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Secondary Lymphedema After Intestinal Tuberculosis: A Case Report
Ji Won Hong1, Ho Eun Park1, Myung Jun Shin1
1Department of Rehabilitation Medicine, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea.
Annals of Rehabilitation Medicine
|January 11, 2020
Summary
Lymphedema can be misdiagnosed, but identifying the root cause is key. Treating intestinal tuberculosis in a rare case led to significant improvement in lower extremity lymphedema symptoms.
Area of Science:
- Medicine
- Pathology
- Infectious Diseases
Background:
- Lymphedema is a chronic condition impacting quality of life, classified as primary or secondary.
- Secondary lymphedema management often focuses on symptoms rather than underlying causes, leading to potential misdiagnosis.
Observation:
- A 61-year-old male presented with a 3-year history of right leg edema of unknown etiology.
- Re-evaluation identified intestinal tuberculosis as the underlying cause of the persistent edema.
Findings:
- Anti-tuberculous treatment resulted in qualitative improvement of lymphedema symptoms.
- Indocyanine green lymphography confirmed symptom improvement post-treatment.
Implications:
- This case highlights the rarity of lower extremity lymphedema secondary to intestinal tuberculosis.
- Emphasizes the critical importance of thorough etiological investigation for refractory lymphedema cases.
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