Other
LYMPHEDEMA IN CLINICAL PRACTICE
SANJA ŠPOLJAR
; Sestre milosrdnice University Hospital Center, University Department of Dermatovenereology, Zagreb, Croatia
VLATKA ČAVKA
; Sestre milosrdnice University Hospital Center, University Department of Dermatovenereology, Zagreb, Croatia
ANAMARIJA TVORIĆ
; Sestre milosrdnice University Hospital Center, University Department of Dermatovenereology, Zagreb, Croatia
Abstract
Lymphedema is a chronic, progressive condition in which there is swelling of the limb/s and/or genitalia, resulting from lymphatic system insuficiency and deranged lymphatic transport. There is abnormal accumulation of interstitial luid rich in protein, which increases the intercellular plasma oncotic pressure and leads to further accumulation of luid. It also contains water, blood cells and hyaluronic acid. As lymphedema progresses, it leads to the activation of macrophages and development of chronic inlammation, inducing collagen and adipocyte proliferation. The result is tissue ibrosis and skin changes. Lymphedema can be categorized as either primary or secondary. Primary lymphedema is caused by inborn abnormalities of the lymphatic system. Secondary lymphedema refers to an acquired cause. Physical examination and medical history are still key factors for accurate diagnosis. Assessment of limb volume should be made before, during and after treatment. Combined physical therapy comprises of the lymphedema reduction phase and maintenance phase to stabilize lymphedema. Treatment success depends on the stage and cause of lymphedema. It requires long-term treatment.
Keywords
lymphedema; primary; secondary; combined physical therapy
Hrčak ID:
148104
URI
Publication date:
8.11.2015.
Visits: 3.536 *