Background: Lymphedema is the result of the equilibrium between the load to be cleared and the transport capacity of the clearing system. Lymphedema may be classified as primary or secondary, based on the underlying etiology. Primary lymphedema is an unusual disorder characterized by inadequate lymphatic drainage. Lymphedema tarda is a rare form of primary lymphedema.
Case Report: The case of lymphedema tarda documented here was chronic, progressive, and resistant to medical therapy and recurred several times after previous operations.
Conclusions: We performed two-staged operations and we recommend that the staged excisional procedures offers reliable long-term improvement and minimizes postoperative complications in chronic advanced lymphedema.
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Elephantiasis Nostras Verrucosa in a Patient With Lymphedema Tarda.
Cureus
March 2024
Dermatology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha, IND.
Article Synopsis
- A case study details a 42-year-old man with elephantiasis nostras verrucosa due to lymphedema tarda, which caused significant swelling in multiple areas of his body over seven years.
- The diagnosis was complicated and required a comprehensive evaluation from a collaborative team that included clinical exams and imaging studies.
- Treatment involved nutritional support and medication, highlighting the need for a holistic approach in managing complex lymphatic conditions.
Case reports of primary lymphedema tarda in South Korea: Two case reports of unilateral primary lymphedema tarda in lower extremities.
Medicine (Baltimore)
July 2023
Department of Rehabilitation Medicine, Rehabilitation Hospital, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Gyeongsangnam-do, Republic of Korea.
Rationale: Primary lymphedema is a form of lymphedema marked by a dysfunction of the lymphatic system without preceding medical conditions. One rare subtype of primary lymphedema, lymphedema tarda, occurs in those older than 35 years and is difficult to diagnose. This paper reports 2 cases of unilateral lymphedema tarda in the lower extremities in South Korea.
View Article and Find Full Text PDFLymphoscintigraphic Bilateral Disease in Patients with Clinically Unilateral Primary Lower Limb Lymphedemas.
Lymphat Res Biol
August 2021
Services of Nuclear Medicine and of Dermatology, Multi-Disciplinary Clinic of Lymphology, Institute Jules Bordet, HIS-IZZ Hospitals and Universitary Hospital Erasme, Université Libre de Bruxelles, Brussels, Belgium.
Primary lower limb lymphedemas (LLLEs; not present at birth) are classified as early- and late-onset. In both groups, distal lymphangiopathy distal dermal backflow (DDB) may be observed and, in clinically unilateral edema, abnormalities may be present at the level of contralateral limb. The aim of this study is to report the frequency of heterolateral lesions in these patients based on lymphoscintigraphic investigations (LySc).
View Article and Find Full Text PDFElephantiasis in the setting of lymphoedema and neurofibromatosis type 1.
BMJ Case Rep
November 2019
Dermatology Department, Coimbra Hospital and University Centre, Coimbra, Portugal.
Elephantiasis (ENV) comprises an uncommon skin disease characterised by dermal fibrosis with hyperkeratotic, verrucous and papillomatous lesions that usually occur after chronic lymphoedema. We describe the case of a 56-year-old-man with neurofibromatosis type 1, no known surgical history, no chronic medication and no travel history, presenting with worsening non-pitting oedema and impressive foul-smelling mossy plaques and cobblestone-like nodules in both legs and feet, especially on the right, compatible with the diagnosis of ENV.
View Article and Find Full Text PDFIndocyanine green lymphography findings in older patients with lower limb lymphedema.
J Vasc Surg Venous Lymphat Disord
March 2020
Plastic and Reconstructive Surgery, Jichi Medical University, Tochigi, Japan.
Objective: Lymphedema is classified as primary or secondary according to the underlying cause. Primary lymphedema is hereditary and is considered a consequence of an inherited abnormality of the lymphatic system. Secondary lymphedema, however, is a consequence of lymphatic failure resulting from trauma, parasitic infection, or iatrogenic obstruction.
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