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[Classification of lymphedema].

I Lazareth1

  • 1Service de médecine vasculaire, hôpital Saint-Joseph, 185, rue Raymond-Losserand, 75014 Paris, France. ic.Lazareth@wanadoo.fr

La Revue De Medecine Interne
|August 7, 2002
PubMed
Summary
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Lymphedema classification remains debated due to unclear physiology. This review explores primary and secondary lymphedema causes, including iatrogenic, infectious, and neoplastic origins, highlighting their impact on lymphatic drainage.

Area of Science:

  • Medicine
  • Lymphology
  • Vascular Biology

Background:

  • Lymphedema classification is debated due to differing views on its underlying physiology.
  • Kinmonth's classification distinguishes primary and secondary lymphedema.
  • Primary lymphedema includes congenital, precox, and tarda types.

Purpose of the Study:

  • To review and clarify the classification of lymphedema.
  • To discuss the various etiologies of secondary lymphedema.
  • To highlight the association between reduced lymphatic drainage and chronic venous insufficiency.

Main Methods:

  • Literature review of lymphedema classification and causes.
  • Analysis of primary and secondary lymphedema categories.
  • Examination of etiological factors including iatrogenic, infectious, neoplastic, and other conditions.

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Main Results:

  • Secondary lymphedema results from lymphatic pathway disruption or obstruction.
  • Common causes of secondary lymphedema include iatrogenic factors (surgery, radiation), infections (filariasis, cellulitis), and neoplastic diseases.
  • Less common causes include rheumatoid conditions, pathomimic lymphedema, and pretibial myxedema.

Conclusions:

  • Understanding lymphedema etiology is crucial for accurate classification and management.
  • Reduced lymphatic drainage is linked to severe chronic venous insufficiency, leading to leg swelling and infection risk.
  • Further research is needed to resolve classification debates and improve patient outcomes.