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Secondary lymphedema affects both men and women, and, in Western countries, is most commonly due to cancer treatment. [14] In women, it is most prevalent in an upper limb after breast cancer surgery, especially axillary lymph node dissection, [ 15 ] and occurs on the same side of the body as the surgery.
For example, swelling in feet or ankles may be reduced by having the person lie down in bed or sit with the feet propped up on cushions. Intermittent pneumatic compression can be used to pressurize tissue in a limb, forcing fluids—both blood and lymph —to flow out of the compressed area.
The pathophysiology is not yet well understood. Leukocytoclastic vasculitis is proposed to be the underlying cause resulting in reactive lymphedema. [2] Prolonged standing with full knee extension and minimal movement for a prolonged period of time is postulated to induce a temporary failure in pumping the venous and lymphatic systems in the calf region leading to acute gravity-dependent ...
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Lipo-lymphedema Lymphedema Obesity Venous insufficiency/venous stasis Symptoms: Fat deposits/swelling in legs and arms not in hands or feet; hands and feet may be affected as the disease progresses. Fat deposits / swelling widespread in legs/arms/torso: Fat deposits/swelling in one limb including hands and feet: Fat deposits widespread
Meige disease is also an autosomal dominant disease. It has been linked to a mutations in the 'forkhead' family transcription factor gene located on the long arm of chromosome 16 (16q24.3). About 2000 cases have been identified. A third type of hereditary lymphedema, that has an onset after the age of 35 is known as lymphedema tarda. [9]
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