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Evolution of Skin during Rehabilitation for Elephantiasis Using Intensive Treatment

The objective of this study is to describe the evolution of the skin during rehabilitation for elephantiasis using intensive treatment. We report on the case of a 55-year-old patient with a seven-year history of leg edema. The patient reported that it began with repeated outbreaks of erysipelas over...

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Autores principales: Pereira de Godoy, Henrique Jose, Budtinger Filho, Ricardo, Godoy, Maria de Fatima Guerreiro, de Godoy, José Maria Pereira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5143703/
https://www.ncbi.nlm.nih.gov/pubmed/27999691
http://dx.doi.org/10.1155/2016/4305910
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author Pereira de Godoy, Henrique Jose
Budtinger Filho, Ricardo
Godoy, Maria de Fatima Guerreiro
de Godoy, José Maria Pereira
author_facet Pereira de Godoy, Henrique Jose
Budtinger Filho, Ricardo
Godoy, Maria de Fatima Guerreiro
de Godoy, José Maria Pereira
author_sort Pereira de Godoy, Henrique Jose
collection PubMed
description The objective of this study is to describe the evolution of the skin during rehabilitation for elephantiasis using intensive treatment. We report on the case of a 55-year-old patient with a seven-year history of leg edema. The patient reported that it began with repeated outbreaks of erysipelas over several years. One leg evolved with significant edema leading to an inability to ambulate and for about one month the patient said that he could not get out of bed. Moreover the patient was obese weighing 130 kilos and with a BMI of 39. Intensive treatment was performed over three weeks resulting in a significant reduction in limb volume. The treatment consisted of Mechanical Lymphatic Therapy (RAGodoy), Cervical Lymphatic Stimulation (Godoy & Godoy technique), and a custom-made inelastic stocking of a grosgrain textile. What caught the attention during therapy were the open wounds resulting from fragmentation of the plaque as the edema reduced; the plaque was about 0.5 cm thick. As the treatment evolved the plaque disappeared and the wounds healed. The limb size decreased by more than 80% in three weeks after which the patient began to be treated in an outpatient setting with ambulation using a grosgrain stocking.
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spelling pubmed-51437032016-12-20 Evolution of Skin during Rehabilitation for Elephantiasis Using Intensive Treatment Pereira de Godoy, Henrique Jose Budtinger Filho, Ricardo Godoy, Maria de Fatima Guerreiro de Godoy, José Maria Pereira Case Rep Dermatol Med Case Report The objective of this study is to describe the evolution of the skin during rehabilitation for elephantiasis using intensive treatment. We report on the case of a 55-year-old patient with a seven-year history of leg edema. The patient reported that it began with repeated outbreaks of erysipelas over several years. One leg evolved with significant edema leading to an inability to ambulate and for about one month the patient said that he could not get out of bed. Moreover the patient was obese weighing 130 kilos and with a BMI of 39. Intensive treatment was performed over three weeks resulting in a significant reduction in limb volume. The treatment consisted of Mechanical Lymphatic Therapy (RAGodoy), Cervical Lymphatic Stimulation (Godoy & Godoy technique), and a custom-made inelastic stocking of a grosgrain textile. What caught the attention during therapy were the open wounds resulting from fragmentation of the plaque as the edema reduced; the plaque was about 0.5 cm thick. As the treatment evolved the plaque disappeared and the wounds healed. The limb size decreased by more than 80% in three weeks after which the patient began to be treated in an outpatient setting with ambulation using a grosgrain stocking. Hindawi Publishing Corporation 2016 2016-11-24 /pmc/articles/PMC5143703/ /pubmed/27999691 http://dx.doi.org/10.1155/2016/4305910 Text en Copyright © 2016 Henrique Jose Pereira de Godoy et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Pereira de Godoy, Henrique Jose
Budtinger Filho, Ricardo
Godoy, Maria de Fatima Guerreiro
de Godoy, José Maria Pereira
Evolution of Skin during Rehabilitation for Elephantiasis Using Intensive Treatment
title Evolution of Skin during Rehabilitation for Elephantiasis Using Intensive Treatment
title_full Evolution of Skin during Rehabilitation for Elephantiasis Using Intensive Treatment
title_fullStr Evolution of Skin during Rehabilitation for Elephantiasis Using Intensive Treatment
title_full_unstemmed Evolution of Skin during Rehabilitation for Elephantiasis Using Intensive Treatment
title_short Evolution of Skin during Rehabilitation for Elephantiasis Using Intensive Treatment
title_sort evolution of skin during rehabilitation for elephantiasis using intensive treatment
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5143703/
https://www.ncbi.nlm.nih.gov/pubmed/27999691
http://dx.doi.org/10.1155/2016/4305910
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