Lymphedema in Klippel-Trenaunay Syndrome: Is It Possible to Normalize?
Identifieur interne : 003D29 ( Pmc/Curation ); précédent : 003D28; suivant : 003D30Lymphedema in Klippel-Trenaunay Syndrome: Is It Possible to Normalize?
Auteurs : Jose Maria Pereira De Godoy [Brésil] ; Angela Río [Espagne, Brésil] ; Paloma Domingo Garcia [Brésil] ; Maria De Fatima Guerreiro Godoy [Brésil]Source :
- Case Reports in Vascular Medicine [ 2090-6986 ] ; 2016.
Abstract
The aim of this study is to report the results of intensive therapy of lymphedema associated with Klippel-Trenaunay syndrome. A 24-year-old female patient reported that her family had observed edema in her right leg and port wine stains from birth. For ten years, they consulted with different specialists in the region but the prognosis did not change and no specific treatment was found. In 2014, at the age of 24, with massive lymphedema, a leg ulcer, and recurrent infections, she started treatment at the Clínica Godoy in São José do Rio Preto. She was evaluated by clinical history, physical examination, water displacement volumetry, and bioimpedance. Intensive therapy (8 hours daily) was proposed using Manual Lymphatic Therapy (Godoy & Godoy), Cervical Stimulation Therapy, Mechanical Lymphatic Therapy, a grosgrain stocking adjusted several times a day, and the use of Unna boot in the region of the ulcer. The volume of edema was reduced by about 44% within the first week with further reductions in the following weeks and healing of the ulcer. Subsequently, it was possible to control and maintain the reduction in swelling with less intense treatment. It is possible to reduce and maintain the treatment results of lymphedema associated with Klippel-Trenaunay syndrome.
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DOI: 10.1155/2016/5230634
PubMed: 27529050
PubMed Central: 4977388
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sort="De Fatima Guerreiro Godoy, Maria" uniqKey="De Fatima Guerreiro Godoy M" first="Maria" last="De Fatima Guerreiro Godoy">Maria De Fatima Guerreiro Godoy</name><affiliation wicri:level="1"><nlm:aff id="I4">Medicine School in São José do Rio Preto (FAMERP) and Research Group of the Godoy Clinic, Sao Jose do Rio Preto, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Medicine School in São José do Rio Preto (FAMERP) and Research Group of the Godoy Clinic, Sao Jose do Rio Preto, SP</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27529050</idno><idno type="pmc">4977388</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4977388</idno><idno type="RBID">PMC:4977388</idno><idno type="doi">10.1155/2016/5230634</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">003D30</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" 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José do Rio Preto, SP</wicri:regionArea></affiliation></author><author><name sortKey="Rio, Angela" sort="Rio, Angela" uniqKey="Rio A" first="Angela" last="Río">Angela Río</name><affiliation wicri:level="1"><nlm:aff id="I2">Universidad Europea of Madrid, Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Universidad Europea of Madrid, Madrid</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="I3">Research Group of Godoy Clinic, Sao Jose do Rio Preto, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Research Group of Godoy Clinic, Sao Jose do Rio Preto, SP</wicri:regionArea></affiliation></author><author><name sortKey="Domingo Garcia, Paloma" sort="Domingo Garcia, Paloma" uniqKey="Domingo Garcia P" first="Paloma" last="Domingo Garcia">Paloma Domingo Garcia</name><affiliation wicri:level="1"><nlm:aff id="I3">Research Group of Godoy Clinic, Sao Jose do Rio Preto, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Research Group of Godoy Clinic, Sao Jose do Rio Preto, SP</wicri:regionArea></affiliation></author><author><name sortKey="De Fatima Guerreiro Godoy, Maria" sort="De Fatima Guerreiro Godoy, Maria" uniqKey="De Fatima Guerreiro Godoy M" first="Maria" last="De Fatima Guerreiro Godoy">Maria De Fatima Guerreiro Godoy</name><affiliation wicri:level="1"><nlm:aff id="I4">Medicine School in São José do Rio Preto (FAMERP) and Research Group of the Godoy Clinic, Sao Jose do Rio Preto, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Medicine School in São José do Rio Preto (FAMERP) and Research Group of the Godoy Clinic, Sao Jose do Rio Preto, SP</wicri:regionArea></affiliation></author></analytic><series><title level="j">Case Reports in Vascular Medicine</title><idno type="ISSN">2090-6986</idno><idno type="eISSN">2090-6994</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The aim of this study is to report the results of intensive therapy of lymphedema associated with Klippel-Trenaunay syndrome. A 24-year-old female patient reported that her family had observed edema in her right leg and port wine stains from birth. For ten years, they consulted with different specialists in the region but the prognosis did not change and no specific treatment was found. In 2014, at the age of 24, with massive lymphedema, a leg ulcer, and recurrent infections, she started treatment at the Clínica Godoy in São José do Rio Preto. She was evaluated by clinical history, physical examination, water displacement volumetry, and bioimpedance. Intensive therapy (8 hours daily) was proposed using Manual Lymphatic Therapy (Godoy & Godoy), Cervical Stimulation Therapy, Mechanical Lymphatic Therapy, a grosgrain stocking adjusted several times a day, and the use of Unna boot in the region of the ulcer. The volume of edema was reduced by about 44% within the first week with further reductions in the following weeks and healing of the ulcer. Subsequently, it was possible to control and maintain the reduction in swelling with less intense treatment. It is possible to reduce and maintain the treatment results of lymphedema associated with Klippel-Trenaunay syndrome.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Karunamurthy, A" uniqKey="Karunamurthy A">A. Karunamurthy</name></author><author><name sortKey="Pantanowitz, L" uniqKey="Pantanowitz L">L. Pantanowitz</name></author><author><name sortKey="Lepe, J G" uniqKey="Lepe J">J. G. Lepe</name></author><author><name sortKey="Reyes Mugica, M" uniqKey="Reyes Mugica M">M. Reyes-Múgica</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Favorito, L A" uniqKey="Favorito L">L. A. Favorito</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yamaki, T" uniqKey="Yamaki T">T. Yamaki</name></author><author><name sortKey="Konoeda, H" uniqKey="Konoeda H">H. Konoeda</name></author><author><name sortKey="Fujisawa, D" uniqKey="Fujisawa D">D. Fujisawa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lee, B" uniqKey="Lee B">B. Lee</name></author><author><name sortKey="Andrade, M" uniqKey="Andrade M">M. Andrade</name></author><author><name sortKey="Bergan, J" uniqKey="Bergan J">J. Bergan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tretbar, L L" uniqKey="Tretbar L">L. L. Tretbar</name></author><author><name sortKey="Morgan, C L" uniqKey="Morgan C">C. L. Morgan</name></author><author><name sortKey="Lee, B B" uniqKey="Lee B">B. B. Lee</name></author><author><name sortKey="Simonian, S J" uniqKey="Simonian S">S. J. Simonian</name></author><author><name sortKey="Blondeau, B" uniqKey="Blondeau B">B. Blondeau</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="De Godoy, J M P" uniqKey="De Godoy J">J. M. P. de Godoy</name></author><author><name sortKey="De Godoy, M D F G" uniqKey="De Godoy M">M. D. F. G. de Godoy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Symvoulakis, E K" uniqKey="Symvoulakis E">E. K. Symvoulakis</name></author><author><name sortKey="Anyfantakis, D I" uniqKey="Anyfantakis D">D. I. Anyfantakis</name></author><author><name sortKey="Lionis, C" uniqKey="Lionis C">C. Lionis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="De Godoy, J M" uniqKey="De Godoy J">J. M. de Godoy</name></author><author><name sortKey="Godoy, M F" uniqKey="Godoy M">M. F. Godoy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pereira De Godoy, J M" uniqKey="Pereira De Godoy J">J. M. Pereira De Godoy</name></author><author><name sortKey="Amador Franco Brigidio, P" uniqKey="Amador Franco Brigidio P">P. Amador Franco Brigidio</name></author><author><name sortKey="Buzato, E" uniqKey="Buzato E">E. Buzato</name></author><author><name sortKey="Fatima Guerreiro De Godoy, M" uniqKey="Fatima Guerreiro De Godoy M">M. Fátima Guerreiro De Godoy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pereira De Godoy, J M" uniqKey="Pereira De Godoy J">J. M. Pereira De Godoy</name></author><author><name sortKey="Franco Brigidio, P A" uniqKey="Franco Brigidio P">P. A. Franco Brigidio</name></author><author><name sortKey="Salles Cunha, S X" uniqKey="Salles Cunha S">S. X. Salles Cunha</name></author><author><name sortKey="Batigalia, F" uniqKey="Batigalia F">F. Batigália</name></author><author><name sortKey="De Fatima Guerreiro Godoy, M" uniqKey="De Fatima Guerreiro Godoy M">M. De Fatima Guerreiro Godoy</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Vasc Med</journal-id><journal-id journal-id-type="iso-abbrev">Case Rep Vasc Med</journal-id><journal-id journal-id-type="publisher-id">CRIVAM</journal-id><journal-title-group><journal-title>Case Reports in Vascular Medicine</journal-title></journal-title-group><issn pub-type="ppub">2090-6986</issn><issn pub-type="epub">2090-6994</issn><publisher><publisher-name>Hindawi Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27529050</article-id><article-id pub-id-type="pmc">4977388</article-id><article-id pub-id-type="doi">10.1155/2016/5230634</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Lymphedema in Klippel-Trenaunay Syndrome: Is It Possible to Normalize?</article-title></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0003-3725-7961</contrib-id><name><surname>de Godoy</surname><given-names>Jose Maria Pereira</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author"><name><surname>Río</surname><given-names>Angela</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref><xref ref-type="aff" rid="I3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Domingo Garcia</surname><given-names>Paloma</given-names></name><xref ref-type="aff" rid="I3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>de Fatima Guerreiro Godoy</surname><given-names>Maria</given-names></name><xref ref-type="aff" rid="I4"><sup>4</sup></xref></contrib></contrib-group><aff id="I1"><sup>1</sup>Cardiology and Cardiovascular Surgery Department, The Medicine School in São José do Rio Preto (FAMERP) and CNPq (National Council for Research and Development), São José do Rio Preto, SP, Brazil</aff><aff id="I2"><sup>2</sup>Universidad Europea of Madrid, Madrid, Spain</aff><aff id="I3"><sup>3</sup>Research Group of Godoy Clinic, Sao Jose do Rio Preto, SP, Brazil</aff><aff id="I4"><sup>4</sup>Medicine School in São José do Rio Preto (FAMERP) and Research Group of the Godoy Clinic, Sao Jose do Rio Preto, SP, Brazil</aff><author-notes><corresp id="cor1">*Jose Maria Pereira de Godoy: <email>godoyjmp@riopreto.com.br</email></corresp><fn fn-type="other"><p>Academic Editor: Levent Sarikcioglu</p></fn></author-notes><pub-date pub-type="ppub"><year>2016</year></pub-date><pub-date pub-type="epub"><day>26</day><month>7</month><year>2016</year></pub-date><volume>2016</volume><elocation-id>5230634</elocation-id><history><date date-type="received"><day>8</day><month>3</month><year>2016</year></date><date date-type="rev-recd"><day>19</day><month>6</month><year>2016</year></date><date date-type="accepted"><day>22</day><month>6</month><year>2016</year></date></history><permissions><copyright-statement>Copyright © 2016 Jose Maria Pereira de Godoy et al.</copyright-statement><copyright-year>2016</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/4.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>The aim of this study is to report the results of intensive therapy of lymphedema associated with Klippel-Trenaunay syndrome. A 24-year-old female patient reported that her family had observed edema in her right leg and port wine stains from birth. For ten years, they consulted with different specialists in the region but the prognosis did not change and no specific treatment was found. In 2014, at the age of 24, with massive lymphedema, a leg ulcer, and recurrent infections, she started treatment at the Clínica Godoy in São José do Rio Preto. She was evaluated by clinical history, physical examination, water displacement volumetry, and bioimpedance. Intensive therapy (8 hours daily) was proposed using Manual Lymphatic Therapy (Godoy & Godoy), Cervical Stimulation Therapy, Mechanical Lymphatic Therapy, a grosgrain stocking adjusted several times a day, and the use of Unna boot in the region of the ulcer. The volume of edema was reduced by about 44% within the first week with further reductions in the following weeks and healing of the ulcer. Subsequently, it was possible to control and maintain the reduction in swelling with less intense treatment. It is possible to reduce and maintain the treatment results of lymphedema associated with Klippel-Trenaunay syndrome.</p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><graphic xlink:href="CRIVAM2016-5230634.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><graphic xlink:href="CRIVAM2016-5230634.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><graphic xlink:href="CRIVAM2016-5230634.003"></graphic></fig></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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