Serveur d'exploration sur le lymphœdème

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Interdigital skin lesions of the lower limbs among patients with lymphoedema in an area endemic for bancroftian filariasis.

Identifieur interne : 003892 ( PubMed/Corpus ); précédent : 003891; suivant : 003893

Interdigital skin lesions of the lower limbs among patients with lymphoedema in an area endemic for bancroftian filariasis.

Auteurs : Gerusa Dreyer ; David Addiss ; Patricia Gadelha ; Eduardo Lapa ; John Williamson ; Annelies Dreyer

Source :

RBID : pubmed:16930270

English descriptors

Abstract

An estimated 15 million persons suffer from lymphoedema of the leg in filariasis-endemic areas of the world. A major factor in the progression of lymphoedema severity is the incidence of acute dermatolymphangioadenitis (ADLA), which is triggered by bacteria that gain entry through damaged skin, especially in the toe web spaces ('interdigital skin lesions'). Little is known about the epidemiology of these skin lesions or about patients' awareness of them.

DOI: 10.1111/j.1365-3156.2006.01687.x
PubMed: 16930270

Links to Exploration step

pubmed:16930270

Le document en format XML

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<title xml:lang="en">Interdigital skin lesions of the lower limbs among patients with lymphoedema in an area endemic for bancroftian filariasis.</title>
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<name sortKey="Dreyer, Gerusa" sort="Dreyer, Gerusa" uniqKey="Dreyer G" first="Gerusa" last="Dreyer">Gerusa Dreyer</name>
<affiliation>
<nlm:affiliation>Núcleo de Ensino, Pesquisa e Assistência em Filariose-NEPAF, Universidade Federal de Pernambuco, Recife, Brazil. dreyer-g@uol.com.br</nlm:affiliation>
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<name sortKey="Addiss, David" sort="Addiss, David" uniqKey="Addiss D" first="David" last="Addiss">David Addiss</name>
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<name sortKey="Gadelha, Patricia" sort="Gadelha, Patricia" uniqKey="Gadelha P" first="Patricia" last="Gadelha">Patricia Gadelha</name>
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<name sortKey="Lapa, Eduardo" sort="Lapa, Eduardo" uniqKey="Lapa E" first="Eduardo" last="Lapa">Eduardo Lapa</name>
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<name sortKey="Williamson, John" sort="Williamson, John" uniqKey="Williamson J" first="John" last="Williamson">John Williamson</name>
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<name sortKey="Dreyer, Annelies" sort="Dreyer, Annelies" uniqKey="Dreyer A" first="Annelies" last="Dreyer">Annelies Dreyer</name>
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<title xml:lang="en">Interdigital skin lesions of the lower limbs among patients with lymphoedema in an area endemic for bancroftian filariasis.</title>
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<name sortKey="Dreyer, Gerusa" sort="Dreyer, Gerusa" uniqKey="Dreyer G" first="Gerusa" last="Dreyer">Gerusa Dreyer</name>
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<name sortKey="Williamson, John" sort="Williamson, John" uniqKey="Williamson J" first="John" last="Williamson">John Williamson</name>
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<title level="j">Tropical medicine & international health : TM & IH</title>
<idno type="ISSN">1360-2276</idno>
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<term>Acute Disease</term>
<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Brazil (epidemiology)</term>
<term>Elephantiasis, Filarial (complications)</term>
<term>Elephantiasis, Filarial (epidemiology)</term>
<term>Endemic Diseases</term>
<term>Female</term>
<term>Foot Diseases (epidemiology)</term>
<term>Foot Diseases (parasitology)</term>
<term>Humans</term>
<term>Lymphadenitis (epidemiology)</term>
<term>Lymphadenitis (etiology)</term>
<term>Lymphangitis (epidemiology)</term>
<term>Lymphangitis (etiology)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Skin Diseases, Parasitic (epidemiology)</term>
<term>Skin Diseases, Parasitic (etiology)</term>
<term>Toes</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en">
<term>Brazil</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Elephantiasis, Filarial</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Elephantiasis, Filarial</term>
<term>Foot Diseases</term>
<term>Lymphadenitis</term>
<term>Lymphangitis</term>
<term>Skin Diseases, Parasitic</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphadenitis</term>
<term>Lymphangitis</term>
<term>Skin Diseases, Parasitic</term>
</keywords>
<keywords scheme="MESH" qualifier="parasitology" xml:lang="en">
<term>Foot Diseases</term>
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<term>Acute Disease</term>
<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Endemic Diseases</term>
<term>Female</term>
<term>Humans</term>
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<div type="abstract" xml:lang="en">An estimated 15 million persons suffer from lymphoedema of the leg in filariasis-endemic areas of the world. A major factor in the progression of lymphoedema severity is the incidence of acute dermatolymphangioadenitis (ADLA), which is triggered by bacteria that gain entry through damaged skin, especially in the toe web spaces ('interdigital skin lesions'). Little is known about the epidemiology of these skin lesions or about patients' awareness of them.</div>
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<PMID Version="1">16930270</PMID>
<DateCreated>
<Year>2006</Year>
<Month>08</Month>
<Day>25</Day>
</DateCreated>
<DateCompleted>
<Year>2006</Year>
<Month>10</Month>
<Day>17</Day>
</DateCompleted>
<DateRevised>
<Year>2006</Year>
<Month>11</Month>
<Day>07</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">1360-2276</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>11</Volume>
<Issue>9</Issue>
<PubDate>
<Year>2006</Year>
<Month>Sep</Month>
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</JournalIssue>
<Title>Tropical medicine & international health : TM & IH</Title>
<ISOAbbreviation>Trop. Med. Int. Health</ISOAbbreviation>
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<ArticleTitle>Interdigital skin lesions of the lower limbs among patients with lymphoedema in an area endemic for bancroftian filariasis.</ArticleTitle>
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<MedlinePgn>1475-81</MedlinePgn>
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<Abstract>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">An estimated 15 million persons suffer from lymphoedema of the leg in filariasis-endemic areas of the world. A major factor in the progression of lymphoedema severity is the incidence of acute dermatolymphangioadenitis (ADLA), which is triggered by bacteria that gain entry through damaged skin, especially in the toe web spaces ('interdigital skin lesions'). Little is known about the epidemiology of these skin lesions or about patients' awareness of them.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We interviewed and examined 119 patients (89% women) with lymphoedema of the leg in Recife, Brazil, an area endemic for bancroftian filariasis.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">We detected 412 interdigital skin lesions in 115 (96.6%) patients (mean, 3.5 lesions per patient, range 0-8). The number of interdigital skin lesions was significantly associated with lymphoedema stage (P<0.001) and frequency of ADLA (P<0.0001). Only 20 (16.8%) patients detected their own interdigital skin lesions or considered them abnormal. Patients reported a mean of 3.6 ADLA episodes during the previous 12 months (range, 0-20); reported ADLA incidence was associated with lymphoedema stage (P<0.0001) and the number of interdigital skin lesions detected by the examining physician (P<0.0001).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">These data suggest that interdigital skin lesions are a significant risk factor for ADLA and that persons with lymphoedema in filariasis-endemic areas are unaware of their presence or importance. Prevention of ADLA through prompt recognition and treatment of interdigital skin lesions will require that patients be taught to identify lesions, especially between the toes and to recognize them as abnormal.</AbstractText>
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