Primary lymphedema in children and adolescents: a follow-up study and review.
Identifieur interne : 006760 ( PubMed/Corpus ); précédent : 006759; suivant : 006761Primary lymphedema in children and adolescents: a follow-up study and review.
Auteurs : D M Smeltzer ; G B Stickler ; A. SchirgerSource :
- Pediatrics [ 0031-4005 ] ; 1985.
English descriptors
- KwdEn :
- MESH :
- abnormalities : Lymphatic System.
- diagnosis : Lymphedema.
- etiology : Lymphedema.
- therapy : Lymphedema.
- Adolescent, Adult, Child, Child, Preschool, Combined Modality Therapy, Follow-Up Studies, Humans, Infant, Lymphography.
Abstract
Primary lymphedema, a disorder causing persistent swelling in an extremity, is rare in children and adolescents; it affects 1.15/100,000 persons less than age 20 years. It primarily affects girls near menarche. The records of 125 children and adolescents, aged 0 to 20 years, who were examined at the Mayo Clinic were analyzed; 99 of these patients were contacted to obtain follow-up data. The influences of estrogen and inflammation are thought to be important etiologic factors in primary lymphedema. The diagnosis can be made on the basis of a thorough history and physical examination. Lymphangiograms, venograms, and biopsies add nothing to the diagnosis because of the low incidence of tumor in children and adolescents. Conservative treatment is recommended: a Jobst-type stocking, elevation, and proper foot care. Diuretics are not recommended. Careful psychologic counseling, especially in adolescents, is highly recommended.
PubMed: 4022694
Links to Exploration step
pubmed:4022694Le document en format XML
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<author><name sortKey="Smeltzer, D M" sort="Smeltzer, D M" uniqKey="Smeltzer D" first="D M" last="Smeltzer">D M Smeltzer</name>
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<author><name sortKey="Stickler, G B" sort="Stickler, G B" uniqKey="Stickler G" first="G B" last="Stickler">G B Stickler</name>
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<author><name sortKey="Schirger, A" sort="Schirger, A" uniqKey="Schirger A" first="A" last="Schirger">A. Schirger</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Primary lymphedema in children and adolescents: a follow-up study and review.</title>
<author><name sortKey="Smeltzer, D M" sort="Smeltzer, D M" uniqKey="Smeltzer D" first="D M" last="Smeltzer">D M Smeltzer</name>
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<author><name sortKey="Stickler, G B" sort="Stickler, G B" uniqKey="Stickler G" first="G B" last="Stickler">G B Stickler</name>
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<author><name sortKey="Schirger, A" sort="Schirger, A" uniqKey="Schirger A" first="A" last="Schirger">A. Schirger</name>
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<series><title level="j">Pediatrics</title>
<idno type="ISSN">0031-4005</idno>
<imprint><date when="1985" type="published">1985</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Combined Modality Therapy</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Infant</term>
<term>Lymphatic System (abnormalities)</term>
<term>Lymphedema (diagnosis)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (therapy)</term>
<term>Lymphography</term>
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<keywords scheme="MESH" qualifier="abnormalities" xml:lang="en"><term>Lymphatic System</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Combined Modality Therapy</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Infant</term>
<term>Lymphography</term>
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<front><div type="abstract" xml:lang="en">Primary lymphedema, a disorder causing persistent swelling in an extremity, is rare in children and adolescents; it affects 1.15/100,000 persons less than age 20 years. It primarily affects girls near menarche. The records of 125 children and adolescents, aged 0 to 20 years, who were examined at the Mayo Clinic were analyzed; 99 of these patients were contacted to obtain follow-up data. The influences of estrogen and inflammation are thought to be important etiologic factors in primary lymphedema. The diagnosis can be made on the basis of a thorough history and physical examination. Lymphangiograms, venograms, and biopsies add nothing to the diagnosis because of the low incidence of tumor in children and adolescents. Conservative treatment is recommended: a Jobst-type stocking, elevation, and proper foot care. Diuretics are not recommended. Careful psychologic counseling, especially in adolescents, is highly recommended.</div>
</front>
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<DateCompleted><Year>1985</Year>
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<Abstract><AbstractText>Primary lymphedema, a disorder causing persistent swelling in an extremity, is rare in children and adolescents; it affects 1.15/100,000 persons less than age 20 years. It primarily affects girls near menarche. The records of 125 children and adolescents, aged 0 to 20 years, who were examined at the Mayo Clinic were analyzed; 99 of these patients were contacted to obtain follow-up data. The influences of estrogen and inflammation are thought to be important etiologic factors in primary lymphedema. The diagnosis can be made on the basis of a thorough history and physical examination. Lymphangiograms, venograms, and biopsies add nothing to the diagnosis because of the low incidence of tumor in children and adolescents. Conservative treatment is recommended: a Jobst-type stocking, elevation, and proper foot care. Diuretics are not recommended. Careful psychologic counseling, especially in adolescents, is highly recommended.</AbstractText>
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<MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
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<MeshHeading><DescriptorName UI="D008220" MajorTopicYN="N">Lymphography</DescriptorName>
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