Differential diagnosis, investigation, and current treatment of lower limb lymphedema.
Identifieur interne : 003E02 ( PubMed/Checkpoint ); précédent : 003E01; suivant : 003E03Differential diagnosis, investigation, and current treatment of lower limb lymphedema.
Auteurs : Alok Tiwari ; Koon-Sung Cheng ; Matthew Button ; Fiona Myint ; George HamiltonSource :
- Archives of surgery (Chicago, Ill. : 1960) [ 0004-0010 ] ; 2003.
Descripteurs français
- KwdFr :
- MESH :
- diagnostic : Lipomatose, Lymphoedème, Thrombose veineuse.
- usage thérapeutique : Température élevée.
- étiologie : Lymphoedème.
- Diagnostic différentiel, Diagnostic par imagerie, Examen physique, Humains, Jambe, Lymphoedème, Massage, Pression.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Lipomatosis, Lymphedema, Venous Thrombosis.
- etiology : Lymphedema.
- surgery : Lymphedema.
- therapeutic use : Hot Temperature.
- therapy : Lymphedema.
- Diagnosis, Differential, Diagnostic Imaging, Humans, Leg, Massage, Physical Examination, Pressure.
Abstract
The causes and management of lower limb lymphedema in the Western population are different from those in the developing world.
PubMed: 12578410
Affiliations:
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pubmed:12578410Le document en format XML
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<author><name sortKey="Tiwari, Alok" sort="Tiwari, Alok" uniqKey="Tiwari A" first="Alok" last="Tiwari">Alok Tiwari</name>
<affiliation><nlm:affiliation>University Department of Surgery, Royal Free Hospital National Health Service Trust, London, NW3 2QG England.</nlm:affiliation>
<wicri:noCountry code="subField">NW3 2QG England</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Cheng, Koon Sung" sort="Cheng, Koon Sung" uniqKey="Cheng K" first="Koon-Sung" last="Cheng">Koon-Sung Cheng</name>
</author>
<author><name sortKey="Button, Matthew" sort="Button, Matthew" uniqKey="Button M" first="Matthew" last="Button">Matthew Button</name>
</author>
<author><name sortKey="Myint, Fiona" sort="Myint, Fiona" uniqKey="Myint F" first="Fiona" last="Myint">Fiona Myint</name>
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<author><name sortKey="Hamilton, George" sort="Hamilton, George" uniqKey="Hamilton G" first="George" last="Hamilton">George Hamilton</name>
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<affiliation><nlm:affiliation>University Department of Surgery, Royal Free Hospital National Health Service Trust, London, NW3 2QG England.</nlm:affiliation>
<wicri:noCountry code="subField">NW3 2QG England</wicri:noCountry>
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<author><name sortKey="Cheng, Koon Sung" sort="Cheng, Koon Sung" uniqKey="Cheng K" first="Koon-Sung" last="Cheng">Koon-Sung Cheng</name>
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<author><name sortKey="Button, Matthew" sort="Button, Matthew" uniqKey="Button M" first="Matthew" last="Button">Matthew Button</name>
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<author><name sortKey="Myint, Fiona" sort="Myint, Fiona" uniqKey="Myint F" first="Fiona" last="Myint">Fiona Myint</name>
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<author><name sortKey="Hamilton, George" sort="Hamilton, George" uniqKey="Hamilton G" first="George" last="Hamilton">George Hamilton</name>
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<series><title level="j">Archives of surgery (Chicago, Ill. : 1960)</title>
<idno type="ISSN">0004-0010</idno>
<imprint><date when="2003" type="published">2003</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Diagnosis, Differential</term>
<term>Diagnostic Imaging</term>
<term>Hot Temperature (therapeutic use)</term>
<term>Humans</term>
<term>Leg</term>
<term>Lipomatosis (diagnosis)</term>
<term>Lymphedema (diagnosis)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (surgery)</term>
<term>Lymphedema (therapy)</term>
<term>Massage</term>
<term>Physical Examination</term>
<term>Pressure</term>
<term>Venous Thrombosis (diagnosis)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Diagnostic différentiel</term>
<term>Diagnostic par imagerie</term>
<term>Examen physique</term>
<term>Humains</term>
<term>Jambe</term>
<term>Lipomatose (diagnostic)</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (diagnostic)</term>
<term>Lymphoedème (étiologie)</term>
<term>Massage</term>
<term>Pression</term>
<term>Température élevée (usage thérapeutique)</term>
<term>Thrombose veineuse (diagnostic)</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lipomatosis</term>
<term>Lymphedema</term>
<term>Venous Thrombosis</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Lipomatose</term>
<term>Lymphoedème</term>
<term>Thrombose veineuse</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="therapeutic use" xml:lang="en"><term>Hot Temperature</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Température élevée</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Diagnosis, Differential</term>
<term>Diagnostic Imaging</term>
<term>Humans</term>
<term>Leg</term>
<term>Massage</term>
<term>Physical Examination</term>
<term>Pressure</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Diagnostic différentiel</term>
<term>Diagnostic par imagerie</term>
<term>Examen physique</term>
<term>Humains</term>
<term>Jambe</term>
<term>Lymphoedème</term>
<term>Massage</term>
<term>Pression</term>
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<front><div type="abstract" xml:lang="en">The causes and management of lower limb lymphedema in the Western population are different from those in the developing world.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">12578410</PMID>
<DateCreated><Year>2003</Year>
<Month>02</Month>
<Day>11</Day>
</DateCreated>
<DateCompleted><Year>2003</Year>
<Month>04</Month>
<Day>02</Day>
</DateCompleted>
<DateRevised><Year>2008</Year>
<Month>11</Month>
<Day>21</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">0004-0010</ISSN>
<JournalIssue CitedMedium="Print"><Volume>138</Volume>
<Issue>2</Issue>
<PubDate><Year>2003</Year>
<Month>Feb</Month>
</PubDate>
</JournalIssue>
<Title>Archives of surgery (Chicago, Ill. : 1960)</Title>
<ISOAbbreviation>Arch Surg</ISOAbbreviation>
</Journal>
<ArticleTitle>Differential diagnosis, investigation, and current treatment of lower limb lymphedema.</ArticleTitle>
<Pagination><MedlinePgn>152-61</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="HYPOTHESIS" NlmCategory="OBJECTIVE">The causes and management of lower limb lymphedema in the Western population are different from those in the developing world.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To look at the differential diagnosis, methods of investigation, and available treatments for lower limb lymphedema in the West.</AbstractText>
<AbstractText Label="DATA SOURCE" NlmCategory="METHODS">A PubMed search was conducted for the years 1980-2002 with the keyword "lymphedema." English language and human subject abstracts only were analyzed, and only those articles dealing with lower limb lymphedema were further reviewed. Other articles were extracted from cross-referencing.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Four hundred twenty-five review articles pertaining to lymphedema were initially examined. This review summarizes the findings of relevant articles along with our own practice regarding the management of lymphedema.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The common differential diagnosis in Western patients with lower limb swelling is secondary lymphedema, venous disease, lipedema, and adverse reaction to ipsilateral limb surgery. Lymphedema can be confirmed by a lymphoscintigram, computed tomography, magnetic resonance imaging, or ultrasound. The lymphatic anatomy is demonstrated with lymphoscintigraphy, which is particularly indicated if surgical intervention is being considered. The treatment of choice for lymphedema is multidisciplinary. In the first instance, combined physical therapy should be commenced (complete decongestive therapy), with surgery reserved for a small number of cases.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Tiwari</LastName>
<ForeName>Alok</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>University Department of Surgery, Royal Free Hospital National Health Service Trust, London, NW3 2QG England.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Cheng</LastName>
<ForeName>Koon-Sung</ForeName>
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</Author>
<Author ValidYN="Y"><LastName>Button</LastName>
<ForeName>Matthew</ForeName>
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<Author ValidYN="Y"><LastName>Myint</LastName>
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<Language>eng</Language>
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<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Arch Surg</MedlineTA>
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<ISSNLinking>0004-0010</ISSNLinking>
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<CitationSubset>AIM</CitationSubset>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D003937" MajorTopicYN="N">Diagnosis, Differential</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003952" MajorTopicYN="N">Diagnostic Imaging</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006358" MajorTopicYN="N">Hot Temperature</DescriptorName>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName UI="D007866" MajorTopicYN="N">Leg</DescriptorName>
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<MeshHeading><DescriptorName UI="D008068" MajorTopicYN="N">Lipomatosis</DescriptorName>
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<MeshHeading><DescriptorName UI="D008209" MajorTopicYN="Y">Lymphedema</DescriptorName>
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<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008405" MajorTopicYN="N">Massage</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010808" MajorTopicYN="N">Physical Examination</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011312" MajorTopicYN="N">Pressure</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D020246" MajorTopicYN="N">Venous Thrombosis</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
</MeshHeading>
</MeshHeadingList>
<NumberOfReferences>114</NumberOfReferences>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2003</Year>
<Month>2</Month>
<Day>13</Day>
<Hour>4</Hour>
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<tree><noCountry><name sortKey="Button, Matthew" sort="Button, Matthew" uniqKey="Button M" first="Matthew" last="Button">Matthew Button</name>
<name sortKey="Cheng, Koon Sung" sort="Cheng, Koon Sung" uniqKey="Cheng K" first="Koon-Sung" last="Cheng">Koon-Sung Cheng</name>
<name sortKey="Hamilton, George" sort="Hamilton, George" uniqKey="Hamilton G" first="George" last="Hamilton">George Hamilton</name>
<name sortKey="Myint, Fiona" sort="Myint, Fiona" uniqKey="Myint F" first="Fiona" last="Myint">Fiona Myint</name>
<name sortKey="Tiwari, Alok" sort="Tiwari, Alok" uniqKey="Tiwari A" first="Alok" last="Tiwari">Alok Tiwari</name>
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