Manual lymphatic drainage and multilayer compression therapy for vulvar edema: a case series

Silva, Marcela Ponzio Pinto e; Bassani, Mariana Almada; Miquelutti, Maria Amélia; Marques, Andrea de Andrade; Amaral, Maria Teresa Pace do; Oliveira, Mariana Maia Freire de; Ferreira, Néville de Oliveira

doi:10.3109/09593985.2015.1038375

Cited by 9 publications

(5 citation statements)

References 18 publications

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“…Other biologics, adalimumab and certolizumab, have also shown effectiveness in resolving cutaneous Crohn's disease [5, 6]. Multilayer compression therapy is also an option, as it has shown effectiveness in decreasing vulvar edema of various causes [13]. Surgical intervention may be required for vulvar Crohn's disease refractory to all medical therapies, such as in fixed edema [9].…”

Section: Discussionmentioning

confidence: 99%

Delayed Diagnosis of Vulvar Crohn’s Disease in a Patient with No Gastrointestinal Symptoms

Wells

Cohen²

2018

Case Rep Dermatol

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Though Crohn’s disease primarily affects the gastrointestinal tract, cutaneous Crohn’s disease of the vulva can occur in the absence of gastrointestinal symptoms, complicating the diagnosis. Once clinicians suspect cutaneous Crohn’s disease, antibiotics and traditional immunosuppressants comprise initial treatment. Unfortunately, sometimes these therapies are not effective, or they provide only short-lived symptomatic improvement. A few case reports have found tumor necrosis factor-α inhibitors to be helpful in such refractory cases. We describe a patient with long-standing, painful vulvar Crohn’s lesions with no gastrointestinal manifestations of the disease. Her diagnosis was delayed for years, and initial therapy with antibiotics and steroids was unsuccessful. Finally, the patient experienced effective and long-lasting symptom improvement with infliximab (Remicade^TM).

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Section: Discussionmentioning

confidence: 99%

Delayed Diagnosis of Vulvar Crohn’s Disease in a Patient with No Gastrointestinal Symptoms

Wells

Cohen²

2018

Case Rep Dermatol

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“…Entre os tratamentos mais utilizados na gestação, destaca-se a drenagem linfática manual (DLM) e o uso do kinesiotaping (KT), conhecido por bandagem funcional, por ser tratarem de técnicas que não possuem muitas contraindicações durante o período gestacional 5 . A DLM exerce funções importantes em todo o organismo, como a melhora da circulação sanguínea, eliminando toxinas e a diminuição da retenção líquida (inchaço), além de, ativar a oxigenação celular, estimular a lactação e dessensibilização das mamas, preparando-as para a amamentação, bem como, previne e combate varizes, a sensação de pernas cansadas, combate a celulite e estrias, bem como a nutrição dos tecidos 6 .…”

Section: Metodologiaunclassified

Effectiveness of manual lymphatic drainage associated with functional banding in the clinical improvement of gynoid lipodystrophy in pregnant women: a clinical, controlled and randomized trial

Delgado¹,

Araújo²,

Mata³

et al. 2021

Mundo Saúde

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Efetividade da drenagem linfática manual associada a bandagem funcional na melhora clínica do fibro edema gelóide em gestantes: ensaio clínico, controlado e randomizado Resumo No período gestacional, mulheres podem desencadear disfunções hormonais que induzem ao acúmulo de edema e nódulos fibróticos, favorecendo a formação de relevos cutâneos ocasionando sensação dolorosa. Sendo assim, este estudo visou comparar a efetividade da drenagem linfática manual com ou sem o uso da bandagem funcional no fibro edema gelóide (FEG) em gestantes no segundo e terceiro trimestre gestacional. Trata-se de um ensaio clínico randomizado, composta por três grupos: G1: Drenagem Linfática Manual (DLM); G2: DLM + Bandagem Funcional (BF); G3: Grupo Controle. Critério de inclusão: gestantes no segundo e terceiro trimestre, primípara e multípara e gestação de feto único. Realizou-se a DLM na região dos glúteos e membros inferiores e a BF aplicada da região inguinal em forma de teia direcionada a região medial dos glúteos, usando uma tensão superficial de 10%. Utilizou-se um protocolo de avaliação do fibro edema gelóide (PAPEG), anamnese, exame físico com inspeção, teste de preensão, teste de sensibilidade tátil (monofilamento de semmes-weinstein), avaliação da sensibilidade, grau, dor, recomendação e satisfação da paciente. Foram realizadas fotos da região do glúteo do antes e depois e avaliadas por 10 especialistas através da fotogrametria. Observou-se uma melhora clínica significativa no grupo drenagem e na associação com a bandagem quando comparado ao grupo controle pelos 10 especialistas. Houve uma melhora significativa nas notas dos especialistas nos grupos G1 e G2, quando comparado ao G3. Portanto, o presente estudo demonstrou uma melhora clínica no fibro edema gelóide das gestantes que receberam a DLM isolada, e na associação com a BF, quando comparado ao grupo controle.

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“…The latter is reported to resolve vulvar edema faster than expected. [33] In our clinical practice, we educate genital lymphedema patients for self-MLD at the initial visit. Due to the shape and location of genital lymphedema, wrapping bandages and compression garments can be difficult to apply.…”

Section: Complications Of Lymphedemamentioning

confidence: 99%

“…Compression garments with elastic shorts are needed to support and compress the external genitalia in the maintenance phase of CDT. [32,33] pEdiatriC lymphEdEma Primary lymphedema, which results from a nonsyndromic inherited condition or as a part of a syndromic disorder (i.e., Turner, Noonan, Prader-Willi, Klippel-Trenaunay, or vascular malformations [ Figure 14]), is the most common type in children. In most cases, edema is present from birth ( Figure 15), but may also develop later in some cases.…”

Section: Complications Of Lymphedemamentioning

confidence: 99%

Lymphedema diagnosis, treatment, and follow-up from the view point of physical medicine and rehabilitation specialists

Borman

2018

Turk J Phys Med Rehab

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Lymphedema is an incurable, debilitating and progressive condition, leading to physical and psychosocial consequences for the patients, if left untreated. The Physical Medicine and Rehabilitation (PMR) specialist is responsible for the differential diagnosis and evaluation of the patient to tailor management and rehabilitation strategies. Therefore, the PMR specialist must have knowledge and education on the diagnosis of disease and possible complications as well as evaluation, treatment and follow-up of the patient. In this review, the pathophysiology, epidemiology, and diagnostic and therapeutic approaches of lymphedema as well as preventive strategies and follow-up strategies are discussed in the light of the current literature.

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Manual lymphatic drainage and multilayer compression therapy for vulvar edema: a case series

Cited by 9 publications

References 18 publications

Delayed Diagnosis of Vulvar Crohn’s Disease in a Patient with No Gastrointestinal Symptoms

Delayed Diagnosis of Vulvar Crohn’s Disease in a Patient with No Gastrointestinal Symptoms

Effectiveness of manual lymphatic drainage associated with functional banding in the clinical improvement of gynoid lipodystrophy in pregnant women: a clinical, controlled and randomized trial

Lymphedema diagnosis, treatment, and follow-up from the view point of physical medicine and rehabilitation specialists

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