[Lymphedema: From diagnosis to treatment].
Identifieur interne : 000639 ( PubMed/Corpus ); précédent : 000638; suivant : 000640[Lymphedema: From diagnosis to treatment].
Auteurs : S. VignesSource :
- La Revue de medecine interne [ 1768-3122 ] ; 2017.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Lymphedema.
- epidemiology : France, Lymphedema.
- etiology : Lymphedema.
- physiology : Lymphatic System.
- therapy : Lymphedema.
- Bandages, Exercise Therapy, Extremities, Genetic Predisposition to Disease, Humans, Physical Therapy Modalities, Risk Factors.
Abstract
Lymphedema results from impaired lymphatic transport with increased limb volume. Lymphedema are divided in primary and secondary forms. Upper-limb lymphedema secondary to breast cancer treatment is the most frequent in France. Primary lymphedema is sporadic, rarely familial or associated with complex malformative or genetic disorders. Diagnosis of lymphedema is mainly clinical and lymphoscintigraphy is useful in primary form to assess precisely the lymphatic function of the two limbs. Erysipelas (cellulitis) is the main complication, but psychological or functional discomfort may occur throughout the course of lymphedema. Lipedema is the main differential diagnosis, defined as an abnormal accumulation of fat from hip to ankle. Lymphedema management is based on complete decongestive physiotherapy (multilayer low-stretch bandage, manual lymph drainage, skin care, exercises). The first phase of treatment leads to a reduction of lymphedema volume and the second phase stabilizes the volume. Multilayer low-stretch bandage and elastic compression is the cornerstone of the complete decongestive physiotherapy. Patient-education programs, including self-management, aim to improve patient autonomy.
DOI: 10.1016/j.revmed.2016.07.005
PubMed: 27591818
Links to Exploration step
pubmed:27591818Le document en format XML
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<author><name sortKey="Vignes, S" sort="Vignes, S" uniqKey="Vignes S" first="S" last="Vignes">S. Vignes</name>
<affiliation><nlm:affiliation>Unité de lymphologie, Centre national de référence des maladies vasculaires rares (lymphœdèmes primaires), hôpital Cognacq-Jay, 15, rue Eugène-Millon, 75015 Paris, France. Electronic address: stephane.vignes@cognacq-jay.fr.</nlm:affiliation>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">[Lymphedema: From diagnosis to treatment].</title>
<author><name sortKey="Vignes, S" sort="Vignes, S" uniqKey="Vignes S" first="S" last="Vignes">S. Vignes</name>
<affiliation><nlm:affiliation>Unité de lymphologie, Centre national de référence des maladies vasculaires rares (lymphœdèmes primaires), hôpital Cognacq-Jay, 15, rue Eugène-Millon, 75015 Paris, France. Electronic address: stephane.vignes@cognacq-jay.fr.</nlm:affiliation>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Bandages</term>
<term>Exercise Therapy</term>
<term>Extremities</term>
<term>France (epidemiology)</term>
<term>Genetic Predisposition to Disease</term>
<term>Humans</term>
<term>Lymphatic System (physiology)</term>
<term>Lymphedema (diagnosis)</term>
<term>Lymphedema (epidemiology)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (therapy)</term>
<term>Physical Therapy Modalities</term>
<term>Risk Factors</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>France</term>
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Lymphatic System</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Bandages</term>
<term>Exercise Therapy</term>
<term>Extremities</term>
<term>Genetic Predisposition to Disease</term>
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<front><div type="abstract" xml:lang="en">Lymphedema results from impaired lymphatic transport with increased limb volume. Lymphedema are divided in primary and secondary forms. Upper-limb lymphedema secondary to breast cancer treatment is the most frequent in France. Primary lymphedema is sporadic, rarely familial or associated with complex malformative or genetic disorders. Diagnosis of lymphedema is mainly clinical and lymphoscintigraphy is useful in primary form to assess precisely the lymphatic function of the two limbs. Erysipelas (cellulitis) is the main complication, but psychological or functional discomfort may occur throughout the course of lymphedema. Lipedema is the main differential diagnosis, defined as an abnormal accumulation of fat from hip to ankle. Lymphedema management is based on complete decongestive physiotherapy (multilayer low-stretch bandage, manual lymph drainage, skin care, exercises). The first phase of treatment leads to a reduction of lymphedema volume and the second phase stabilizes the volume. Multilayer low-stretch bandage and elastic compression is the cornerstone of the complete decongestive physiotherapy. Patient-education programs, including self-management, aim to improve patient autonomy.</div>
</front>
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<Title>La Revue de medecine interne</Title>
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<ArticleTitle>[Lymphedema: From diagnosis to treatment].</ArticleTitle>
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<Abstract><AbstractText>Lymphedema results from impaired lymphatic transport with increased limb volume. Lymphedema are divided in primary and secondary forms. Upper-limb lymphedema secondary to breast cancer treatment is the most frequent in France. Primary lymphedema is sporadic, rarely familial or associated with complex malformative or genetic disorders. Diagnosis of lymphedema is mainly clinical and lymphoscintigraphy is useful in primary form to assess precisely the lymphatic function of the two limbs. Erysipelas (cellulitis) is the main complication, but psychological or functional discomfort may occur throughout the course of lymphedema. Lipedema is the main differential diagnosis, defined as an abnormal accumulation of fat from hip to ankle. Lymphedema management is based on complete decongestive physiotherapy (multilayer low-stretch bandage, manual lymph drainage, skin care, exercises). The first phase of treatment leads to a reduction of lymphedema volume and the second phase stabilizes the volume. Multilayer low-stretch bandage and elastic compression is the cornerstone of the complete decongestive physiotherapy. Patient-education programs, including self-management, aim to improve patient autonomy.</AbstractText>
<CopyrightInformation>Copyright © 2016 Société Nationale Française de Médecine Interne (SNFMI). Published by Elsevier SAS. All rights reserved.</CopyrightInformation>
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<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Vignes</LastName>
<ForeName>S</ForeName>
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<AffiliationInfo><Affiliation>Unité de lymphologie, Centre national de référence des maladies vasculaires rares (lymphœdèmes primaires), hôpital Cognacq-Jay, 15, rue Eugène-Millon, 75015 Paris, France. Electronic address: stephane.vignes@cognacq-jay.fr.</Affiliation>
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<VernacularTitle>Les lymphœdèmes : du diagnostic au traitement.</VernacularTitle>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D001458" MajorTopicYN="N">Bandages</DescriptorName>
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<MeshHeading><DescriptorName UI="D005081" MajorTopicYN="N">Exercise Therapy</DescriptorName>
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<MeshHeading><DescriptorName UI="D005121" MajorTopicYN="N">Extremities</DescriptorName>
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<MeshHeading><DescriptorName UI="D008208" MajorTopicYN="N">Lymphatic System</DescriptorName>
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<MeshHeading><DescriptorName UI="D026741" MajorTopicYN="N">Physical Therapy Modalities</DescriptorName>
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<MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Bandages</Keyword>
<Keyword MajorTopicYN="N">Cancer</Keyword>
<Keyword MajorTopicYN="N">Low-stretch bandage</Keyword>
<Keyword MajorTopicYN="N">Lymphedema</Keyword>
<Keyword MajorTopicYN="N">Lymphoscintigraphie</Keyword>
<Keyword MajorTopicYN="N">Lymphoscintigraphy</Keyword>
<Keyword MajorTopicYN="N">Lymphœdème</Keyword>
<Keyword MajorTopicYN="N">Patient education</Keyword>
<Keyword MajorTopicYN="N">Primaire</Keyword>
<Keyword MajorTopicYN="N">Primary</Keyword>
<Keyword MajorTopicYN="N">Traitement</Keyword>
<Keyword MajorTopicYN="N">Treatment</Keyword>
<Keyword MajorTopicYN="N">Éducation thérapeutique</Keyword>
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