A new concept of a multidisciplinary lymphoedema centre: established in connection to a department of dermatology and the Copenhagen Wound Healing Center

Abstract

A multidisciplinary lymphoedema centre improves management, knowledge and awareness of lymphoedema. This model, with minor adjustments, may be applicable for other regions and countries.

Primary upper-limb lymphoedema

“…The portal of entry is usually clear (leg ulcer, wound, excoriated leg dermatosis, toe web intertrigo, cracked plantar hyperkeratosis). For the upper limb, no similar study is available, but almost one‐third of women with breast cancer‐related lymphoedema developed cellulitis, 12 similar to LLL 13 …”

Can tissue dielectric constant measurement aid in differentiating lymphoedema from lipoedema in women with swollen legs?

“…Initially 30 subjects were included in the study: 10 healthy controls, 10 patients with confirmed diagnosis of lipoedema and 10 patients with confirmed diagnosis of lymphoedema. Patients were recruited from the Lymphoedema Center outpatient clinic at the Copenhagen Wound Healing Center, Bispebjerg University Hospital, Copenhagen . Only women were included, as lipoedema affects women almost exclusively.…”

“…4 It has been reported that 10-20% of patients referred to lymphoedema clinics are subsequently diagnosed with lipoedema. 5,6 Lipoedema and lymphoedema can be differentiated on medical history and clinical findings. However, it is often difficult to distinguish the two conditions, even for skilled practitioners, and lipoedema is frequently misdiagnosed as lymphoedema.…”

“…Lipoedema, which affects women almost exclusively, is characterized by bilateral, symmetrical enlargement of the lower extremities owing to abnormal deposits of subcutaneous fat, typically from the buttocks to the ankles, with sparing of the feet . It has been reported that 10–20% of patients referred to lymphoedema clinics are subsequently diagnosed with lipoedema . Lipoedema and lymphoedema can be differentiated on medical history and clinical findings.…”

Effects of heat stress on the expression of the coxsackievirus and adenovirus receptor in mouse skin keratinocytes

“…Wound problems commonly occur in clinical practice; ∼l% of the global population suffers from persistent wound problems, and 5% of total medical costs are spent on wound treatments (1,2). Accurate wound treatment is required to solve this problem effectively, and such treatment relies on a better understanding of the wound healing mechanism.…”