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与特发性周期性水肿相关的脂肪性淋巴水肿:一种治疗方法。

Lipolymphedema Associated with Idiopathic Cyclic Edema: A Therapeutic Approach.

作者信息

Pereira de Godoy Jose Maria, Pereira de Godoy Henrique Jose, de Sene Souza Aline Aparecida, Budtinger Filho Ricardo, de Fatima Guerreiro Godoy Maria

机构信息

Cardiology and Cardiovascular Surgery Department, The Medicine School in São José do Rio Preto (FAMERP), Sao Jose do Rio Preto, SP, Brazil.

Clínica Godoy, São José do Rio Preto, SP, Brazil.

出版信息

Case Rep Vasc Med. 2017;2017:5470909. doi: 10.1155/2017/5470909. Epub 2017 Aug 23.

Abstract

Idiopathic cyclic edema is a type of generalized edema that mainly affects women. Diagnosis is made by the patient's clinical history and an evaluation of the accumulation of weight during the day. The objective of this study is to report the clinical control of lymphedema associated with idiopathic cyclic edema using calcium dobesilate. A 55-year-old female patient reported generalized edema for years in that she woke up in the morning with her legs swollen and the edema worsened during the day. The physical examination revealed generalized edema. After four days of treatment with calcium dobesilate, the patient returned to the Clínica Godoy, Brazil, with less edema and reductions in body weight and the amount of extracellular and intracellular fluid. With further treatment, there was a total reduction of the edema. It is concluded that calcium dobesilate helps to control lymphedema secondary to idiopathic cyclic edema.

摘要

特发性周期性水肿是一种主要影响女性的全身性水肿。通过患者的临床病史以及对日间体重增加情况的评估进行诊断。本研究的目的是报告使用羟苯磺酸钙对与特发性周期性水肿相关的淋巴水肿进行临床控制的情况。一名55岁女性患者报告多年来存在全身性水肿,即早晨醒来时腿部肿胀,且水肿在白天加重。体格检查显示全身性水肿。在用羟苯磺酸钙治疗四天后,该患者返回巴西戈多伊诊所,水肿减轻,体重以及细胞外液和细胞内液量均减少。随着进一步治疗,水肿完全消退。得出的结论是,羟苯磺酸钙有助于控制继发于特发性周期性水肿的淋巴水肿。

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