LymphedemaV1, PubMed, Corpus, bibRecord, 003E54

Histopathologic improvement with lymphedema management, Léogâne, Haiti.

Identifieur interne : 003E54 ( PubMed/Corpus ); précédent : 003E53; suivant : 003E55

Histopathologic improvement with lymphedema management, Léogâne, Haiti.

Auteurs : Susan F. Wilson ; Jeannette Guarner ; Alix L. Valme ; Jacky Louis-Charles ; Tara L. Jones ; David G. Addiss

Source :

Emerging infectious diseases [ 1080-6040 ] ; 2004.

RBID : pubmed:15550203

English descriptors

KwdEn :
- Adolescent, Adult, Dermis (pathology), Diethylcarbamazine (therapeutic use), Elephantiasis, Filarial (pathology), Elephantiasis, Filarial (therapy), Epidermis (pathology), Female, Filaricides (therapeutic use), Haiti, Humans, Male, Middle Aged, Self Care, Subcutaneous Tissue (pathology).
MESH :
- chemical , therapeutic use : Diethylcarbamazine, Filaricides.
- geographic : Haiti.
- pathology : Dermis, Elephantiasis, Filarial, Epidermis, Subcutaneous Tissue.
- therapy : Elephantiasis, Filarial.
- Adolescent, Adult, Female, Humans, Male, Middle Aged, Self Care.

Abstract

In countries where bancroftian filariasis is endemic, lymphedema of the leg is a public health problem, particularly for women, who are disproportionately affected. We investigated the effect of basic lymphedema management (hygiene, skin care, and lower limb movement and elevation) on the histologic features of lymphedema. A total of 118 skin-punch biopsy specimens were collected from the legs of 91 patients enrolled in a lymphedema treatment clinic in Léogâne, Haiti. Follow-up biopsy specimens were collected from 27 patients succeeds, equals 12 months later. Keratinocyte hyperproliferation, condensed dermal collagen, and mononuclear perivascular infiltrate increased with lymphedema stage, which suggested progressive chronic inflammation and fibrosis. Follow-up biopsies showed reductions in perivascular mononuclear infiltrate in the superficial dermis (41% decrease in prevalence), perivascular fibrosis in the deep dermis (58% decrease), and periadnexal mononuclear infiltrate (53% decrease). These data suggest that the clinical improvement commonly observed with basic lymphedema management has a histologic basis.

DOI: 10.3201/eid1011.040548
PubMed: 15550203

Links to Exploration step

pubmed:15550203

Le document en format XML

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<author><name sortKey="Wilson, Susan F" sort="Wilson, Susan F" uniqKey="Wilson S" first="Susan F" last="Wilson">Susan F. Wilson</name>
<affiliation><nlm:affiliation>Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA.</nlm:affiliation>
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<author><name sortKey="Guarner, Jeannette" sort="Guarner, Jeannette" uniqKey="Guarner J" first="Jeannette" last="Guarner">Jeannette Guarner</name>
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<author><name sortKey="Valme, Alix L" sort="Valme, Alix L" uniqKey="Valme A" first="Alix L" last="Valme">Alix L. Valme</name>
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<author><name sortKey="Louis Charles, Jacky" sort="Louis Charles, Jacky" uniqKey="Louis Charles J" first="Jacky" last="Louis-Charles">Jacky Louis-Charles</name>
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<author><name sortKey="Jones, Tara L" sort="Jones, Tara L" uniqKey="Jones T" first="Tara L" last="Jones">Tara L. Jones</name>
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<author><name sortKey="Addiss, David G" sort="Addiss, David G" uniqKey="Addiss D" first="David G" last="Addiss">David G. Addiss</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Histopathologic improvement with lymphedema management, Léogâne, Haiti.</title>
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<author><name sortKey="Valme, Alix L" sort="Valme, Alix L" uniqKey="Valme A" first="Alix L" last="Valme">Alix L. Valme</name>
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<series><title level="j">Emerging infectious diseases</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Dermis (pathology)</term>
<term>Diethylcarbamazine (therapeutic use)</term>
<term>Elephantiasis, Filarial (pathology)</term>
<term>Elephantiasis, Filarial (therapy)</term>
<term>Epidermis (pathology)</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Dermis</term>
<term>Elephantiasis, Filarial</term>
<term>Epidermis</term>
<term>Subcutaneous Tissue</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Elephantiasis, Filarial</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
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<front><div type="abstract" xml:lang="en">In countries where bancroftian filariasis is endemic, lymphedema of the leg is a public health problem, particularly for women, who are disproportionately affected. We investigated the effect of basic lymphedema management (hygiene, skin care, and lower limb movement and elevation) on the histologic features of lymphedema. A total of 118 skin-punch biopsy specimens were collected from the legs of 91 patients enrolled in a lymphedema treatment clinic in Léogâne, Haiti. Follow-up biopsy specimens were collected from 27 patients succeeds, equals 12 months later. Keratinocyte hyperproliferation, condensed dermal collagen, and mononuclear perivascular infiltrate increased with lymphedema stage, which suggested progressive chronic inflammation and fibrosis. Follow-up biopsies showed reductions in perivascular mononuclear infiltrate in the superficial dermis (41% decrease in prevalence), perivascular fibrosis in the deep dermis (58% decrease), and periadnexal mononuclear infiltrate (53% decrease). These data suggest that the clinical improvement commonly observed with basic lymphedema management has a histologic basis.</div>
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<Abstract><AbstractText>In countries where bancroftian filariasis is endemic, lymphedema of the leg is a public health problem, particularly for women, who are disproportionately affected. We investigated the effect of basic lymphedema management (hygiene, skin care, and lower limb movement and elevation) on the histologic features of lymphedema. A total of 118 skin-punch biopsy specimens were collected from the legs of 91 patients enrolled in a lymphedema treatment clinic in Léogâne, Haiti. Follow-up biopsy specimens were collected from 27 patients succeeds, equals 12 months later. Keratinocyte hyperproliferation, condensed dermal collagen, and mononuclear perivascular infiltrate increased with lymphedema stage, which suggested progressive chronic inflammation and fibrosis. Follow-up biopsies showed reductions in perivascular mononuclear infiltrate in the superficial dermis (41% decrease in prevalence), perivascular fibrosis in the deep dermis (58% decrease), and periadnexal mononuclear infiltrate (53% decrease). These data suggest that the clinical improvement commonly observed with basic lymphedema management has a histologic basis.</AbstractText>
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Histopathologic improvement with lymphedema management, Léogâne, Haiti.

Histopathologic improvement with lymphedema management, Léogâne, Haiti.

Source :

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Abstract

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