Evolución distinta de linfedema primario etapa II de miembros inferiores

López-Montoya, Luis; Godoy, José Maria Pereirade; Guerreiro-Godoy, María de Fátima

doi:10.15446/revfacmed.v67n3.66099

Cited by 4 publications

(4 citation statements)

References 6 publications

(3 reference statements)

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“…According to Pubmed's MeSH database and International Society of Lymphology, lymphedema is defined as a chronic-progressive disease which produces rich protein edema, caused by the obstruction of lymph vessels, lymph nodes or lymphatic function disorders [1,2], this produces chronic fibrosclerotic changes in tissues and a chronic inflammatory response [3]; its progression affects physical function, quality of life [4] and the social and economic framework of patients [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Lymphedema in Mexico: A Clinical and Epidemiological Overview

Montoya

Cabanillas

Aguirre

et al. 2022

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Background: There is insufficient clear epidemiological and clinical knowledge about lymphedema patient’s population in Mexico, this limits its investigation. The objective of this study is to present basic lymphedema epidemiological data and its clinical characteristics based on the analysis of lymphedema patients’ data collected from a specialized rehabilitation clinic in Mexico. Methods: This is a cohort study developed between 2015 and 2021. The study was carried ou in a private clinic specialized in oncological and peripheral vascular patients’ rehabilitation. Clinical assessments and interviews were performed to collect each case’s clinical history, considering its medical characteristics, physical activity and functionality and socio-demographic information, classified in a matrix, and later statistically evaluated. Results: Among 446 lymphedema patients, gender distribution was represented by 81% female and 19% male with a mean age of 50.5 years (±44.5). The population was categorized into the following three different study groups according to diagnosis: Cancer-Related Lymphedema (CRL), Non-Cancer-Related Secondary Lymphedema (NCRSL) and Primary Lymphedema. 60.08% of the patients had CRL; 25.11% had NCRSL and 14.79% had Primary Lymphedema. Among the patients with CRL, 81% of them corresponded to breast cancer diagnosis, the rest were associated to 19 different cancer diagnoses. The most prevalent diagnosis was breast CRL 48.6%; phlebolymphedema 19.4%; congenital and praecox lymphedema 14.1%; lipo-lymphedema 4.8%. The BMI of 64% of the patients ranged in overweight and obesity. 37.6% of patients reported that had experienced pain in limbs affected by lymphedema and 45% of all patients reported some disability to perform one or more activities associated to their limb volume or limb discomfort. 82% of patients had no physical activity or performed less physical activity than what is suggested to their population group’s recommendation. Conclusion: This study stablishes a precedent on reporting the broadest available epidemiological and clinical data of lymphedema in Mexico. Further studies are needed to report with a higher precision the epidemiological, clinical, and demographical data about each etiological group for a better understanding of lymphedema in Mexico and Latin America.

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Section: Introductionmentioning

confidence: 99%

Lymphedema in Mexico: A Clinical and Epidemiological Overview

Montoya

Cabanillas

Aguirre

et al. 2022

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“…Lymphedema is a chronic-progressive disease that causes rich protein edema in a body's segment and occurs due to the obstruction of lymph vessels, lymph nodes, or lymphatic function disorders, according to Pubmed's MeSH database and the International Society of Lymphology [1,2]. Lymphedema produces progressive limb growth due to lymph stasis, chronic fibrosclerotic changes in tissues, and a chronic inflammatory response [3], its progression affects the quality of life [4] the social context and economy of this group of patients [5], affecting more than 250 million people worldwide [6] and an estimated of 5 million in Mexico [7].…”

Section: Introductionmentioning

confidence: 99%

Lymphedema as Consequence of Loxosceles Brown Spider Bite: A Case Report and Literature Review

López-Montoya¹,

Zarate-Sánchez

Saenz-Ramirez

et al. 2022

IJTDH

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Introduction: Secondary lymphedema is defined as a chronic-progressive disease that causes rich protein edema of the limbs, this may be caused due to the damage or obstruction of lymphatic structures; complications associated with loxosceles spider bite may cause damage to the lymphatic system. Objective: To describe the clinical case of a patient with lower extremity lymphedema secondary to loxosceles' spider bite complications and to present a literature review on the topic. Case Presentation: A 24-year-old man received previous medical attention between 2020-and 2021 due to complications of a loxosceles brown spider bite. He arrived at our facilities in January 2022 to assess his case related to progressive volume leg increase and a chronic wound in the bitten site. After the clinical history analysis, physical examination, and a near-infrared lymphography study of the leg, damage to lymphatic structures was identified; secondary lymphedema was confirmed. It was possible to reverse and control the lymphedema volume and the wound evolved to complete closure. The case is presented along with a literature review on the topic. Conclusion: It is presented a case of lymphedema associated with a loxosceles brown spider bite, and successfully treated. Lymphedema related to a loxosceles spider bite and its complications is a clinical reality that might be underrecognized by scientific literature and clinicians; this condition should be properly studied and considered with adequate assessment strategies in patients after suffering the spider bite in extremities, especially in the mid and long-term.

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“…According to the Pubmed´s MeSH database and the International Society of Lymphology Consensus, lymphedema is defined as a "chronic-progressive lymphatic disease which produces edema, due to the obstruction of lymph vessels or caused by disorders of the lymph nodes", this lack of transport, produces chronic fibrosclerotic changes in tissues and a inflammatory response [8], its progression affects the quality of life [9] and the economy of patients [10].…”

Section: Introductionmentioning

confidence: 99%

“…Lymphedema may occur due to primary congenital malformations of lymphatic and venous system or secondary to different agents that damage lymphatic structures such as lymph nodes, vessels, capillaries, such as parasite infection (filarial), cancer related (lymph node removal, radiotherapy, regional neoplasm), direct trauma, chronic skin cellulite infections, obesity and chronic venous insufficiency. It is estimated that more than 250 million patients around the world have a lymphatic disease [6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Development and Feasibility of a Very Low-cost, Home-made, Near Infrared lymphatic Imaging Device

Montoya¹,

Valadez²,

López³

et al. 2020

JAMMR

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Introduction: Near Infrared (NIR), lymphatic Imaging is an emergent imaging technique used to assess superficial lymphatic structures and its function. It uses a NIR light source and a special camera that detects the fluorescence of a non-radioactive dye called indocyanine green (ICG), which is injected subdermally and its way through lymphatic capillaries, making this device useful in the diagnosis and follow up of lymphatic diseases. Objective: To show (NIR) step-by-step development of a feasible, user-friendly, and low-cost homemade Near Infrared (NIR) lymphatic imaging device. Methods: Using worldwide available components such as a customized laser and a modified webcam, we assembled what is a functional plug and play NIR lymphatic imaging device and evaluated its function with a 25-year-old healthy woman. Conclusion: It is feasible to build a functional, homemade, low-cost Near Infrared (NIR) lymphatic imaging device in a tenth of its value.

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Evolución distinta de linfedema primario etapa II de miembros inferiores

Cited by 4 publications

References 6 publications

Lymphedema in Mexico: A Clinical and Epidemiological Overview

Lymphedema in Mexico: A Clinical and Epidemiological Overview

Lymphedema as Consequence of Loxosceles Brown Spider Bite: A Case Report and Literature Review

Development and Feasibility of a Very Low-cost, Home-made, Near Infrared lymphatic Imaging Device

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