Elephantiasis and Maintenance of Results Following Intensive Treatment
Lymphoedema is a chronic clinical condition with no cure. However, novel therapy concepts developed in recent years aim to bring the affected limb within or close to the limits of normality. Elephantiasis is the most advanced stage of this condition, but the results of therapy can be maintained with...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2019-08-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/13051/40540_CE[Ra1]_F(SL)_PF1(AJ_KM)_PN(SL).pdf |
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| author | Jose Maria Pereira De Godoy Henrique Jose Pereira De Godoy Ana Carolina Pereira De Godoy Maria De Fatima Guerreiro Godoy |
| author_facet | Jose Maria Pereira De Godoy Henrique Jose Pereira De Godoy Ana Carolina Pereira De Godoy Maria De Fatima Guerreiro Godoy |
| author_sort | Jose Maria Pereira De Godoy |
| collection | DOAJ |
| description | Lymphoedema is a chronic clinical condition with no cure. However, novel therapy concepts developed in recent years aim to bring the affected limb within or close to the limits of normality. Elephantiasis is the most advanced stage of this condition, but the results of therapy can be maintained with continued treatment. The aim of the present study was to demonstrate the continual reduction in Lymphoedema, Clinical Stage III, elephantiasis, after intensive treatment with the maintenance of therapy. A 42-year-old female patient reported a history of oedema in the groin region at 12 years of age, for which no cause was defined. At 17 years of age, the patient noticed swelling of the left ankle and sought a physician, who diagnosed lymphoedema. At the time, stage III lymphoedema (elephantiasis) was confirmed, body weight was 66.0 kg and the Body Mass Index (BMI) was 27.1 kg/m2 . Intensive treatment was performed. Body weight was reduced to 61.3 kg and the BMI was reduced to 25.2 kg/m2 . Bioimpedance analysis revealed reductions in fluid and volume to 5618 gm, which was a reduction of 2517 gm (47%). After three years, the patient was submitted to another intensive treatment, during which the volume was reduced to 3520 gm (40.2%). She was discharged to continue treatment at home, but with a volumetric difference of 784 gm in comparison to the unaffected limb. Patients with elephantiasis who are submitted to intensive treatment and maintain treatment at home can continue to experience a significant reduction in oedema, with decreases in both intracellular and extracellular water to within patterns of normality. |
| first_indexed | 2024-12-11T06:34:18Z |
| format | Article |
| id | doaj.art-8c37f2b779e144b8a6227d1d48261694 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-11T06:34:18Z |
| publishDate | 2019-08-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-8c37f2b779e144b8a6227d1d482616942022-12-22T01:17:26ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2019-08-01138PD01PD0210.7860/JCDR/2019/40540.13051Elephantiasis and Maintenance of Results Following Intensive TreatmentJose Maria Pereira De Godoy0Henrique Jose Pereira De Godoy1Ana Carolina Pereira De Godoy2Maria De Fatima Guerreiro Godoy3MD, PhD, Department of Cardiology and Cardiovascular Surgery, Medicine School in São José do Rio Preto (FAMERP), CNPq (National Council for Research and Development, Sao Jose do Rio Preto, Sao Paulo, Brazil.Student, Department of Medicine, Medicine School of Universidade Federal do Mato Grosso-Cuiabá-UFMT and Research Group in the Clínica, Sao Jose do Rio Preto, Sao Paulo, Brazil.MD, Paediatrics Unit Intensive Therapy, Santa Casa de São Paulo, Brazil and Research Group of Clínica Godoy, Sao Jose do Rio Preto, Sao Paulo, Brazil.OT, PhD, Department of Rehabilitation, Medicine School of Sao Jose do RioPreto and Clinica Godoy-Brazil, Sao Jose do Rio Preto, Sao Paulo, Brazil.Lymphoedema is a chronic clinical condition with no cure. However, novel therapy concepts developed in recent years aim to bring the affected limb within or close to the limits of normality. Elephantiasis is the most advanced stage of this condition, but the results of therapy can be maintained with continued treatment. The aim of the present study was to demonstrate the continual reduction in Lymphoedema, Clinical Stage III, elephantiasis, after intensive treatment with the maintenance of therapy. A 42-year-old female patient reported a history of oedema in the groin region at 12 years of age, for which no cause was defined. At 17 years of age, the patient noticed swelling of the left ankle and sought a physician, who diagnosed lymphoedema. At the time, stage III lymphoedema (elephantiasis) was confirmed, body weight was 66.0 kg and the Body Mass Index (BMI) was 27.1 kg/m2 . Intensive treatment was performed. Body weight was reduced to 61.3 kg and the BMI was reduced to 25.2 kg/m2 . Bioimpedance analysis revealed reductions in fluid and volume to 5618 gm, which was a reduction of 2517 gm (47%). After three years, the patient was submitted to another intensive treatment, during which the volume was reduced to 3520 gm (40.2%). She was discharged to continue treatment at home, but with a volumetric difference of 784 gm in comparison to the unaffected limb. Patients with elephantiasis who are submitted to intensive treatment and maintain treatment at home can continue to experience a significant reduction in oedema, with decreases in both intracellular and extracellular water to within patterns of normality.https://jcdr.net/articles/PDF/13051/40540_CE[Ra1]_F(SL)_PF1(AJ_KM)_PN(SL).pdfbioimpedance analysisdiagnosislymphoedemavolume displacement |
| spellingShingle | Jose Maria Pereira De Godoy Henrique Jose Pereira De Godoy Ana Carolina Pereira De Godoy Maria De Fatima Guerreiro Godoy Elephantiasis and Maintenance of Results Following Intensive Treatment Journal of Clinical and Diagnostic Research bioimpedance analysis diagnosis lymphoedema volume displacement |
| title | Elephantiasis and Maintenance of Results Following Intensive Treatment |
| title_full | Elephantiasis and Maintenance of Results Following Intensive Treatment |
| title_fullStr | Elephantiasis and Maintenance of Results Following Intensive Treatment |
| title_full_unstemmed | Elephantiasis and Maintenance of Results Following Intensive Treatment |
| title_short | Elephantiasis and Maintenance of Results Following Intensive Treatment |
| title_sort | elephantiasis and maintenance of results following intensive treatment |
| topic | bioimpedance analysis diagnosis lymphoedema volume displacement |
| url | https://jcdr.net/articles/PDF/13051/40540_CE[Ra1]_F(SL)_PF1(AJ_KM)_PN(SL).pdf |
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