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Lymphoscintigraphy in Unilateral Lower Limb and Scrotal Lymphedema Caused by Filariasis

Identifieur interne : 002910 ( Pmc/Checkpoint ); précédent : 002909; suivant : 002911

Lymphoscintigraphy in Unilateral Lower Limb and Scrotal Lymphedema Caused by Filariasis

Auteurs : Padma Subramanyam ; Shanmuga Sundaram Palaniswamy

Source :

RBID : PMC:3516097

Abstract

Lymphedema is the edema that results from chronic lymphatic insufficiency. Lymphatic filariasis is caused by the filarial nematodes Wuchereria bancrofti, Brugia malayi, and Brugia timori. Lymphatic filariasis is common in tropical and subtropical regions. Early diagnosis and prompt therapy can be implemented using lymphoscintigraphy. Our patient is a 15-year-old boy presenting with a 3-month history of hydrocele. The patient was referred to us to rule out any lower limb lymphatic obstruction as the patient is from an endemic area. Tc Sulfur colloid (filtered) lymphoscintigraphy showed abnormal tracer collection in the scrotum and penis. There is associated dermal backflow or stasis in the left thigh region extending just above the knee, suggesting partial obstruction of left inguinal lymphatic channels.


Url:
DOI: 10.4269/ajtmh.2012.12-0422
PubMed: 23222136
PubMed Central: 3516097


Affiliations:


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PMC:3516097

Le document en format XML

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<name sortKey="Palaniswamy, Shanmuga Sundaram" sort="Palaniswamy, Shanmuga Sundaram" uniqKey="Palaniswamy S" first="Shanmuga Sundaram" last="Palaniswamy">Shanmuga Sundaram Palaniswamy</name>
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<p>Lymphedema is the edema that results from chronic lymphatic insufficiency. Lymphatic filariasis is caused by the filarial nematodes
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. Lymphatic filariasis is common in tropical and subtropical regions. Early diagnosis and prompt therapy can be implemented using lymphoscintigraphy. Our patient is a 15-year-old boy presenting with a 3-month history of hydrocele. The patient was referred to us to rule out any lower limb lymphatic obstruction as the patient is from an endemic area. Tc Sulfur colloid (filtered) lymphoscintigraphy showed abnormal tracer collection in the scrotum and penis. There is associated dermal backflow or stasis in the left thigh region extending just above the knee, suggesting partial obstruction of left inguinal lymphatic channels.</p>
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<alt-title alt-title-type="left-running-head">SUBRAMANYAM AND PALANISWAMY</alt-title>
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<aff id="AFF1">Department of Nuclear Medicine and PETCT, Amrita Institute of Medical Sciences, Cochin, Kerala, India</aff>
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<corresp id="COR1">*Address correspondence to Padma Subramanyam, Department of Nuclear Medicine and PETCT, Amrita Institute of Medical Sciences, Cochin-6802041, Kerala, India. E-mail:
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<abstract>
<p>Lymphedema is the edema that results from chronic lymphatic insufficiency. Lymphatic filariasis is caused by the filarial nematodes
<italic>Wuchereria bancrofti</italic>
,
<italic>Brugia malayi</italic>
, and
<italic>Brugia timori</italic>
. Lymphatic filariasis is common in tropical and subtropical regions. Early diagnosis and prompt therapy can be implemented using lymphoscintigraphy. Our patient is a 15-year-old boy presenting with a 3-month history of hydrocele. The patient was referred to us to rule out any lower limb lymphatic obstruction as the patient is from an endemic area. Tc Sulfur colloid (filtered) lymphoscintigraphy showed abnormal tracer collection in the scrotum and penis. There is associated dermal backflow or stasis in the left thigh region extending just above the knee, suggesting partial obstruction of left inguinal lymphatic channels.</p>
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