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Published on: November 2, 2019
Definition, Epidemiology and Pathophysiology of Lymphoedema
Erich Brenner1, René Hägerling2,3, Vivien Schacht4
1Institute for Clinical and Functional Anatomy, Medical University of Innsbruck, Müllerstrasse 59, 6020 Innsbruck, Austria.
Lymphoedema, a chronic lymphatic disease, requires better molecular genetic diagnostics for primary cases. Strengthening these diagnostics is key to improving treatment options and efficiency for patients.
Area of Science:
- Medical Science
- Genetics
- Lymphatic System Research
Background:
- Lymphoedema is a chronic, progressive disease impacting lymphatic drainage.
- It is classified as primary (genetic) or secondary (acquired, e.g., post-tumor treatment).
- Current S3 guideline development in German-speaking countries necessitates a comprehensive overview.
Purpose of the Study:
- To define lymphoedema, covering its epidemiology, staging, and pathophysiology.
- To explore aggravating comorbidities and differentiate lymphoedema from other conditions.
- To discuss molecular links with obesity and potential drug therapies.
Main Methods:
- Literature review and synthesis for guideline development.
- Analysis of pathomechanistic interactions, including molecular links.
- Review of current diagnostic and therapeutic approaches.
Main Results:
- Detailed presentation of lymphoedema definition, epidemiology, staging, pathophysiology, and comorbidities.
- Exploration of molecular links with obesity and potential therapeutic pathways.
- Observation of increasing molecular genetic diagnostics for primary lymphoedema in Germany.
Conclusions:
- Enhanced molecular genetic diagnostics for primary lymphoedema are crucial.
- Strengthening diagnostics will expand therapeutic options and improve treatment efficiency.
- Further research into molecular mechanisms and drug therapies is recommended.
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