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Treatment of Elephantiasis with Physiological Retraction of the Skin to Clinical Standards of Normality

Stage III lymphedema, also known as elephantiasis, is the most advanced stage and involves the occurrence of large deformities. This article reports the case of a 30-year-old woman with bilateral stage III lymphedema who weighed 109 kg. The largest circumference measurements below the knee were 97 c...

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Autores principales: de Godoy, Jose M. P., de Fatima Guerreiro Godoy, Maria, de Godoy, Henrique J. P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10373805/
https://www.ncbi.nlm.nih.gov/pubmed/37521231
http://dx.doi.org/10.4103/idoj.idoj_434_21
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author de Godoy, Jose M. P.
de Fatima Guerreiro Godoy, Maria
de Godoy, Henrique J. P.
author_facet de Godoy, Jose M. P.
de Fatima Guerreiro Godoy, Maria
de Godoy, Henrique J. P.
author_sort de Godoy, Jose M. P.
collection PubMed
description Stage III lymphedema, also known as elephantiasis, is the most advanced stage and involves the occurrence of large deformities. This article reports the case of a 30-year-old woman with bilateral stage III lymphedema who weighed 109 kg. The largest circumference measurements below the knee were 97 cm on the right leg and 76 cm on the left leg. Intensive treatment was performed, involving 8 hour per day of mechanical lymphatic therapy with the RAGodoy® device, which performs passive plantar flexion and extension, 15 min of cervical lymphatic therapy per day, and the use of non-elastic laced compression stockings. Treatment resulted in a considerable loss of edema as well as the occurrence of folds of excess skin, which were resolved by continuing treatment in a slower, non-intensive manner. Folds of excess skin are common during the treatment of large lymphedemas until reaching standards of normality or near normality but can be resolved with further clinical treatment.
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spelling pubmed-103738052023-07-28 Treatment of Elephantiasis with Physiological Retraction of the Skin to Clinical Standards of Normality de Godoy, Jose M. P. de Fatima Guerreiro Godoy, Maria de Godoy, Henrique J. P. Indian Dermatol Online J Case Report Stage III lymphedema, also known as elephantiasis, is the most advanced stage and involves the occurrence of large deformities. This article reports the case of a 30-year-old woman with bilateral stage III lymphedema who weighed 109 kg. The largest circumference measurements below the knee were 97 cm on the right leg and 76 cm on the left leg. Intensive treatment was performed, involving 8 hour per day of mechanical lymphatic therapy with the RAGodoy® device, which performs passive plantar flexion and extension, 15 min of cervical lymphatic therapy per day, and the use of non-elastic laced compression stockings. Treatment resulted in a considerable loss of edema as well as the occurrence of folds of excess skin, which were resolved by continuing treatment in a slower, non-intensive manner. Folds of excess skin are common during the treatment of large lymphedemas until reaching standards of normality or near normality but can be resolved with further clinical treatment. Wolters Kluwer - Medknow 2022-10-21 /pmc/articles/PMC10373805/ /pubmed/37521231 http://dx.doi.org/10.4103/idoj.idoj_434_21 Text en Copyright: © 2022 Indian Dermatology Online Journal https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
de Godoy, Jose M. P.
de Fatima Guerreiro Godoy, Maria
de Godoy, Henrique J. P.
Treatment of Elephantiasis with Physiological Retraction of the Skin to Clinical Standards of Normality
title Treatment of Elephantiasis with Physiological Retraction of the Skin to Clinical Standards of Normality
title_full Treatment of Elephantiasis with Physiological Retraction of the Skin to Clinical Standards of Normality
title_fullStr Treatment of Elephantiasis with Physiological Retraction of the Skin to Clinical Standards of Normality
title_full_unstemmed Treatment of Elephantiasis with Physiological Retraction of the Skin to Clinical Standards of Normality
title_short Treatment of Elephantiasis with Physiological Retraction of the Skin to Clinical Standards of Normality
title_sort treatment of elephantiasis with physiological retraction of the skin to clinical standards of normality
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10373805/
https://www.ncbi.nlm.nih.gov/pubmed/37521231
http://dx.doi.org/10.4103/idoj.idoj_434_21
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