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Paediatric lymphoedema: A retrospective chart review of 86 cases.

Identifieur interne : 000596 ( PubMed/Corpus ); précédent : 000595; suivant : 000597

Paediatric lymphoedema: A retrospective chart review of 86 cases.

Auteurs : Hilary Watt ; Davinder Singh-Grewal ; Orli Wargon ; Susan Adams

Source :

RBID : pubmed:27701785

Abstract

To define the clinical characteristics, investigations, management and outcomes of lymphoedema in a paediatric cohort.

DOI: 10.1111/jpc.13305
PubMed: 27701785

Links to Exploration step

pubmed:27701785

Le document en format XML

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<title xml:lang="en">Paediatric lymphoedema: A retrospective chart review of 86 cases.</title>
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<name sortKey="Watt, Hilary" sort="Watt, Hilary" uniqKey="Watt H" first="Hilary" last="Watt">Hilary Watt</name>
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<nlm:affiliation>School of Women's and Children's Health, University of New South Wales, Sydney, New South Wales, Australia.</nlm:affiliation>
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<name sortKey="Singh Grewal, Davinder" sort="Singh Grewal, Davinder" uniqKey="Singh Grewal D" first="Davinder" last="Singh-Grewal">Davinder Singh-Grewal</name>
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<nlm:affiliation>Vascular Birthmarks Clinic, Sydney Children's Hospital, Sydney, New South Wales, Australia.</nlm:affiliation>
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<name sortKey="Wargon, Orli" sort="Wargon, Orli" uniqKey="Wargon O" first="Orli" last="Wargon">Orli Wargon</name>
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<nlm:affiliation>School of Women's and Children's Health, University of New South Wales, Sydney, New South Wales, Australia.</nlm:affiliation>
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<name sortKey="Adams, Susan" sort="Adams, Susan" uniqKey="Adams S" first="Susan" last="Adams">Susan Adams</name>
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<nlm:affiliation>School of Women's and Children's Health, University of New South Wales, Sydney, New South Wales, Australia.</nlm:affiliation>
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<nlm:affiliation>School of Women's and Children's Health, University of New South Wales, Sydney, New South Wales, Australia.</nlm:affiliation>
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<title level="j">Journal of paediatrics and child health</title>
<idno type="eISSN">1440-1754</idno>
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<Month>10</Month>
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<ISSN IssnType="Electronic">1440-1754</ISSN>
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<Volume>53</Volume>
<Issue>1</Issue>
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<Year>2017</Year>
<Month>Jan</Month>
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<Title>Journal of paediatrics and child health</Title>
<ISOAbbreviation>J Paediatr Child Health</ISOAbbreviation>
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<ArticleTitle>Paediatric lymphoedema: A retrospective chart review of 86 cases.</ArticleTitle>
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<Abstract>
<AbstractText Label="AIM" NlmCategory="OBJECTIVE">To define the clinical characteristics, investigations, management and outcomes of lymphoedema in a paediatric cohort.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A retrospective chart review of children with lymphoedema seen at two tertiary paediatric hospitals since 1998. Telephone interviews with parents were performed when information was missing. Information recorded included demographic data, features of diagnosis and clinical presentation, symptoms, complications and treatment.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 86 patients with lymphoedema were identified. Eighty cases (93%) were primary and six cases (7%) were secondary. Most were female (60%). Location of swelling was most commonly the lower limbs (94%). There were 13 cases (15%) of genital involvement. Swelling presented in the first 12 months of life in 60% of primary lymphoedema patients. Complications of lymphoedema occurred in 73% of patients. Lymphoscintigraphy was the most common investigation used (65%), followed by ultrasound (57%) and magnetic resonance imaging (MRI) (35%). Eight of the 48 (17%) lymphoscintigraphs produced a false negative result or were inconclusive with a correct diagnosis subsequently made clinically and using MRI. Average time to diagnosis was 9 months. Lymphoedema was managed with compression garments (99%), manual lymph drainage (97%) and multilayered bandaging (68%). Eight patients had an operative procedure as a part of management.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Primary lymphoedema is more common than secondary lymphoedema in children. Onset tends to be during infancy for both males and females, and the lower limb is typically involved. Causes of secondary lymphoedema are diverse and rare. Diagnosis in children is often delayed but is possible based on history and physical examination alone and when further investigation is necessary MRI is effective.</AbstractText>
<CopyrightInformation>© 2016 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).</CopyrightInformation>
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<Affiliation>Vascular Birthmarks Clinic, Sydney Children's Hospital, Sydney, New South Wales, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Rheumatology, The Royal Alexandria Hospital for Children (Children's Hospital at Westmead), Sydney, New South Wales, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Discipline of Child and Adolescent Health, The University of Sydney, Sydney, New South Wales, Australia.</Affiliation>
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<Affiliation>Vascular Birthmarks Clinic, Sydney Children's Hospital, Sydney, New South Wales, Australia.</Affiliation>
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<Language>eng</Language>
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<Keyword MajorTopicYN="N">paediatric</Keyword>
<Keyword MajorTopicYN="N">primary lymphoedema</Keyword>
<Keyword MajorTopicYN="N">secondary lymphoedema</Keyword>
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