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Lymphedema initiated by aircraft flights

Identifieur interne : 000E85 ( PascalFrancis/Curation ); précédent : 000E84; suivant : 000E86

Lymphedema initiated by aircraft flights

Auteurs : J. R. Casley-Smith [Australie] ; J. R. Casley-Smith

Source :

RBID : Pascal:96-0106815

Descripteurs français

English descriptors

Abstract

Introduction : This study arose because a number of patients volunteered that flying had triggered, or worsened, their lymphedema. The nature of lymphedema is discussed, including the pre-lymphedematous latent-phase. In this phase the limb is clinically normal, but lymphostatic. There are many of the alterations found in clinical lymphedema involving blood vessels, tissues, lymphatics, and proteolytic cells. Since edema itself impairs many of the safety factors against edema (increased tissue hydrostatic pressure, dilution of proteins in tissue fluid, increased lymphatic transport, and increased proteolysis), any edema occurring in such a limb is likely to persist as chronic lymphedema. Method & Results: Questionnaires were sent to 1,020 patients with lymphedema ; 749 replied, with 531 answering a question about what triggered the condition. It was present from near birth in 41, but developed later in 490 (163 post-mastectomy lymphedemas, and 136 primary and 191 secondary leg lymphedemas). In 27 of the 490, it started during an aircraft flight (15 legs and 12 arms). In addition, flying caused existing lymphedema to permanently worsen in 23 arms and 44 legs in the 749 respondents. Some typical case histories are given. Conclusions : Because of its frequency in arms and legs, it is highly likely that this triggering, or worsening, of lymphedema is produced by lowered cabin pressure. Obstruction of veins and lymphatics, and reduced muscle pumping, may contribute to this in the legs. Using additional compression for existing lymphedema, or limbs at risk, would prevent this. If it occurs, it should be treated by additional compression, using inflated splints or pressure bandages.
pA  
A01 01  1    @0 0095-6562
A03   1    @0 Aviat. space environ. med.
A05       @2 67
A06       @2 1
A08 01  1  ENG  @1 Lymphedema initiated by aircraft flights
A11 01  1    @1 CASLEY-SMITH (J. R.)
A11 02  1    @1 CASLEY-SMITH (J. R.)
A14 01      @1 Univ. Adelaide, Henry Thomas lab., microcirculation res. @2 Adelaide S. Aust. 5005 @3 AUS
A20       @1 52-56
A21       @1 1996
A23 01      @0 ENG
A43 01      @1 INIST @2 2018 @5 354000052478540100
A44       @0 0000
A45       @0 6 ref.
A47 01  1    @0 96-0106815
A60       @1 P
A61       @0 A
A64 01  1    @0 Aviation, space, and environmental medicine
A66 01      @0 USA
C01 01    ENG  @0 Introduction : This study arose because a number of patients volunteered that flying had triggered, or worsened, their lymphedema. The nature of lymphedema is discussed, including the pre-lymphedematous latent-phase. In this phase the limb is clinically normal, but lymphostatic. There are many of the alterations found in clinical lymphedema involving blood vessels, tissues, lymphatics, and proteolytic cells. Since edema itself impairs many of the safety factors against edema (increased tissue hydrostatic pressure, dilution of proteins in tissue fluid, increased lymphatic transport, and increased proteolysis), any edema occurring in such a limb is likely to persist as chronic lymphedema. Method & Results: Questionnaires were sent to 1,020 patients with lymphedema ; 749 replied, with 531 answering a question about what triggered the condition. It was present from near birth in 41, but developed later in 490 (163 post-mastectomy lymphedemas, and 136 primary and 191 secondary leg lymphedemas). In 27 of the 490, it started during an aircraft flight (15 legs and 12 arms). In addition, flying caused existing lymphedema to permanently worsen in 23 arms and 44 legs in the 749 respondents. Some typical case histories are given. Conclusions : Because of its frequency in arms and legs, it is highly likely that this triggering, or worsening, of lymphedema is produced by lowered cabin pressure. Obstruction of veins and lymphatics, and reduced muscle pumping, may contribute to this in the legs. Using additional compression for existing lymphedema, or limbs at risk, would prevent this. If it occurs, it should be treated by additional compression, using inflated splints or pressure bandages.
C02 01  X    @0 002B12B04
C03 01  X  FRE  @0 Vol @5 01
C03 01  X  ENG  @0 Flight @5 01
C03 01  X  SPA  @0 Vuelo @5 01
C03 02  X  FRE  @0 Aéronautique @5 02
C03 02  X  ENG  @0 Aeronautics @5 02
C03 02  X  SPA  @0 Aeronáutica @5 02
C03 03  X  FRE  @0 Pressurisation @5 03
C03 03  X  ENG  @0 Pressurizing @5 03
C03 03  X  SPA  @0 Presurización @5 03
C03 04  X  FRE  @0 Cabine @5 04
C03 04  X  ENG  @0 Cabin @5 04
C03 04  X  SPA  @0 Cabina @5 04
C03 05  X  FRE  @0 Lymphoedème @5 12
C03 05  X  ENG  @0 Lymphedema @5 12
C03 05  X  SPA  @0 Linfedema @5 12
C03 06  X  FRE  @0 Homme @5 54
C03 06  X  ENG  @0 Human @5 54
C03 06  X  SPA  @0 Hombre @5 54
C07 01  X  FRE  @0 Aviation pathologie @5 20
C07 01  X  ENG  @0 Aviation medicine @5 20
C07 01  X  SPA  @0 Aviación patología @5 20
C07 02  X  FRE  @0 Médecine aérospatiale @5 23
C07 02  X  ENG  @0 Space medicine @5 23
C07 02  X  SPA  @0 Medicina aeroespacial @5 23
C07 03  X  FRE  @0 Appareil circulatoire pathologie @5 45
C07 03  X  ENG  @0 Cardiovascular disease @5 45
C07 03  X  SPA  @0 Aparato circulatorio patología @5 45
C07 04  X  FRE  @0 Lymphatique pathologie @5 46
C07 04  X  ENG  @0 Lymphatic vessel disease @5 46
C07 04  X  SPA  @0 Linfático patología @5 46
N21       @1 071

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Pascal:96-0106815

Le document en format XML

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