Advertisement

Lymphedema pp 12-20 | Cite as

Differential Diagnosis of Lymphedema

  • Simon J. Simonian
  • Cheryl L. Morgan
  • Lawrence L. Tretbar
  • Benoit Blondeau

Abstract

As described in chapter 1, there is always fluid within the interstitial space, the space between tissue cells. The amount of fluid depends on 2 factors: the amount introduced into the interstitial space, and the amount removed from it. Fluid enters the space from arterioles and venules; some returns to the venules, and the remainder is taken up by the lymphatics. In the normal physiologic state, entrance and exit are approximately equal, so that tissues retain their usual morphologic appearance and function (1),(2).

Keywords

Photo Courtesy Cirr Hosis Main Lymph Channel 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Drinker CK, Field E, Ward HK, Leigh OC. The composition of edema fluid and lymph in edema and elephantiasis resulting from lymphatic obstruction. Am J Physiol. 1934;109:572–586.Google Scholar
  2. 2.
    Ryan TJ, DeBerker D. The interstitium, the connective tissue environment of the lymphatic, and angiogenesis in human skin. Clin Dermatol. 1995;13(5):451–458.CrossRefPubMedGoogle Scholar
  3. 3.
    Daroczy J. Pathology of chronic lymphedema. Lymphology. 1994;6:91–106.Google Scholar
  4. 4.
    Browse NL, Stewart G. Lymphoedema: pathophysiology and classification. J Cardiovasc Surg. 1985.Google Scholar
  5. 5.
    Olszewski WL. Lymph Stasis: Pathophysiology, Diagnosis, and Treatment. Boston: CRC Press; 1991.Google Scholar
  6. 6.
    Cluzan RV. Lymphatics and edema. In: Cluzan RV, Pecking AP, Lokiec FM, eds. Progress in Lymphology XIII. Amsterdam: Excerpta Medica, Elsevier Science; International Congress Series; 1992:716–717.Google Scholar
  7. 7.
    Nonne M. Vier Falle von Elephantiasis Congenita Hereditaria. Virchow’s Arch Pathol Anat. 1891; 125(1):189–196.CrossRefGoogle Scholar
  8. 8.
    Milroy WF. Chronic hereditary edema: Milroy’s disease. JAMA. 1928;91:1172–1175.Google Scholar
  9. 9.
    Dale RF. The inheritance of primary lymphoedema. J Med Genet. 1985;22:274–278.CrossRefPubMedGoogle Scholar
  10. 10.
    Kinmonth JB, Taylor GW, Tracy GD, Marsh JD. Primary lymphoedema. Br J Surg. 1957;45(189):1–9.CrossRefPubMedGoogle Scholar
  11. 11.
    Wright NB. The swollen leg and primary lymphedema. Arch Dis Child. 1994;71:44–49.CrossRefPubMedGoogle Scholar
  12. 12.
    Weissleder H, Schuchhardt C, eds. Lymphedema: Diagnosis and Therapy. 3rd ed. Bonn: Kagerer Kommunikation; 2001.Google Scholar
  13. 13.
    Dreyer G, Addiss D, Dreyer P, et al. Basic Lymphoedema Management, Treatment and Prevention of Problems Associated with Lymphatic Filariasis. Hollis, NH: Hollis Publishing; 2002.Google Scholar
  14. 14.
    Olszewski WL, Jamal S. Recurrent dermatolymphangioadenitis (DLA) is responsible for progression of lymphedema. Progress in Lymphology XV. Lymphology. 1996;(Suppl.) 29:331–334.Google Scholar
  15. 15.
    Herpertz U. Lymphödem und Erysipel. Lymph-Forsch. 1998.Google Scholar
  16. 16.
    Blumberg H, Janig W. Clinical manifestation of reflex sympathetic dystrophy and sympathetically maintained pain. In: Wall P, Melzack R, eds. Textbook of Pain. Edinburgh: Churchill Livingstone; 1993.Google Scholar
  17. 17.
    Földi M, Kubik S, eds. Lehrbuch der Lymphologie für Mediziner. 5th ed. Munich-Jena: Urban & Fisher; 2002.Google Scholar
  18. 18.
    Browse N, Burnand K, Mortimer P, eds. Diseases of the Lymphatics. London: Arnold; 2003.Google Scholar
  19. 19.
    Blondeau B, Helling TS, Morgan, CL. Insuffisance veineuse et obesité. Phlebologie. 2003;56.Google Scholar
  20. 20.
    Klippel M, Trenaunay P. Du naevus variqueux osteohypertrophique. Arch Gen Med. 1900;185:641–672.Google Scholar
  21. 21.
    Tretbar LL. Venous Disorders of the Legs. London: Springer-Verlag; 1999.Google Scholar
  22. 22.
    Partsch H, Urbanek B, Wenzel-Hora B. Dermal Lymphangiopathie ei chronisch venoser Insuffizienz. In: Bollinger A, Partsch H, eds. Initiale Lymphstrombahn-Internationales Symposium. Zurich: Thieme; 1984:205–209.Google Scholar
  23. 23.
    Ramelet AA, Monti M. Phlebologie. 2nd ed. Bonn: Kagerer Kommunikation; 1993;22:238–239.Google Scholar
  24. 24.
    Stemmer R. Ein klinisches Zeichen zur Früh-und Differentialdiagnose des Lymphodems. Vasa. 1976;5(3):261–262.PubMedGoogle Scholar
  25. 25.
    Pecking A, Cluzan R, Desprez-Cureley A. Indirect lymphangioscintigraphy in patient with limb edema. In: Heim L, ed. Immunology and Hematology Research Foundation; 1984;3(4):327–328.Google Scholar
  26. 26.
    Weissleder H, Weissleder R. Lymphedema: evaluation of qualitative and quantitative lymphangioscintigraphy in 238 patients. Radiol. 1988;167(3):729–735.Google Scholar
  27. 27.
    Hummel E, Weissleder H. Lymphgefasse bie Lipodem. In: Clodius L, Baumeister RGH, Foldi E, eds. Lymphologica. Munich: Medikon; 1989;16:89–98.Google Scholar
  28. 28.
    Picard J-D. Lymphatic Circulation. Lavaur, France: Editions Médicales Pierre Fabre; 1995.Google Scholar

Copyright information

© Springer-Verlag London Limited 2008

Authors and Affiliations

  • Simon J. Simonian
  • Cheryl L. Morgan
  • Lawrence L. Tretbar
  • Benoit Blondeau

There are no affiliations available

Personalised recommendations