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CLINICAL IMAGE
Year : 2020  |  Volume : 152  |  Issue : 7  |  Page : 158

Rare condition: Upper & lower limb lymphoedema


1 Department of Community & Family Medicine, All India Institute of Medical Sciences, Bhubaneswar, Odisha, 751 019, India
2 College of Nursing, All India Institute of Medical Sciences, Bhubaneswar, Odisha, 751 019, India

Date of Submission20-Nov-2019
Date of Web Publication25-May-2021

Correspondence Address:
Manish Taywade
Department of Community & Family Medicine, All India Institute of Medical Sciences, Bhubaneswar, Odisha, 751 019
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmr.IJMR_2244_19

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How to cite this article:
Taywade M, Sethi D. Rare condition: Upper & lower limb lymphoedema. Indian J Med Res 2020;152, Suppl S1:158

How to cite this URL:
Taywade M, Sethi D. Rare condition: Upper & lower limb lymphoedema. Indian J Med Res [serial online] 2020 [cited 2021 Jul 29];152, Suppl S1:158. Available from: https://www.ijmr.org.in/text.asp?2020/152/7/158/316793

Patient's consent obtained to publish clinical information and images.


A 70 yr old male presented to Rural Health Training Centre (RHTC), Mendhasala, under the department of Community & Family Medicine, All India Institute of Medical Sciences, Bhubaneswar, India, in October 2019, with a 34 yr history of swelling of the right upper limb [Figure 1] and left lower limb [Figure 2]. On examination, it was found that the oedema was irreversible, non-tender, non-pitting with the presence of knobs and non-healing ulcers as the patient was also diabetic. According to the Dreyer system of classification, his lymphoedema was classified as grade 4, diagnosed as lymphatic filariasis. Training - home-based self-care management including simple hygiene measures, skin care to prevent dermatolymphangioadenitis were imparted. Follow up visits of four weeks interval were pursued to ensure the self-care practice.
Figure 1: Upper right limb lymphoedema.

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Figure 2: Right upper and left lower lymphoedema.

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Conflicts of Interest: None.


    Figures

  [Figure 1], [Figure 2]



 

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