Lymphedema: Difference between revisions
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====Imaging==== | ====Imaging==== | ||
Oil contrast lymphography may be used for diagnosis. Whole-body lymphangioscintigraphy may help in the diagnosis.<ref name="pmid2748831">{{cite journal |author=McNeill GC, Witte MH, Witte CL, ''et al.'' |title=Whole-body lymphangioscintigraphy: preferred method for initial assessment of the peripheral lymphatic system |journal=Radiology |volume=172 |issue=2 |pages=495–502 |year=1989 |month=August |pmid=2748831 |doi= |url=http://radiology.rsnajnls.org/cgi/pmidlookup?view=long&pmid=2748831 |issn=}}</ref> [[Magnetic resonance imaging]] may help in the diagnosis.<ref name="pmid1501525">{{cite journal |author=Case TC, Witte CL, Witte MH, Unger EC, Williams WH |title=Magnetic resonance imaging in human lymphedema: comparison with lymphangioscintigraphy |journal=Magn Reson Imaging |volume=10 |issue=4 |pages=549–58 |year=1992 |pmid=1501525 |doi= |url= |issn=}}</ref> | Oil contrast lymphography may be used for diagnosis. Whole-body lymphangioscintigraphy may help in the diagnosis.<ref name="pmid2748831">{{cite journal |author=McNeill GC, Witte MH, Witte CL, ''et al.'' |title=Whole-body lymphangioscintigraphy: preferred method for initial assessment of the peripheral lymphatic system |journal=Radiology |volume=172 |issue=2 |pages=495–502 |year=1989 |month=August |pmid=2748831 |doi= |url=http://radiology.rsnajnls.org/cgi/pmidlookup?view=long&pmid=2748831 |issn=}}</ref> [[Magnetic resonance imaging]] may help in the diagnosis.<ref name="pmid1501525">{{cite journal |author=Case TC, Witte CL, Witte MH, Unger EC, Williams WH |title=Magnetic resonance imaging in human lymphedema: comparison with lymphangioscintigraphy |journal=Magn Reson Imaging |volume=10 |issue=4 |pages=549–58 |year=1992 |pmid=1501525 |doi= |url= |issn=}}</ref> | ||
==Treatment== | |||
Multilayer compression bandaging for 2-3 weeks followed by hosiery may reduce the size of limbs with lymphedema.<ref name="pmid10870068">{{cite journal |author=Badger CM, Peacock JL, Mortimer PS |title=A randomized, controlled, parallel-group clinical trial comparing multilayer bandaging followed by hosiery versus hosiery alone in the treatment of patients with lymphedema of the limb |journal=Cancer |volume=88 |issue=12 |pages=2832–7 |year=2000 |month=June |pmid=10870068 |doi= |url=http://dx.doi.org/10.1002/1097-0142(20000615)88:12<2832::AID-CNCR24>3.0.CO;2-U |issn=}}</ref> | |||
==References== | ==References== | ||
<references/> | <references/> | ||
Revision as of 11:08, 18 May 2009
In medicine, lymphedema is "edema due to obstruction of lymph vessels or disorders of the lymph nodes."[1]
Diagnosis
Lymphedema should be distinguished from edema, myxedema, and lipedema.[2] Lipedema is more likely to spare the dorsum of the foot.
Physical examination
On physical examination, fast recovery of pitting is associated with lower serum albumin levels.[3] Fast recovery within 2-3 seconds, is more sensitive than specific at detecting hypoalbuminemia. Presumably this is related to the viscosity of the interstitial fluid thus hypoalbuminemic interstitial fluid can reform more quickly.[3]
Imaging
Oil contrast lymphography may be used for diagnosis. Whole-body lymphangioscintigraphy may help in the diagnosis.[4] Magnetic resonance imaging may help in the diagnosis.[5]
Treatment
Multilayer compression bandaging for 2-3 weeks followed by hosiery may reduce the size of limbs with lymphedema.[6]
References
- ↑ Anonymous (2024), Lymphedema (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ Loughlin V (May 1993). "Massive obesity simulating lymphedema". N. Engl. J. Med. 328 (20): 1496. PMID 8479476. [e]
- ↑ 3.0 3.1 Henry JA, Altmann P (April 1978). "Assessment of hypoproteinaemic oedema: a simple physical sign". British medical journal 1 (6117): 890–1. PMID 638510. PMC 1603695. [e] PubMed Central
- ↑ McNeill GC, Witte MH, Witte CL, et al. (August 1989). "Whole-body lymphangioscintigraphy: preferred method for initial assessment of the peripheral lymphatic system". Radiology 172 (2): 495–502. PMID 2748831. [e]
- ↑ Case TC, Witte CL, Witte MH, Unger EC, Williams WH (1992). "Magnetic resonance imaging in human lymphedema: comparison with lymphangioscintigraphy". Magn Reson Imaging 10 (4): 549–58. PMID 1501525. [e]
- ↑ Badger CM, Peacock JL, Mortimer PS (June 2000). <2832::AID-CNCR24>3.0.CO;2-U "A randomized, controlled, parallel-group clinical trial comparing multilayer bandaging followed by hosiery versus hosiery alone in the treatment of patients with lymphedema of the limb". Cancer 88 (12): 2832–7. PMID 10870068. [e]