Lymphatic dysfunction in the apparently clinically normal contralateral limbs of patients with unilateral lower limb swelling.
Identifieur interne : 002355 ( PubMed/Curation ); précédent : 002354; suivant : 002356Lymphatic dysfunction in the apparently clinically normal contralateral limbs of patients with unilateral lower limb swelling.
Auteurs : Katherine M. Burnand [Royaume-Uni] ; Daphne M. Glass ; Peter S. Mortimer ; Adrien Michael PetersSource :
- Clinical nuclear medicine [ 1536-0229 ] ; 2012.
Descripteurs français
- KwdFr :
- MESH :
- imagerie diagnostique : Lymphoedème, Membre inférieur, Noeuds lymphatiques.
- épidémiologie : Lymphoedème, Royaume-Uni.
- Adulte d'âge moyen, Femelle, Humains, Mâle, Prévalence, Scintigraphie, Sujet âgé, Évaluation des risques.
English descriptors
- KwdEn :
- MESH :
- diagnostic imaging : Lower Extremity, Lymph Nodes, Lymphedema.
- epidemiology : Lymphedema, United Kingdom.
- Aged, Female, Humans, Male, Middle Aged, Prevalence, Radionuclide Imaging, Risk Assessment.
Abstract
To determine how often lymphatic dysfunction is bilateral when, clinically, lymphedema appears unilateral.
DOI: 10.1097/RLU.0b013e31823931f5
PubMed: 22157021
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Mortimer</name></author><author><name sortKey="Peters, Adrien Michael" sort="Peters, Adrien Michael" uniqKey="Peters A" first="Adrien Michael" last="Peters">Adrien Michael Peters</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="RBID">pubmed:22157021</idno><idno type="pmid">22157021</idno><idno type="doi">10.1097/RLU.0b013e31823931f5</idno><idno type="wicri:Area/PubMed/Corpus">002355</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002355</idno><idno type="wicri:Area/PubMed/Curation">002355</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">002355</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Lymphatic dysfunction in the apparently clinically normal contralateral limbs of patients with unilateral lower limb swelling.</title><author><name sortKey="Burnand, Katherine M" sort="Burnand, Katherine M" uniqKey="Burnand K" first="Katherine M" last="Burnand">Katherine M. Burnand</name><affiliation wicri:level="1"><nlm:affiliation>Department of Nuclear Medicine, Royal Sussex County Hospital, Brighton, United Kingdom.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Nuclear Medicine, Royal Sussex County Hospital, Brighton</wicri:regionArea></affiliation></author><author><name sortKey="Glass, Daphne M" sort="Glass, Daphne M" uniqKey="Glass D" first="Daphne M" last="Glass">Daphne M. Glass</name></author><author><name sortKey="Mortimer, Peter S" sort="Mortimer, Peter S" uniqKey="Mortimer P" first="Peter S" last="Mortimer">Peter S. Mortimer</name></author><author><name sortKey="Peters, Adrien Michael" sort="Peters, Adrien Michael" uniqKey="Peters A" first="Adrien Michael" last="Peters">Adrien Michael Peters</name></author></analytic><series><title level="j">Clinical nuclear medicine</title><idno type="eISSN">1536-0229</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Lower Extremity (diagnostic imaging)</term><term>Lymph Nodes (diagnostic imaging)</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (epidemiology)</term><term>Male</term><term>Middle Aged</term><term>Prevalence</term><term>Radionuclide Imaging</term><term>Risk Assessment</term><term>United Kingdom (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Lymphoedème (imagerie diagnostique)</term><term>Lymphoedème (épidémiologie)</term><term>Membre inférieur (imagerie diagnostique)</term><term>Mâle</term><term>Noeuds lymphatiques (imagerie diagnostique)</term><term>Prévalence</term><term>Royaume-Uni (épidémiologie)</term><term>Scintigraphie</term><term>Sujet âgé</term><term>Évaluation des risques</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lower Extremity</term><term>Lymph Nodes</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Lymphedema</term><term>United Kingdom</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Lymphoedème</term><term>Membre inférieur</term><term>Noeuds lymphatiques</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Lymphoedème</term><term>Royaume-Uni</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prevalence</term><term>Radionuclide Imaging</term><term>Risk Assessment</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Prévalence</term><term>Scintigraphie</term><term>Sujet âgé</term><term>Évaluation des risques</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To determine how often lymphatic dysfunction is bilateral when, clinically, lymphedema appears unilateral.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22157021</PMID><DateCreated><Year>2011</Year><Month>12</Month><Day>13</Day></DateCreated><DateCompleted><Year>2012</Year><Month>04</Month><Day>18</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>25</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1536-0229</ISSN><JournalIssue CitedMedium="Internet"><Volume>37</Volume><Issue>1</Issue><PubDate><Year>2012</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Clinical nuclear medicine</Title><ISOAbbreviation>Clin Nucl Med</ISOAbbreviation></Journal><ArticleTitle>Lymphatic dysfunction in the apparently clinically normal contralateral limbs of patients with unilateral lower limb swelling.</ArticleTitle><Pagination><MedlinePgn>9-13</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/RLU.0b013e31823931f5</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To determine how often lymphatic dysfunction is bilateral when, clinically, lymphedema appears unilateral.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Lymphoscintigraphy was performed after subcutaneous Tc-99m-nanocolloid injection in the first webspaces of both feet. The percentage of injected radioactivity accumulating in the ilioinguinal regions was recorded in dedicated images separately acquired at 60 and 180 minutes after injection.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Within a consecutive series of 204 patients, 74 had unilateral clinical lymphedema of whom 68 had abnormal scintigraphy. Of these 68 patients, 46 had unilateral abnormal scintigraphy affecting the clinically abnormal limb, but 20 patients had bilateral abnormal scintigraphy and 2 had unilateral abnormal scintigraphy in the clinically unaffected limb. Thus, 32% (22/68) of patients in whom clinical lymphedema appeared to be unilateral, nevertheless, had abnormal scintigraphy in the clinically normal limb. Twenty-nine patients had no clinical evidence of lymphedema in either limb and were scintigraphically normal bilaterally. Mean ilioinguinal nodal accumulation at 180 minutes in the 44 limbs of 22 of these clinically and scintigraphically normal patients (dedicated ilioinguinal imaging was not performed in all patients) was 13.1% (standard deviation, 8.8%), higher (P = 0.02) than the mean value of 9.3% (standard deviation, 5.0%) in the clinically and scintigraphically normal contralateral limbs of 39 patients with unilateral clinical lymphedema.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In the presence of unilateral lymphedema, the contralateral limb is often also abnormal. On lymphoscintigraphy, therefore, care should be taken before diagnosing unilateral lymphatic dysfunction. Quantification should be included in routine lymphoscintigraphy, as reduced ilioinguinal nodal accumulation may be the only apparent abnormality.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Burnand</LastName><ForeName>Katherine M</ForeName><Initials>KM</Initials><AffiliationInfo><Affiliation>Department of Nuclear Medicine, Royal Sussex County Hospital, Brighton, United Kingdom.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Glass</LastName><ForeName>Daphne M</ForeName><Initials>DM</Initials></Author><Author ValidYN="Y"><LastName>Mortimer</LastName><ForeName>Peter S</ForeName><Initials>PS</Initials></Author><Author ValidYN="Y"><LastName>Peters</LastName><ForeName>Adrien Michael</ForeName><Initials>AM</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Clin Nucl Med</MedlineTA><NlmUniqueID>7611109</NlmUniqueID><ISSNLinking>0363-9762</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D035002" MajorTopicYN="N">Lower Extremity</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008198" MajorTopicYN="N">Lymph Nodes</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011877" MajorTopicYN="N">Radionuclide Imaging</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018570" MajorTopicYN="N">Risk Assessment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006113" MajorTopicYN="N">United Kingdom</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>12</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>12</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>4</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">22157021</ArticleId><ArticleId IdType="doi">10.1097/RLU.0b013e31823931f5</ArticleId><ArticleId IdType="pii">00003072-201201000-00002</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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