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Lymphoedema

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https://www.readbyqxmd.com/read/28500230/conjunctival-lymphangiectasia-associated-with-classic-fabry-disease
#1
Melanie D Sivley, Eric L Wallace, David G Warnock, William J Benjamin
BACKGROUND: Fabry disease (FD) is a treatable multisystem disease caused by a defect in the alpha-galactosidase gene. Ocular signs of FD, including corneal verticillata, are among the earliest diagnostic findings. Conjunctival lymphangiectasia (CL) has not previously been associated with FD. METHODS: We examined the eyes of a cohort of 13 adult patients, eight men and five women, with documented classic FD, all treated with enzyme replacement therapy (ERT) at the University of Alabama at Birmingham between February 2014 and April 2015...
May 12, 2017: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/28471264/angiosarcoma-clinical-and-imaging-features-from-head-to-toe
#2
Ayman H Gaballah, Corey T Jensen, Sarah Palmquist, Perry J Pickhardt, Alper Duran, Gregory Broering, Khaled M Elsayes
Angiosarcoma is a rare, aggressive subtype of soft-tissue sarcoma with a propensity for local recurrence and metastasis associated with a generally poor prognosis, unless diagnosed early. Given the vascular endothelial cell origin of angiosarcoma, tumours may develop in essentially any organ; however, there is a predilection for the skin where half of all tumours arise, increasing in prevalence with age. The most common risk factors are chronic lymphoedema and history of radiation. We review the most important radiological findings along the spectrum of angiosarcoma from head to toe throughout the body, including uncommon and rare locations...
May 4, 2017: British Journal of Radiology
https://www.readbyqxmd.com/read/28467226/commissioning-lymphoedema-services-for-people-living-with-and-beyond-cancer-in-london
#3
Karen A Robb, Liz Price
The Transforming Cancer Services Team (TCST) in London has produced comprehensive commissioning guidance for commissioners to improve the commissioning of lymphoedema services for people living with and beyond cancer. The guidance identifies how services are commissioned in London, sets out what good looks like and recommends how it can be achieved. The guidance was developed with the support of a task and finish group and was informed by telephone interviews with seven GP commissioners. A comprehensive mapping of specialist services was undertaken and has shown shortfalls in commissioning processes and significant gaps in provision across London...
May 1, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28467225/managing-ulceration-and-lymphorrhea-in-chronic-oedema
#4
Marie Todd, Karen Lay-Flurrie, Janet Drake
This clinical review article on the combined use of JOBST FarrowWrap and Cutimed® Sorbion® Sachet XL uses a case study methodology to demonstrate how effective this approach is in managing superficial ulceration and/or lymphorrhea in the presence of chronic oedema and lymphoedema. The blend of these symptoms causes significant physical and psychosocial issues for patients and is highly labour and resource intensive. However, there is often inadequate treatment choice leading to protracted input by nurses and delayed or failed healing...
May 1, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28467224/lymphoedema-support-network-update
#5
Karen Friett
No abstract text is available yet for this article.
May 1, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28467223/haddenham-easywrap-the-latest-innovation-in-the-management-of-lymphoedema
#6
Natalie Lee, Sue Lawrence
The use of velcro compression wrapping devices in the management of lymphoedema and chronic oedema is not a new concept. Wraps have been available for many years and are being used widely in clinic and community settings where bandaging or traditional compression garments are not suitable. Furthermore, they are becoming more common when treating venous disease, patients with wounds and lipoedema. The aim of this article is to introduce the reader and clinician to the new Haddenham easywrap and to demonstrate why it is different to any other velcro wrapping device available...
May 1, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28467222/the-physical-and-psychological-impact-of-lymphoedema
#7
Annabel De Coster
No abstract text is available yet for this article.
May 1, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28467221/audit-of-skin-changes-present-in-referrals-to-a-specialist-lymphoedema-service
#8
Marie Todd, Margaret Key, Margaret Rice, Michelle Salmon
An audit of 100 new patients attending a specialist lymphoedema clinic revealed 52% presented with chronic oedema. More than half (58%) of the chronic oedema group presented with skin changes whereas 14% of those with lipoedema, 4% with lymphoedema of the arm, and 8% with lymphoedema of the leg developed skin changes. None of the primary lymphoedema group developed skin changes. Chronic venous disease (CVD) was significantly more prevalent in the chronic oedema group. More patients with bilateral chronic oedema suffered from cellulitis (41%) compared to unilateral (27%)...
May 1, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28467220/myofascial-manual-lymphatic-drainage-for-burn-trauma-a-service-evaluation
#9
Anna Loskotová, Jitka Loskotová, Ivan Suchanek, Pavel Brychta, Bretislav Lipový
Improving microcirculation in the area of a wound is an important aspect of wound healing. It can be improved by a new manual methodology: myofascial-manual lymphatic drainage (M-MLD). This hybrid technique uses elements of musculoskeletal medicine and manual lymphatic drainage. Through palpation, M-MLD therapeutically affects the functional pathology of soft tissues, with reflection in trigger points, and also the functional pathology of lymphatic system, namely by lymphostasis in particular regional lymph nodes...
May 1, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28467217/improving-patient-concordance-in-lymphoedema-management-with-softfit-technology
#10
Dawn Heal
Lymphoedema and chronic oedema patients are cared for by all members of the community nursing team. Without knowledge and understanding of how to improve the condition, nurses feel under immense pressure in caring for their patients. Compression garments are the mainstay of treatment in the 'maintenance phase' (long-term management phase) of lymphoedema and chronic oedema ( Lymphoedema Framework, 2006 ). Choosing the most appropriate garment for the patient, providing adequate compression and controlling the oedema, is challenging...
May 1, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28467216/cycling-the-tourdesands-awareness-for-lymphoedema
#11
Jerry Watson
No abstract text is available yet for this article.
May 1, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28456757/panniculus-morbidus-obesity-related-abdominal-wall-lymphoedema
#12
Michael G Fadel, Michail Chatzikonstantinou, Charlotte Gilchrist, Brian Andrews
A 52-year-old female patient presented with a massive abdominal wall swelling that adversely affected her lifestyle. Imaging revealed significant subcutaneous oedema and the presence of grossly distended veins. Subsequently, she underwent a 'toilet' panniculectomy and abdominoplasty. We describe the surgical technique used to retract the lymphoedematous tissue facilitating excisional surgery, and discuss the pathophysiology of this condition and the possible contribution of venous obstruction to the development of subcutaneous oedema...
April 29, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28453323/the-management-and-treatment-of-hyperkeratosis
#13
Rebecca Elwell
Rebecca Elwell, Macmillan Lymphoedema Advanced Nurse Practitioner, Royal Stoke University Hospital, discusses recommendations on management of this skin problem, which may co-occur with chronic oedema.
April 27, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/28442210/issues-of-survivorship-and-rehabilitation-in-soft-tissue-sarcoma
#14
C Gerrand, S Furtado
As the number of survivors of extremity soft tissue sarcoma increases, so does the need to understand the experience of survivors and develop measures, systems and services that support rehabilitation into normal life roles. Survivorship includes considerations of the physical, psychological and social domains, of which the physical sequelae of treatment are the best characterised in the literature. The survivorship experience may include disability, pain, lymphoedema, psychological problems, as well as difficulty with employment, relationships and lower quality of life...
April 22, 2017: Clinical Oncology: a Journal of the Royal College of Radiologists
https://www.readbyqxmd.com/read/28431899/validation-of-the-fact-b-4-ul-questionnaire-and-exploration-of-its-predictive-value-in-women-submitted-to-surgery-for-breast-cancer
#15
Juan Alfonso Andrade Ortega, Ana Pilar Millán Gómez, Marisa Ribeiro González, Pilar Martínez Piró, Juan Jiménez Anula, María Belén Sánchez Andújar
INTRODUCTION AND OBJETIVE: The early detection of upper limb complications is important in women operated on for breast cancer. The "FACT-B+4-UL" questionnaire, a specific variant of the Functional Assessment of Cancer Therapy-Breast (FACT-B) is available among others to measure the upper limb function. PATIENTS AND METHODS: The Spanish version of the upper limb subscale of the FACT-B+4 was validated in a prospective cohort of 201 women operated on for breast cancer (factor analysis, internal consistency, test-retest reliability, construct validity and sensitivity to change were determined)...
April 18, 2017: Medicina Clínica
https://www.readbyqxmd.com/read/28392114/factors-associated-with-lower-extremity-dysmorphia-caused-by-lower-extremity-lymphoedema
#16
T Yamamoto, N Yamamoto, H Yoshimatsu, M Narushima, I Koshima
OBJECTIVES: Indocyanine green (ICG) lymphography has been reported to be useful for the early diagnosis of lymphoedema. However, no study has reported the usefulness of ICG lymphography for evaluation of lymphoedema with lower extremity dysmorphia (LED). This study aimed to elucidate independent factors associated with LED in secondary lower extremity lymphoedema (LEL) patients. METHODS: This was a retrospective observational study of 268 legs of 134 secondary LEL patients...
April 6, 2017: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28381390/the-possible-role-of-davinci%C3%A2-robot-for-patients-with-vulval-carcinoma-undergoing-inguinal-lymph-node-dissection
#17
Christos Iavazzo, Paraskevi Evangelia Iavazzo, Ioannis D Gkegkes
Inguinal lymph node dissection represents the gold standard of treatment for patients with vulval carcinoma. The application of minimally invasive techniques, such as the robotics, in the surgical treatment of gynaecological cancer, reduced the rate of postoperative complications, having an important impact on the quality of patients' life. Robotic inguinal lymph node dissection is a safe and oncologically effective but expensive and time consuming approach in patients with penile cancer or melanoma. However, it is related with less postoperative complications especially less lymphocele or lymphoedema rates and can improve the patients' quality of life minimising the cost for health systems...
April 6, 2017: Journal of the Turkish German Gynecological Association
https://www.readbyqxmd.com/read/28374907/a-randomised-controlled-trial-to-evaluate-the-effect-of-a-new-skin-care-regimen-on-skin-barrier-function-in-those-with-podoconiosis-in-ethiopia
#18
J Brooks, S J Ersser, F Cowdell, E Gardiner, A Mengistu, P J Matts
BACKGROUND: Podoconiosis affects an estimated 3 million people in Ethiopia with a further 19 million at risk. Volcanic soil and pathogens enter skin breaches in the feet causing inflammation, lymphoedema and hyperkeratosis. There is no robust evidence on optimal podoconiosis skin care regimens to improve SBF. OBJECTIVES: To evaluate the effectiveness of a new, low-cost, evidence-based intervention to improve SBF in the lower limbs of those with podoconiosis. METHODS: A randomized control trial (RCT) was conducted over 3 months in two podoconiosis clinics (n=193)...
April 4, 2017: British Journal of Dermatology
https://www.readbyqxmd.com/read/28366168/measuring-the-physical-and-economic-impact-of-filarial-lymphoedema-in-chikwawa-district-malawi-a-case-control-study
#19
Michelle C Stanton, Masato Yamauchi, Square Z Mkwanda, Paul Ndhlovu, Dorothy Emmie Matipula, Charles Mackenzie, Louise A Kelly-Hope
BACKGROUND: Lymphatic filariasis (LF) is one of the primary causes of lymphoedema in sub-Saharan Africa, and has a significant impact on the quality of life (QoL) of those affected. In this paper we assess the relative impact of lymphoedema on mobility and income in Chikwawa district, Malawi. METHODS: A random sample of 31 people with lymphoedema and 31 matched controls completed a QoL questionnaire from which both an overall and a mobility-specific score were calculated...
April 3, 2017: Infectious Diseases of Poverty
https://www.readbyqxmd.com/read/28346017/strong-in-the-face-of-adversity
#20
Simoni Binoy
Palliative care provides holistic care to individuals in life-threatening or life-limiting conditions. This narrative describes the journey of Kanchan. A strong lady and a doting mother, she came to the hospital by choice, in immense pain and with swelling. Her narrative illustrates how the palliative approach draws out the inner strengths of individuals by focusing on their issues and needs. Kanchan was able to benefit from physiotherapy to reduce the risk of lymphoedema after surgery for breast cancer. Her narrative illustrates how she found comfort and relief, ably supported by the dedicated hospital team...
March 27, 2017: Journal of Pain & Palliative Care Pharmacotherapy
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