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Secondary Lymphedema


Presentation

  • Abstract PURPOSE: The aim of the present review was to determine effects of strength exercise on secondary lymphedema in breast cancer patients. METHODS: Research was conducted by using the databases PubMed/Medline and Embase.[ncbi.nlm.nih.gov]
  • Congenital lymphedema is evident at birth or within the first 2 years of life; lymphedema praecox most commonly presents at puberty and lymphedema tarda after age 35. 1 , 4 Family history of lymphedema may be present.[accesscardiology.mhmedical.com]
Lymphedema of the Lower Extremity
  • PURPOSE: To evaluate the effectiveness of microscopic lymphatic vessel-isolated vein anastomosis in patients with secondary obstructive lymphedema of a lower extremity, refractory to nonoperative management.[ncbi.nlm.nih.gov]
  • Abstract The differential diagnosis between idiopathic (primary) lymphedema and secondary lymphedema of the lower extremity is of more than academic importance, for the latter may be a manifestation of a serious underlying disease.[annals.org]
  • Secondary Lymphedema of the Lower Extremity This condition occurs in a manner that is similar to upper extremity lymphedema, but can be more severely debilitating because of the dependency of the lower limb and use in ambulation.[plasticsurgerykey.com]
Recurrent Bacterial Infection
  • bacterial infections, and chronic edema. 1 , 2 Lymphedema may present as unilateral, painless swelling with minimal change with elevation.[accesscardiology.mhmedical.com]
Stridor
  • Of these 36 patients, 20 had interstitial endolaryngeal edema associated with stridor and dyspnea. All patients received sodium selenite over 4 to 6 weeks.[ncbi.nlm.nih.gov]
Respiratory Distress
  • One week later, he developed respiratory distress provoked by right basal atelectasis, which worsened progressively. It was accompanied by atrial fibrillation, hyponatremia and hyperglycemia.[elsevier.es]
Lacrimation
  • POSS-PCU has been used clinically for the world's first synthetic trachea, lacrimal duct, and is currently undergoing clinical trial for coronary artery bypass graft. Two designs and fabrication methods were used to manufacture the conduits.[ncbi.nlm.nih.gov]
Small Face
  • I look in a very small face mirror to brush my teeth.” Social consequences are the effects of lymphedema on all the potential activities of the people questioned based upon their role in society.[phlebolymphology.org]
Neck Edema
  • Gehrke Early rehabilitation of head-neck edema after curative surgery for orofacial tumors Am J Phys Med Rehabil, 80 (2001), pp. 261-269 [2] S. Withey, P. Pracy, S. Wood, P.[elsevier.es]
Sexual Dysfunction
  • Predictors of psychological distress, sexual dysfunctions and physical functioning among women with upper extremity lymphedema related to breast cancer. Psychooncology. 1995;4(4):255–63. CrossRef Google Scholar 19. Greene AK, Slavin SA, Borud L.[link.springer.com]

Workup

Atelectasis
  • One week later, he developed respiratory distress provoked by right basal atelectasis, which worsened progressively. It was accompanied by atrial fibrillation, hyponatremia and hyperglycemia.[elsevier.es]

Treatment

  • ., nonpharmacologic, nonsurgical) treatments exist for secondary lymphedema. The optimal treatment is unknown. We examined the effectiveness of conservative treatments for secondary lymphedema, as well as harms related to these treatments.[ncbi.nlm.nih.gov]

Prognosis

  • While there is no cure, early diagnosis and treatment improves both the prognosis and the condition.[nccn.org]
  • When this tumor occurs in a lower extremity following inguinal lymphadenectomy and radiation therapy, prognosis is extremely poor because of the probability of pulmonary metastases.[plasticsurgerykey.com]
  • You should call your doctor the same day if you have symptoms that could be from an infection: Fever, redness, warmth or increased pain in addition to swelling Open sores or areas of broken skin Prognosis It isn't always easy to predict whether edema[drugs.com]

Etiology

  • Discussion Facial lymphedema is a condition that can have multiple etiologies.[elsevier.es]
  • The natural history varies from minimal swelling to severe deformities in the limb. 1 ETIOLOGY AND PATHOPHYSIOLOGY Lymphatic vessels collect and drain the excessive interstitial fluid that escapes the capillary circulation.[accesscardiology.mhmedical.com]
  • In secondary lymphedema, the lymphatic drainage is altered by an acquired blockade of the lymph nodes or by disruption of the local lymphatic channels caused by one of the following etiologies: Recurrent attacks of lymphangitis - A key type of this is[emedicine.medscape.com]
  • First, your lymphedema therapist will help determine the etiology of your condition and explain how your history led to your condition.[biohorizonmedical.com]
  • Because of this, lymphedema is clinically diagnosed by determining that a limb is in fact swollen, and eliminating other etiologies.[bmccancer.biomedcentral.com]

Epidemiology

  • Identification of epidemiologic and clinical factors associated with risk, incidence, and progression will provide the necessary foundation for preventive intervention.[cebp.aacrjournals.org]
  • Paskett ED, Naughton MJ, McCoy TP, Case LD, Abbott JM: The epidemiology of arm and hand swelling in premenopausal breast cancer survivors. Cancer Epidemiol Biomarkers Prev 2007;16:775-782.[karger.com]
  • Paskett ED, Naughton MJ, McCoy TP et al: The epidemiology of arm and hand swelling in premenopausal breast cancer survivors. Cancer Epidemiology and Biomarkers Preven– tion 16 (4) 2, 2007 pp.775–8. 4.[impedimed.com]
  • The epidemiology of arm and hand swelling in premenopausal breast cancer survivors. Cancer Epidemiol Biomarkers Prev. 2007; 16 (4):775–82. [ PMC free article ] [ PubMed ] 12. Ridner SH, Dietrich MS.[ncbi.nlm.nih.gov]
  • Epidemiology of dermatophytoses : Retrospective analysis from 2005 to 2010 and comparison with previous data from 1975. New Microbiol 2012. Vena GA, Cassano N, et al.[dermasud.it]
Sex distribution
Age distribution

Pathophysiology

  • The natural history varies from minimal swelling to severe deformities in the limb. 1 ETIOLOGY AND PATHOPHYSIOLOGY Lymphatic vessels collect and drain the excessive interstitial fluid that escapes the capillary circulation.[accesscardiology.mhmedical.com]
  • Mortimer PS: The pathophysiology of lymphedema. Cancer 1998;83:2798-2802.[karger.com]
  • Appropriate diagnosis and treatment recommendations must rest on a sound understanding of pathophysiology and compression therapy.[woundcareadvisor.com]
  • Citation Shoman H, Ellahham S (2017) Lymphedema: a mini-review on the pathophysiology, diagnosis and treatment.[oatext.com]
  • Teaching patients how to prevent or manage lymphedema improves their self-esteem and quality of life. 2-4 Pathophysiology The edema associated with lymphedema differs from the generalized edema resulting from chronic venous insufficiency or fluid overload[nursingcenter.com]

Prevention

  • This study demonstrates that regardless of the surgery type and the number of the lymph nodes removed, MLD effectively prevented lymphedema of the arm on the operated side.[ncbi.nlm.nih.gov]
  • Conclusion: All 8 studies included indicate a potential preventive effect of exercise on SL; however, further research is needed. 2018 S.[karger.com]

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