Primary Upper Limb Lymphedema: Case Report of a Rare Pathology.
Identifieur interne : 000165 ( PubMed/Checkpoint ); précédent : 000164; suivant : 000166Primary Upper Limb Lymphedema: Case Report of a Rare Pathology.
Auteurs : Michael Ec Mcfarlane [Jamaïque]Source :
- The Permanente journal [ 1552-5775 ] ; 2017.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Lymphoedème, Membre supérieur.
- physiopathologie : Lymphoedème, Membre supérieur.
- étiologie : Lymphoedème.
- Femelle, Humains, Sujet âgé de 80 ans ou plus.
English descriptors
- KwdEn :
- MESH :
- etiology : Lymphedema.
- pathology : Lymphedema, Upper Extremity.
- physiopathology : Lymphedema, Upper Extremity.
- Aged, 80 and over, Female, Humans.
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.
DOI: 10.7812/TPP/16-010
PubMed: 28080951
Affiliations:
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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.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28080951</PMID><DateCreated><Year>2017</Year><Month>01</Month><Day>12</Day></DateCreated><DateCompleted><Year>2017</Year><Month>03</Month><Day>31</Day></DateCompleted><DateRevised><Year>2017</Year><Month>08</Month><Day>17</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1552-5775</ISSN><JournalIssue CitedMedium="Internet"><Volume>21</Volume><PubDate><Year>2017</Year></PubDate></JournalIssue><Title>The Permanente journal</Title><ISOAbbreviation>Perm J</ISOAbbreviation></Journal><ArticleTitle>Primary Upper Limb Lymphedema: Case Report of a Rare Pathology.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.7812/TPP/16-010</ELocationID><ELocationID EIdType="pii" ValidYN="Y">16-010</ELocationID><Abstract><AbstractText Label="INTRODUCTION">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.</AbstractText><AbstractText Label="CASE PRESENTATION">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.</AbstractText><AbstractText Label="DISCUSSION">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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mcfarlane</LastName><ForeName>Michael Ec</ForeName><Initials>ME</Initials><AffiliationInfo><Affiliation>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. michaelm500@yahoo.com.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>11</Month><Day>09</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Perm J</MedlineTA><NlmUniqueID>9800474</NlmUniqueID><ISSNLinking>1552-5767</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>J Womens Health Gend Based Med. 2001 May;10(4):319-26</RefSource><PMID Version="1">11445022</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Hum Genet. 2000 Aug;67(2):295-301</RefSource><PMID Version="1">10856194</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Br J Dermatol. 2013 Feb;168(2):272-6</RefSource><PMID Version="1">22928742</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Vasc Med. 1998;3(2):145-56</RefSource><PMID Version="1">9796078</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Med. 2001 Mar;110(4):288-95</RefSource><PMID Version="1">11239847</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cancer. 1998 Dec 15;83(12 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Version="1">3257106</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D034941" MajorTopicYN="N">Upper Extremity</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading></MeshHeadingList><CoiStatement>Statement The author(s) have no conflicts of interest to disclose.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>1</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>1</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>4</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28080951</ArticleId><ArticleId IdType="pii">16-010</ArticleId><ArticleId IdType="doi">10.7812/TPP/16-010</ArticleId><ArticleId IdType="pmc">PMC5224806</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Jamaïque</li></country></list><tree><country name="Jamaïque"><noRegion><name sortKey="Mcfarlane, Michael Ec" sort="Mcfarlane, Michael Ec" uniqKey="Mcfarlane M" first="Michael 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