Book review
https://doi.org/10.48188/hczz.2.1.2
A Case Report of Late Onset Primary Lymphedema - From Diagnosis to Successful Management Strategies
Ivana Klarić Kukuz
; University of Split University Department of Health Studies, Split, Croatia
Josipa Grančić
; Private Clinic Podologija, Split, Croatia
Marta Pavlović
; Institute for Physical Medicine and Rehabilitation with Rheumatology, University Hospital of Split, Croatia; University of Split University Department of Health Studies, Split, Croatia
Ana Barić Žižić
; Nuclear Medicine Department, University Hospital of Split, Croatia; University of Split, School of Medicine, Split, Croatia
Jure Aljinović
; Institute for Physical Medicine and Rehabilitation with Rheumatology, University Hospital of Split, Croatia; University of Split University Department of Health Studies, Split, Croatia
Ivanka Marinović
; Institute for Physical Medicine and Rehabilitation with Rheumatology, University Hospital of Split, Croatia; University of Split University Department of Health Studies, Split, Croatia
Ana Poljičanin
; Institute for Physical Medicine and Rehabilitation with Rheumatology, University Hospital of Split, Croatia; University of Split University Department of Health Studies, Split, Croatia
Abstract
We present a case report of a 46-year-old nurse with lower limb, late onset, second degree primary lymphedema diagnosed thirty years after symptoms onset. Lack of specialised lymphedema clinics, lymphedema specialists, lymphedema management guidelines and lymphedema registry are main causes for prolonged diagnosis in Croatia. Primary lymphedema treatment was con-ducted through 45-minutes sessions three times a week in total 7 sessions. Treatment sessions consisted of limb circumference mea-surements and manual lymph drainage followed by Partsch compression therapy protocol and education. Instructions for physical activity were made likewise. Significant volume reduction was successful despite long primary lymphedema duration. Changes in quality of life and physical activity were noted by self-administered questionnaires. Compression garment specialist made measures for flat knitted stockings compression class III. that are indicated for lymphedema and have important role in the maintenance phase of limb volume. Despite the fact that primary lymphedema is chronic condition, and it has been left untreated for over thirty years in our patient. With proper lymphedema therapy management and teamwork it is possible to achieve and maintain satisfying treatment results especially if you have motivated and properly educated patient
Keywords
primary lymphedema; lymphoscintigraphy; maunal lymph drainage; compression bandages
Hrčak ID:
277606
URI
Publication date:
3.5.2022.
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