{"id":3249,"date":"2014-05-21T15:07:03","date_gmt":"2014-05-21T15:07:03","guid":{"rendered":"http:\/\/old.institutcataladelpeu.com\/en\/?p=3249"},"modified":"2016-10-24T07:03:04","modified_gmt":"2016-10-24T07:03:04","slug":"basic-concepts-of-the-lymphedema","status":"publish","type":"post","link":"https:\/\/old.institutcataladelpeu.com\/en\/basic-concepts-of-the-lymphedema\/","title":{"rendered":"BASIC CONCEPTS OF THE LYMPHEDEMA"},"content":{"rendered":"
\n

The lymphedema is a unique disease which shows edemas located mainly in arms and legs. The obstruction of lymphatic canals causes this edema and it is usually produced by a lack of the lymphatic system accumulating lymph in the interstitial spaces of the subcutaneous tissue. The lymph is a light liquid carrier of lymphocytes and plasma which is connected to the drainage function and immune defense. Its accumulation causes a loss of cutaneous folds, heaviness of legs, tense and bright skin with the appearance of verrucae refilled with transparent fluid as well as articular stiffness.<\/p>\n

The lymphedema can be:<\/p>\n

    \n
  1. Primary: it happens when the lymphatic ducts and lymph nodes can not transport proteins and other molecules in order to be absorbed by the venous system. It is unusual and hereditary. Symptoms can appear at birth or during life.<\/li>\n
  2. Secondary: as a consequence or radiotherapy by tumoral affectation of lymph nodes, surgical exeresis of these ones, paralysis, chronic venous insufficiency and traumatisms.<\/li>\n<\/ol>\n

    There are four kinds of lymphedema according to its distribution, location and appearance of the lymphatic ducts.<\/p>\n

    a)\u00a0\u00a0\u00a0\u00a0 Type 1: It is usually asymptomatic. We can see anomalies in the big collectors and not in the initial lymphatic.<\/p>\n

    b)\u00a0\u00a0\u00a0 Type 2: at this level the skin is buried when putting pressure on it. The inflammation decreases when raising the extremity. There is an hypoplasia of collectors and an hyperplasia of initial lymphatic networks.<\/p>\n

    c)\u00a0\u00a0\u00a0\u00a0 Type 3: the skin is hardened and it doesn\u2019t bury when putting pressure on it and the inflammation doesn\u2019t decrease when raising the extremity. The collectors and initial lymphatic are widened.<\/p>\n

    d)\u00a0\u00a0\u00a0 Type 4: lack of lymph nodes in\u00a0 the skin and it shows lumps or dermic prominences. It is called lymphatic elephantiasis.<\/p>\n

    The lymphedema is diagnosed through a lymphoscintography and an isotopic lymphography (sight of lymphatic vessels through contrast) although the clinical recording, the exploration, the CAT or the magnetic resonance can confirm the diagnosis.<\/p>\n

    In this pathology the most commom treatments are:<\/p>\n

      \n
    1. Manual lymphatic drainage (it helps to create alternative ways of drainage).<\/li>\n
    2. Kinesitherapy (exercises to improve the circulation of the lymph).<\/li>\n
    3. Heavy bandages (they allow to reabsorb the edema).<\/li>\n
    4. Surgery (venular lymphatic anastomosis).<\/li>\n<\/ol>\n

      In these cases is very important to prevent infections through an exhaustive hygiene. In case there is an infection (lymphangiitis) it is usually accompanied by pain, reddening, an increase of edema and fever.<\/p>\n

      \n
      \n
      \"BASIC<\/a><\/dt>\n
      Lymphedema in the right extremity. Watch the difference with the other extremity.<\/dd>\n<\/dl>\n<\/div>\n

      \"BASIC<\/a><\/p>\n

      \n
      \n
      Ves\u00edculas d\u00e9rmicas caracter\u00edsticas del linfedema.<\/dd>\n<\/dl>\n<\/div>\n

      \"BASIC<\/a><\/p>\n

      \n
      \n
      \"BASIC<\/a><\/dt>\n
      Type 3 lymphedema.<\/dd>\n<\/dl>\n<\/div>\n
      \n
      \n
      \"BASIC<\/a><\/dt>\n
      Type 2 lymphedema. Pressure on the back of foot.<\/dd>\n<\/dl>\n<\/div>\n
      \n
      \n
      \"BASIC<\/a><\/dt>\n
      Type 2 lymphedema. Effect of the pressure exerted in the zone<\/dd>\n<\/dl>\n<\/div>\n
      \n
      \n
      \"BASIC<\/a><\/dt>\n
      Lymphedema. Front view.<\/dd>\n<\/dl>\n<\/div>\n
      \n
      \n
      \"BASIC<\/a><\/dt>\n
      Lymphedema. Back view.<\/dd>\n<\/dl>\n<\/div>\n
      \n
      \n
      \"BASIC<\/a><\/dt>\n
      Lymphedema. Watch the dorsal edema and the elephantiasic appearance of the skin.<\/dd>\n<\/dl>\n<\/div>\n
      \n
      \n
      \"BASIC<\/a><\/dt>\n
      Problems that these patients have about shoes.<\/dd>\n<\/dl>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

      The lymphedema is a unique disease which shows edemas located mainly in arms and legs. The obstruction of lymphatic canals causes this edema and it is usually produced by a lack of the lymphatic system accumulating lymph in the interstitial spaces of the subcutaneous tissue. The lymph is a light liquid carrier of lymphocytes and […]<\/p>\n","protected":false},"author":3,"featured_media":6270,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[277,344,280,304],"tags":[],"class_list":["post-3249","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dermatological-disorders","category-icp-en","category-others","category-pathology"],"yoast_head":"\nBASIC CONCEPTS OF THE LYMPHEDEMA - Institut Catal\u00e0 del Peu<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"BASIC CONCEPTS OF THE LYMPHEDEMA - Institut Catal\u00e0 del Peu\" \/>\n<meta property=\"og:description\" content=\"The lymphedema is a unique disease which shows edemas located mainly in arms and legs. The obstruction of lymphatic canals causes this edema and it is usually produced by a lack of the lymphatic system accumulating lymph in the interstitial spaces of the subcutaneous tissue. 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