1/20. Chronic eyelid lymphedema and acne rosacea. Report of two cases.OBJECTIVE: The authors describe the clinical findings and surgical treatment of two patients affected by chronic eyelid lymphedema associated with facial acne rosacea. DESIGN: Two interventional case reports. methods AND INTERVENTION: The clinical diagnosis of acne rosacea was based on the physical examination and confirmed by the histopathologic findings obtained from biopsy of the involved tissue. Surgical treatment was required to address the disfiguring chronic eyelid lymphedema and to correct the resultant mechanical lower eyelid ectropion in both patients. RESULTS: Surgical debulking of the affected soft tissue resulted in very satisfactory cosmetic and functional improvement in both patients. CONCLUSIONS: To our knowledge, this is the first series of cases of chronic eyelid lymphedema secondary to acne rosacea reported in the ophthalmic literature. Six similar cases have been described previously in the dermatologic literature; all of which had been treated medically without satisfactory results. Surgical debulking of the involved eyelids should be considered in patients affected by persistent symptomatic rosacea lymphedema.- - - - - - - - - - ranking = 1keywords = physical, physical examination (Clic here for more details about this article) |
2/20. Congenital penoscrotal lymphedema complicated by sepsis associated with a streptococcal infection.Congenital lymphedema is a relatively rare disease caused by congenital abnormality of the lymphatic system. Although bacterial infection frequently causes complications with lymphedema, severe sepsis in congenital lymphedema of the genitalia has not yet been reported. We describe a patient with congenital penoscrotal lymphedema complicated by cellulitis, lymphangitis, and severe sepsis associated with a streptococcal infection. This case represents the importance of obtaining a detailed clinical history and physical findings.- - - - - - - - - - ranking = 0.57362959221094keywords = physical (Clic here for more details about this article) |
3/20. Granulomatous lymphangitis of the scrotum and penis. Report of a case and review of the literature of genital swelling with sarcoidal granulomatous inflammation.BACKGROUND: Acquired lymphedema of the genitalia is a rare childhood presentation and is more common in elderly individuals secondary to pelvic/abdomenal malignancy or its therapy or worldwide due to filariasis. OBJECTIVE: Herein, we report a case of a healthy 11-year-old boy who presented with a 1-year history of chronic, asymptomatic scrotal and penile swelling. biopsy revealed edema, lymphangiectases and peri- and intralymphatic sarcoidal type granulomas. This histologic pattern of granulomatous lymphangitis is most commonly associated with orofacial granulomatosis (granulomatous cheilitis and melkersson-rosenthal syndrome) and Crohn's disease. Treatment with topical steroids and physical support has resulted in marked improvement. No systemic disease (Crohn's disease) is evident 1 year later. literature review revealed 44 cases of genital lymphedema with non-infectious granulomas. The majority of these young patients had Crohn's disease, frequently with anal involvement and a minority, both with and without Crohn's disease, had orofacial granulomatosis. CONCLUSIONS: Granulomatous lymphangitis should be considered in the differential diagnosis of chronic idiopathic swelling of the genitalia, particularly in younger individuals. Further clinical examination, additional laboratory studies and close follow-up for co-existing or subsequent development of Crohn's disease should be performed. The overlap between granulomatous lymphangitis of the genitalia, Crohn's disease and orofacial granulomatosis suggest that granulomatous lymphangitis of the genitalia may represent a forme fruste of Crohn's disease.- - - - - - - - - - ranking = 0.57362959221094keywords = physical (Clic here for more details about this article) |
4/20. Debilitating lymphedema of the upper extremity after treatment of breast cancer.lymphedema after mastectomy occurs with a frequency as high as 30%. The incidence increases with more radical surgical dissection, as was often seen with radical mastectomies in the late 1800s. This is one aspect of breast surgery that has been greatly neglected. Surgery has often been deemed a success if the malignancy is eradicated. patients may complain of symptoms as minor as arm heaviness to major ones such as massive chronic swelling, as was the case with our patient. The patient presented here had increasing lymphedema during a 14-year period after modified radical mastectomy and radiation therapy for advanced breast cancer. This condition had progressed to incapacitation of the extremity and a patient who as a result had become an invalid. The massively edematous extremity revealed no signs of recurrent disease or malignant degeneration. She underwent surgical intervention and physical therapy as procedures of choice to restore function.- - - - - - - - - - ranking = 0.57362959221094keywords = physical (Clic here for more details about this article) |
5/20. Physical therapy intervention following surgical treatment of carpal tunnel syndrome in an individual with a history of postmastectomy lymphedema.BACKGROUND AND PURPOSE: This case report describes the physical therapy examination, intervention, and outcomes for a patient with lymphedema following breast cancer treatment who underwent carpal tunnel release. CASE DESCRIPTION: The patient was a 53-year-old woman with right upper-limb lymphedema and symptoms of carpal tunnel syndrome (CTS) in her right hand who underwent a carpal tunnel release. Management of her lymphedema included the use of general anesthesia with reduced tourniquet time in conjunction with physical therapy, which included use of compression bandaging, limb positioning, and exercise. OUTCOMES: Following surgical release, the patient's numbness and pain were alleviated. Right-hand grip strength increased following active exercise. Girth of the forearm decreased 1 to 1.5 cm at the 2 most distal measurement sites, and girth of the arm increased 1.5 to 2 cm 6 months after surgery. DISCUSSION: This case supports the option of elective hand surgery for CTS in an individual with chronic lymphedema.- - - - - - - - - - ranking = 1.1472591844219keywords = physical (Clic here for more details about this article) |
6/20. Exploring the use of CircAid legging in the management of lymphoedema.Lymphoedema is a potentially disfiguring chronic condition that can have significant physical, psychological and social consequences for the affected individual. Treatment consists of a combination of exercises and massage to increase lymph drainage, and the use of compression hosiery to maintain improvements. This intensive treatment is delivered by trained therapists over several seeks, and is time-consuming for both patient and therapist. Maintaining improvements following intensive therapy is difficult, and there is often a need for further courses of intensive therapy. In the maintenance phase of treatment the patient is taught to care for the swollen limb with a routine of skin care, exercise, simple lymphatic drainage and compression hosiery. Compression is the mainstay of this phase of management, but a regular supply of high-compression garments is costly. The CircAid legging is a non-elastic adjustable compression appliance worn on the lower leg which can be an effective adjunct to compression garments. Three case studies are presented to show that the use of the CircAid legging in the management of patients following intensive therapy can enhance the effect of standard compression hosiery. Implications for clinical practice are discussed, as is the need for further research.- - - - - - - - - - ranking = 0.57362959221094keywords = physical (Clic here for more details about this article) |
7/20. In the eye of the dragon: women's experience of breast cancer and the occupation of dragon boat racing.BACKGROUND: women with breast cancer are at risk of developing lymphedema following surgical and/or medical treatment of the disease. Recently, women have challenged traditional advice about limiting upper extremity activity to prevent lymphedema by participation in dragon boat racing. PURPOSE: In this qualitative pilot study, three women were interviewed about the meaningfulness of dragon boat racing in their lives. methods: The women were interviewed twice and their interviews analyzed using thematic analysis. RESULTS: Seven themes are discussed: attraction of dragon boat racing; physical and emotional well-being; competition; social support; transcendence/connectedness/oneness; re-occurrence of cancer; and, public awareness. Competition enabled the participants to rebuild self-confidence and to regain control over their physical health and emotional well-being. Balancing support and competition was key to finding satisfaction in this occupation. The women did not believe that dragon boat racing affected their risk for developing lymphedema. PRACTICE IMPLICATIONS: People who engage in the occupation of dragon boat racing find it meaningful and develop new coping strategies. Participating in dragon boat racing can decrease stress and shift the meaning of having breast cancer to a more positive view of the experience.- - - - - - - - - - ranking = 1.1472591844219keywords = physical (Clic here for more details about this article) |
8/20. porokeratosis in association with lymphoedema.We describe four patients in whom porokeratosis coexisted with lympoedema of the legs. A possible pathogenetic link between the two disorders is discussed, as well as the therapeutic implications and the novel physical sign of lymphoedema bulging through the porokeratotic lesions.- - - - - - - - - - ranking = 0.57362959221094keywords = physical (Clic here for more details about this article) |
9/20. Physiotherapy management of patients with hiv-associated Kaposi's sarcoma.BACKGROUND: Kaposi's sarcoma is the most common form of cancer in patients with human immunodeficiency virus (hiv) infection. Although Kaposi sarcoma lesions may contribute to significant physical impairments, there is a lack of scientific literature detailing the role of physiotherapy in the treatment of hiv-associated Kaposi's sarcoma. The present Case Report includes two males, aged 36 and 39 years, seropositive for hiv with invasive Kaposi's sarcoma. METHOD AND RESULTS: Patient A was evaluated for bilateral foot pain caused by plantar surface Kaposi s sarcoma lesions that rendered him unable to walk. He progressed to walking 400feet after a treatment regimen of gait training with the use of custom plastazote sandals. Patient B was evaluated for right lower extremity lymphoedema secondary to invasive Kaposi's sarcoma. He experienced an 18% reduction in limb volume, a 38% reduction in pain and a 20 degrees increase in terminal knee flexion after therapeutic exercise and the use of compressive bandaging and garments. CONCLUSIONS: This Case Report suggests that physiotherapy interventions may be valuable in the conservative management of patients with hiv-associated Kaposi s sarcoma.- - - - - - - - - - ranking = 0.57362959221094keywords = physical (Clic here for more details about this article) |
10/20. Cardiopulmonary rehabilitation and cancer rehabilitation. 3. Cancer rehabilitation.This self-directed learning module highlights the treatment and rehabilitation of patients with cancer. It is part of the study guide on cardiac, pulmonary, and cancer rehabilitation in the Self-Directed Physiatric education Program for practitioners and trainees in physical medicine and rehabilitation. This article reviews medical and rehabilitation issues in patients with various types of cancer. Cases were selected to allow discussion of problems seen in both younger and older patient populations. Identification of common sequelae of cancer and cancer treatments, associated rehabilitation challenges, and appropriate interventions are included. overall Article Objective: To summarize the medical and rehabilitation issues in patients with various types of cancer.- - - - - - - - - - ranking = 0.57362959221094keywords = physical (Clic here for more details about this article) |
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