A diagnostic dilemma: aetiological diagnosis of lymphoedema patients at an Indian multidisciplinary meeting.

Lymphatic filariasis (LF) is caused by a mosquito-transmitted infection. The morbidity of this infection can result in chronic, progressive lymphoedema. LF is recognised as one of the most common causes of lymphoedema worldwide with an estimated 40 million people affected. In India, LF is considered...

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Publicado en:Journal of Lymphoedema Vol. 14; no. 1; pp. 54 - 58
Autores principales: van Zanten, M., Riches, K., Keeley, V., Mortimer, P., Ryan, T., Mansour, S., Narahari, S.
Formato: case study pictorial tables/charts Journal Article
Publicado: SB Communications Group, A Schofield Media Company Jun2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2019
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      pub: SB Communications Group, A Schofield Media Company
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        atl: A diagnostic dilemma: aetiological diagnosis of lymphoedema patients at an Indian multidisciplinary meeting.
      aug:
        au:
          van Zanten, M.
          Riches, K.
          Keeley, V.
          Mortimer, P.
          Ryan, T.
          Mansour, S.
          Narahari, S.
        affil: Senior Research Practitioner, St George's University of London, UK
      sug:
        subj:
          Elephantiasis, Filarial Complications
          Elephantiasis, Filarial Epidemiology
          Lymphedema Etiology
          Multidisciplinary Care Team
          Female
          Adult
          India
          Lymphedema Diagnosis
          Lymphedema Therapy
          Integrative Medicine
          Medicine, Ayurvedic
          Yoga
          Diagnosis, Differential
          Genetics
          Collaboration
          Adult: 19-44 years
          Female
      ab: Lymphatic filariasis (LF) is caused by a mosquito-transmitted infection. The morbidity of this infection can result in chronic, progressive lymphoedema. LF is recognised as one of the most common causes of lymphoedema worldwide with an estimated 40 million people affected. In India, LF is considered endemic with people at risk from across 250 districts. The clinical presentation of LF can have similarities to primary lymphoedema, which is a congenital abnormality of the lymphatic system. Differentiating between the two is challenging, but important for family planning, as well as related phenotypical morbidities. In Kasaragod, India, the Institute of Applied Dermatology (IAD) has developed a unique concept of integrative medicine combining Ayurvedic medicine and yoga with allopathy. The treatment for lymphoedema offered at IAD consists of conservative management with Indian manual lymphatic drainage, compression bandages, yoga, dietitian support, skin soaking and skin oils. During the ninth colloquium, organised by the IAD, an attending team from the UK discussed the application of genetic research, differential diagnosis 'clues' and discussion of research priorities. Correct diagnosis is important to understand and explain inheritance patterns, and to further investigate any other relevant comorbidities. Due to the complexity of these diagnoses, collaboration between these specialist centres across the world is highly valuable.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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