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- Title
LYMPHEDEMA.
- Authors
De Takats, Geza; Evoy, Matthew H.
- Abstract
This study is based on 150 personally observed cases, of whom 28 were classified congenital, 11 traumatic, 58 inflammatory, 22 degenerative (malignant) and 31 of unknown origin. There were 35 males to 115 females. No cases of thrombophlebitie edema are included in this series although a lymphatic component is present in this group of greater or lesser degree. This simple classification is of value in understanding the mechanism of this insidious malady. With increasing knowledge, the number of cases of unknown origin should gradually fall into one of these groups. From the standpoint of therapy, the acute, chronic and slowly progressive stages are important, since the acute lymphedema if treated early and intensively yields readily to therapy and leaves the least amount of irreversible edema and fibrosis. Attention has been called to the beneficial effects of elevation, elastic compression, mereurial diuresis, heparinization and sympathetic blocks, each having their proper place, used alone or in combination with each other. To decompress the swollen lymph glands and clear their sinusoids from debris and fibrin deposits Roentgen therapy and small doses of typhoid vaccine have been employed. In the chronic, late cases which cannot be controlled by conservative measures, excision of the diseased tissues has been performed; the cosmetic results are not striking, but out of 28 cases followed from one to twenty-five years, 17 had satisfactory, 5 had doubtful and six had poor results.
- Subjects
LYMPHEDEMA; EDEMA; LYMPH circulation disorders; WOMEN'S health; RADIOSCOPIC diagnosis; TYPHOID vaccines
- Publication
Angiology, 1950, Vol 1, Issue 1, p73
- ISSN
0003-3197
- Publication type
Article
- DOI
10.1177/000331975000100107