Control of Lymphorrhea and Treatment of Warty Excrescences in Elephantiasis

The aim of this study is to report the control of lymphorrhea in the intensive treatment of elephantiasis, using an Unna boot. The case of a 29-year-old female patient is reported. This young patient evolved with the more serious form of lymphedema, elephantiasis, after surgical treatment of an abdo...

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Main Authors: José Maria Pereira de Godoy, Patricia Amador Franco Brigídio, Edivandra Buzato, Maria de Fátima Guerreiro Godoy
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Dermatological Medicine
Online Access:http://dx.doi.org/10.1155/2012/834798
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author José Maria Pereira de Godoy
Patricia Amador Franco Brigídio
Edivandra Buzato
Maria de Fátima Guerreiro Godoy
author_facet José Maria Pereira de Godoy
Patricia Amador Franco Brigídio
Edivandra Buzato
Maria de Fátima Guerreiro Godoy
author_sort José Maria Pereira de Godoy
collection DOAJ
description The aim of this study is to report the control of lymphorrhea in the intensive treatment of elephantiasis, using an Unna boot. The case of a 29-year-old female patient is reported. This young patient evolved with the more serious form of lymphedema, elephantiasis, after surgical treatment of an abdominal neoplasm and radiotherapy. Warty excrescences were present on both legs and genitalia where lymphorrhea was constant. The patient arrived at the Godoy's Clinic for treatment. She was weighed and perimetric evaluations were made at the start of treatment and thereafter every day during an intensive outpatient treatment of eight hours daily for three weeks. Treatment included manual lymph drainage, mechanical lymph drainage using the RA Godoy device, and the continuous use of compression stockings with adjustments made every three hours. An Unna boot was employed as compression at sites of dermal lesions (warty excrescences) with overlapping use of individualized compression stockings that were individually adapted. The Unna boot was renewed every two days during the first week and every 3 days during the second and third weeks. By the end of this course of treatment, most of the warty excrescences had reduced in size or even disappeared and the lymphorrhea was controlled.
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issn 2090-6463
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publishDate 2012-01-01
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series Case Reports in Dermatological Medicine
spelling doaj-art-874f8cd22afc43589858284420428ff32025-02-03T01:13:10ZengWileyCase Reports in Dermatological Medicine2090-64632090-64712012-01-01201210.1155/2012/834798834798Control of Lymphorrhea and Treatment of Warty Excrescences in ElephantiasisJosé Maria Pereira de Godoy0Patricia Amador Franco Brigídio1Edivandra Buzato2Maria de Fátima Guerreiro Godoy3Cardiology and Cardiovascular Surgery Department, Faculty of Medicine School of São José do Rio Preto (FAMERP), Avenida Brigadeiro Faria Lima, 5416 Vila São Pedro, 15090-000 São José do Rio Preto, SP, BrazilCardiology and Cardiovascular Surgery Department, Faculty of Medicine School of São José do Rio Preto (FAMERP), Avenida Brigadeiro Faria Lima, 5416 Vila São Pedro, 15090-000 São José do Rio Preto, SP, BrazilVascular Laser Center, Clínica Godoy, 1306 Avenida Constituição, 15025-120 São Jose do Rio Preto, SP, BrazilCardiology and Cardiovascular Surgery Department, Faculty of Medicine School of São José do Rio Preto (FAMERP), Avenida Brigadeiro Faria Lima, 5416 Vila São Pedro, 15090-000 São José do Rio Preto, SP, BrazilThe aim of this study is to report the control of lymphorrhea in the intensive treatment of elephantiasis, using an Unna boot. The case of a 29-year-old female patient is reported. This young patient evolved with the more serious form of lymphedema, elephantiasis, after surgical treatment of an abdominal neoplasm and radiotherapy. Warty excrescences were present on both legs and genitalia where lymphorrhea was constant. The patient arrived at the Godoy's Clinic for treatment. She was weighed and perimetric evaluations were made at the start of treatment and thereafter every day during an intensive outpatient treatment of eight hours daily for three weeks. Treatment included manual lymph drainage, mechanical lymph drainage using the RA Godoy device, and the continuous use of compression stockings with adjustments made every three hours. An Unna boot was employed as compression at sites of dermal lesions (warty excrescences) with overlapping use of individualized compression stockings that were individually adapted. The Unna boot was renewed every two days during the first week and every 3 days during the second and third weeks. By the end of this course of treatment, most of the warty excrescences had reduced in size or even disappeared and the lymphorrhea was controlled.http://dx.doi.org/10.1155/2012/834798
spellingShingle José Maria Pereira de Godoy
Patricia Amador Franco Brigídio
Edivandra Buzato
Maria de Fátima Guerreiro Godoy
Control of Lymphorrhea and Treatment of Warty Excrescences in Elephantiasis
Case Reports in Dermatological Medicine
title Control of Lymphorrhea and Treatment of Warty Excrescences in Elephantiasis
title_full Control of Lymphorrhea and Treatment of Warty Excrescences in Elephantiasis
title_fullStr Control of Lymphorrhea and Treatment of Warty Excrescences in Elephantiasis
title_full_unstemmed Control of Lymphorrhea and Treatment of Warty Excrescences in Elephantiasis
title_short Control of Lymphorrhea and Treatment of Warty Excrescences in Elephantiasis
title_sort control of lymphorrhea and treatment of warty excrescences in elephantiasis
url http://dx.doi.org/10.1155/2012/834798
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