Abnormal lymphatic function in presymptomatic bancroftian filariasis.
Identifieur interne : 005407 ( PubMed/Corpus ); précédent : 005406; suivant : 005408Abnormal lymphatic function in presymptomatic bancroftian filariasis.
Auteurs : D O Freedman ; P J De Almeido Filho ; S. Besh ; M C Maia E Silva ; C. Braga ; A. Maciel ; A F FurtadoSource :
- The Journal of infectious diseases [ 0022-1899 ] ; 1995.
English descriptors
- KwdEn :
- MESH :
- diagnostic imaging : Lymph Nodes.
- physiopathology : Elephantiasis, Filarial, Lymph Nodes, Lymphatic System.
- Adolescent, Adult, Animals, Brazil, Female, Groin, Humans, Lymphoscintigraphy, Male, Middle Aged, Wuchereria bancrofti.
Abstract
Despite the common association of filarial infection with elephantiasis, the great majority of those infected are in fact clinically asymptomatic microfilariae carriers. The assumption has been that infection but not disease exists in these presymptomatic persons. In an area Brazil where Wuchereria bancrofti is endemic, flow studies done with dynamic radionuclide lymphoscintigraphy were used to compare 30 limbs from asymptomatic microfilaremic subjects with 16 control limbs. Geometric mean values for T1/2 (19.8 vs. 37.7 min; P < .001), appearance time (7.9 vs. 27.9 min; P < .001), percent uptake at the region of interest (0.67% vs. 0.14%; P < .001), and peak activity (62.6 vs. 2.6 cps; P < .001) each indicated an enhanced pattern of rapid, increased lymph flow in asymptomatic microfilaremic subjects. The abnormal lymphatic function in these subjects indicates that current passive intervention strategies may need to change if the debilitating sequelae of this parasitic infection are to be avoided.
PubMed: 7706830
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pubmed:7706830Le document en format XML
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<author><name sortKey="Freedman, D O" sort="Freedman, D O" uniqKey="Freedman D" first="D O" last="Freedman">D O Freedman</name>
<affiliation><nlm:affiliation>Division of Geographic Medicine, University of Alabama at Birmingham.</nlm:affiliation>
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<author><name sortKey="De Almeido Filho, P J" sort="De Almeido Filho, P J" uniqKey="De Almeido Filho P" first="P J" last="De Almeido Filho">P J De Almeido Filho</name>
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<author><name sortKey="Besh, S" sort="Besh, S" uniqKey="Besh S" first="S" last="Besh">S. Besh</name>
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<author><name sortKey="Maia E Silva, M C" sort="Maia E Silva, M C" uniqKey="Maia E Silva M" first="M C" last="Maia E Silva">M C Maia E Silva</name>
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<author><name sortKey="Braga, C" sort="Braga, C" uniqKey="Braga C" first="C" last="Braga">C. Braga</name>
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<author><name sortKey="Maciel, A" sort="Maciel, A" uniqKey="Maciel A" first="A" last="Maciel">A. Maciel</name>
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<author><name sortKey="Furtado, A F" sort="Furtado, A F" uniqKey="Furtado A" first="A F" last="Furtado">A F Furtado</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Abnormal lymphatic function in presymptomatic bancroftian filariasis.</title>
<author><name sortKey="Freedman, D O" sort="Freedman, D O" uniqKey="Freedman D" first="D O" last="Freedman">D O Freedman</name>
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<author><name sortKey="De Almeido Filho, P J" sort="De Almeido Filho, P J" uniqKey="De Almeido Filho P" first="P J" last="De Almeido Filho">P J De Almeido Filho</name>
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<author><name sortKey="Besh, S" sort="Besh, S" uniqKey="Besh S" first="S" last="Besh">S. Besh</name>
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<author><name sortKey="Maia E Silva, M C" sort="Maia E Silva, M C" uniqKey="Maia E Silva M" first="M C" last="Maia E Silva">M C Maia E Silva</name>
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<author><name sortKey="Maciel, A" sort="Maciel, A" uniqKey="Maciel A" first="A" last="Maciel">A. Maciel</name>
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<author><name sortKey="Furtado, A F" sort="Furtado, A F" uniqKey="Furtado A" first="A F" last="Furtado">A F Furtado</name>
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<series><title level="j">The Journal of infectious diseases</title>
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<term>Adult</term>
<term>Animals</term>
<term>Brazil</term>
<term>Elephantiasis, Filarial (physiopathology)</term>
<term>Female</term>
<term>Groin</term>
<term>Humans</term>
<term>Lymph Nodes (diagnostic imaging)</term>
<term>Lymph Nodes (physiopathology)</term>
<term>Lymphatic System (physiopathology)</term>
<term>Lymphoscintigraphy</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Wuchereria bancrofti</term>
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<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lymph Nodes</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Elephantiasis, Filarial</term>
<term>Lymph Nodes</term>
<term>Lymphatic System</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Animals</term>
<term>Brazil</term>
<term>Female</term>
<term>Groin</term>
<term>Humans</term>
<term>Lymphoscintigraphy</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Wuchereria bancrofti</term>
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<front><div type="abstract" xml:lang="en">Despite the common association of filarial infection with elephantiasis, the great majority of those infected are in fact clinically asymptomatic microfilariae carriers. The assumption has been that infection but not disease exists in these presymptomatic persons. In an area Brazil where Wuchereria bancrofti is endemic, flow studies done with dynamic radionuclide lymphoscintigraphy were used to compare 30 limbs from asymptomatic microfilaremic subjects with 16 control limbs. Geometric mean values for T1/2 (19.8 vs. 37.7 min; P < .001), appearance time (7.9 vs. 27.9 min; P < .001), percent uptake at the region of interest (0.67% vs. 0.14%; P < .001), and peak activity (62.6 vs. 2.6 cps; P < .001) each indicated an enhanced pattern of rapid, increased lymph flow in asymptomatic microfilaremic subjects. The abnormal lymphatic function in these subjects indicates that current passive intervention strategies may need to change if the debilitating sequelae of this parasitic infection are to be avoided.</div>
</front>
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<Title>The Journal of infectious diseases</Title>
<ISOAbbreviation>J. Infect. Dis.</ISOAbbreviation>
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<ArticleTitle>Abnormal lymphatic function in presymptomatic bancroftian filariasis.</ArticleTitle>
<Pagination><MedlinePgn>997-1001</MedlinePgn>
</Pagination>
<Abstract><AbstractText>Despite the common association of filarial infection with elephantiasis, the great majority of those infected are in fact clinically asymptomatic microfilariae carriers. The assumption has been that infection but not disease exists in these presymptomatic persons. In an area Brazil where Wuchereria bancrofti is endemic, flow studies done with dynamic radionuclide lymphoscintigraphy were used to compare 30 limbs from asymptomatic microfilaremic subjects with 16 control limbs. Geometric mean values for T1/2 (19.8 vs. 37.7 min; P < .001), appearance time (7.9 vs. 27.9 min; P < .001), percent uptake at the region of interest (0.67% vs. 0.14%; P < .001), and peak activity (62.6 vs. 2.6 cps; P < .001) each indicated an enhanced pattern of rapid, increased lymph flow in asymptomatic microfilaremic subjects. The abnormal lymphatic function in these subjects indicates that current passive intervention strategies may need to change if the debilitating sequelae of this parasitic infection are to be avoided.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Freedman</LastName>
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<MeshHeading><DescriptorName UI="D000818" MajorTopicYN="N">Animals</DescriptorName>
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<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<MeshHeading><DescriptorName UI="D014958" MajorTopicYN="Y">Wuchereria bancrofti</DescriptorName>
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