Primary Upper Limb Lymphedema: Case Report of a Rare Pathology
Identifieur interne : 000672 ( Pmc/Checkpoint ); précédent : 000671; suivant : 000673Primary Upper Limb Lymphedema: Case Report of a Rare Pathology
Auteurs : Michael Ec McfarlaneSource :
- The Permanente Journal [ 1552-5767 ] ; 2016.
Abstract
Lymphedema is characterized by a defect in the lymphatic system that causes limb swelling. Impaired uptake and transport of lymphatic fluid through lymphatic vessels causes accumulation of protein-rich fluid in the interstitial spaces, which leads to swelling of the limb. Primary lymphedema often presents at birth. The rare cases that arise after age 35 years are described as lymphedema tarda. The great majority of patients with lymphedema have swelling of the lower limbs—upper limb lymphedema is a rare disorder.
An 84-year-old woman presented with a 3-year history of unilateral swelling of the right upper limb. There were no constitutional symptoms and no evidence of lymphadenopathy or systemic disease. Blood tests, carcinoembryonic antigen test, computed tomography scans, and venous Doppler ultrasound were all normal. The diagnosis was primary upper limb lymphedema.
The swelling that occurs in upper limb lymphedema is permanent and usually extends to the hand. About one-third of patients with this condition also present with lower limb lymphedema. Thorough investigations are warranted in cases of unilateral upper limb lymphedema to rule out occult malignancy and systemic disease.
Url:
DOI: 10.7812/TPP/16-010
PubMed: 28080951
PubMed Central: 5224806
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Primary Upper Limb Lymphedema: Case Report of a Rare Pathology</title><author><name sortKey="Mcfarlane, Michael Ec" sort="Mcfarlane, Michael Ec" uniqKey="Mcfarlane M" first="Michael Ec" last="Mcfarlane">Michael Ec Mcfarlane</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28080951</idno><idno type="pmc">5224806</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5224806</idno><idno type="RBID">PMC:5224806</idno><idno type="doi">10.7812/TPP/16-010</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">002081</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002081</idno><idno type="wicri:Area/Pmc/Curation">002080</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002080</idno><idno type="wicri:Area/Pmc/Checkpoint">000672</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000672</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Primary Upper Limb Lymphedema: Case Report of a Rare Pathology</title><author><name sortKey="Mcfarlane, Michael Ec" sort="Mcfarlane, Michael Ec" uniqKey="Mcfarlane M" first="Michael Ec" last="Mcfarlane">Michael Ec Mcfarlane</name></author></analytic><series><title level="j">The Permanente Journal</title><idno type="ISSN">1552-5767</idno><idno type="eISSN">1552-5775</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Introduction</title><p>Lymphedema is characterized by a defect in the lymphatic system that causes limb swelling. Impaired uptake and transport of lymphatic fluid through lymphatic vessels causes accumulation of protein-rich fluid in the interstitial spaces, which leads to swelling of the limb. Primary lymphedema often presents at birth. The rare cases that arise after age 35 years are described as lymphedema tarda. The great majority of patients with lymphedema have swelling of the lower limbs—upper limb lymphedema is a rare disorder.</p></sec><sec><title>Case Presentation</title><p>An 84-year-old woman presented with a 3-year history of unilateral swelling of the right upper limb. There were no constitutional symptoms and no evidence of lymphadenopathy or systemic disease. Blood tests, carcinoembryonic antigen test, computed tomography scans, and venous Doppler ultrasound were all normal. The diagnosis was primary upper limb lymphedema.</p></sec><sec><title>Discussion</title><p>The swelling that occurs in upper limb lymphedema is permanent and usually extends to the hand. About one-third of patients with this condition also present with lower limb lymphedema. Thorough investigations are warranted in cases of unilateral upper limb lymphedema to rule out occult malignancy and systemic disease.</p></sec></div></front></TEI><pmc article-type="case-report"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Perm J</journal-id><journal-id journal-id-type="iso-abbrev">Perm J</journal-id><journal-id journal-id-type="publisher-id">prjl</journal-id><journal-title-group><journal-title>The Permanente Journal</journal-title></journal-title-group><issn pub-type="ppub">1552-5767</issn><issn pub-type="epub">1552-5775</issn><publisher><publisher-name>The Permanente Journal</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28080951</article-id><article-id pub-id-type="pmc">5224806</article-id><article-id pub-id-type="doi">10.7812/TPP/16-010</article-id><article-id pub-id-type="publisher-id">lymphedema</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Reports</subject></subj-group></article-categories><title-group><article-title>Primary Upper Limb Lymphedema: Case Report of a Rare Pathology</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>McFarlane</surname><given-names>Michael EC</given-names></name><degrees>DM, FRCS, FACS</degrees></contrib><aff id="af1-lymphedema">Consultant General Surgeon and Lecturer in Surgery in the Department of Surgery, Radiology, Anaesthetics and Intensive Care at the University of the West Indies in Mona, Jamaica. E-mail:<email>michaelm500@yahoo.com</email>.</aff></contrib-group><pub-date pub-type="collection"><year>2017</year></pub-date><pub-date pub-type="epub"><day>09</day><month>11</month><year>2016</year></pub-date><volume>21</volume><elocation-id>16-010</elocation-id><permissions><copyright-statement>© 2017 The Permanente Journal</copyright-statement><copyright-year>2017</copyright-year></permissions><abstract><sec><title>Introduction</title><p>Lymphedema is characterized by a defect in the lymphatic system that causes limb swelling. Impaired uptake and transport of lymphatic fluid through lymphatic vessels causes accumulation of protein-rich fluid in the interstitial spaces, which leads to swelling of the limb. Primary lymphedema often presents at birth. The rare cases that arise after age 35 years are described as lymphedema tarda. The great majority of patients with lymphedema have swelling of the lower limbs—upper limb lymphedema is a rare disorder.</p></sec><sec><title>Case Presentation</title><p>An 84-year-old woman presented with a 3-year history of unilateral swelling of the right upper limb. There were no constitutional symptoms and no evidence of lymphadenopathy or systemic disease. Blood tests, carcinoembryonic antigen test, computed tomography scans, and venous Doppler ultrasound were all normal. The diagnosis was primary upper limb lymphedema.</p></sec><sec><title>Discussion</title><p>The swelling that occurs in upper limb lymphedema is permanent and usually extends to the hand. About one-third of patients with this condition also present with lower limb lymphedema. Thorough investigations are warranted in cases of unilateral upper limb lymphedema to rule out occult malignancy and systemic disease.</p></sec></abstract></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Mcfarlane, Michael Ec" sort="Mcfarlane, Michael Ec" uniqKey="Mcfarlane M" first="Michael Ec" last="Mcfarlane">Michael Ec Mcfarlane</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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