPA  @0 Miembro inferior @5 02
C03 03  X  FRE  @0 Diagnostic @5 03
C03 03  X  ENG  @0 Diagnosis @5 03
C03 03  X  SPA  @0 Diagnóstico @5 03
C03 04  X  FRE  @0 Diagnostic différentiel @5 04
C03 04  X  ENG  @0 Differential diagnostic @5 04
C03 04  X  SPA  @0 Diagnóstico diferencial @5 04
C03 05  X  FRE  @0 Etiologie @5 05
C03 05  X  ENG  @0 Etiology @5 05
C03 05  X  SPA  @0 Etiología @5 05
C03 06  X  FRE  @0 Technique @5 06
C03 06  X  ENG  @0 Technique @5 06
C03 06  X  SPA  @0 Técnica @5 06
C03 07  X  FRE  @0 Traitement @5 07
C03 07  X  ENG  @0 Treatment @5 07
C03 07  X  SPA  @0 Tratamiento @5 07
C03 08  X  FRE  @0 Homme @5 08
C03 08  X  ENG  @0 Human @5 08
C03 08  X  SPA  @0 Hombre @5 08
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       @1 104
N82       @1 PSI

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Pascal:03-0179722

Le document en format XML

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<div type="abstract" xml:lang="en">Hypothesis: The causes and management of lower limb lymphedema in the Western population are different from those in the developing world. Objective: To look at the differential diagnosis, methods of investigation, and available treatments for lower limb lymphedema in the West. Data Source: A PubMed search was conducted for the years 1980-2002 with the keyword "lymphedema." English language and human subject abstracts only were analyzed, and only those articles dealing with lower limb lymphedema were further reviewed. Other articles were extracted from cross-referencing. Results: Four hundred twenty-five review articles pertaining to lymphedema were initially examined. This review summarizes the findings of relevant articles along with our own practice regarding the management of lymphedema. Conclusions: The common differential diagnosis in Western patients with lower limb swelling is secondary lymphedema, venous disease, lipedema, and adverse reaction to ipsilateral limb surgery. Lymphedema can be confirmed by a lymphoscintigram, computed tomography, magnetic resonance imaging, or ultrasound. The lymphatic anatomy is demonstrated with lymphoscintigraphy, which is particularly indicated if surgical intervention is being considered. The treatment of choice for lymphedema is multidisciplinary. In the first instance, combined physical therapy should be commenced (complete decongestive therapy), with surgery reserved for a small number of cases.</div>
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<s0>Hypothesis: The causes and management of lower limb lymphedema in the Western population are different from those in the developing world. Objective: To look at the differential diagnosis, methods of investigation, and available treatments for lower limb lymphedema in the West. Data Source: A PubMed search was conducted for the years 1980-2002 with the keyword "lymphedema." English language and human subject abstracts only were analyzed, and only those articles dealing with lower limb lymphedema were further reviewed. Other articles were extracted from cross-referencing. Results: Four hundred twenty-five review articles pertaining to lymphedema were initially examined. This review summarizes the findings of relevant articles along with our own practice regarding the management of lymphedema. Conclusions: The common differential diagnosis in Western patients with lower limb swelling is secondary lymphedema, venous disease, lipedema, and adverse reaction to ipsilateral limb surgery. Lymphedema can be confirmed by a lymphoscintigram, computed tomography, magnetic resonance imaging, or ultrasound. The lymphatic anatomy is demonstrated with lymphoscintigraphy, which is particularly indicated if surgical intervention is being considered. The treatment of choice for lymphedema is multidisciplinary. In the first instance, combined physical therapy should be commenced (complete decongestive therapy), with surgery reserved for a small number of cases.</s0>
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<fC07 i1="01" i2="X" l="ENG">
<s0>Cardiovascular disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Aparato circulatorio patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Lymphatique pathologie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Lymphatic vessel disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Linfático patología</s0>
<s5>38</s5>
</fC07>
<fN21>
<s1>104</s1>
</fN21>
<fN82>
<s1>PSI</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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