Phlebolymphedema
is a unique condition of combined insufficiency of both the
venous and lymphatic systems. There is a very close relation between
the venous and lymphatic systems; therefore a venous obstruction may
develop a phlebo-lymphedema. Here we find a failure in the dual
outflow system, and although being totally different hemodynamic
mechanisms, they are mutually dependant and complementary circulation
systems. Due to their intimately integrated function, failure in one
system means then additional burden and overload of the other.
There
are various causes: Primary Phlebolymphedema and Secondary
Phlebolymphedema
Primary
Phlebolymphedema is caused by a congenital defect, involving an
outset of diffused trancular lymphatic malformation, affecting both
the venous and lymphatic systems. Primary Phlebolymphedema is still a
retativelly unknown condition and in the majority of cases represents
the clinical manifestation of Klippel –Trenaunay Syndrome. The
presence of an arteriovenous malformation makes the overall condition
of Primary Phlebolymphedema much harder to manage. It is also thought
that Long-term strain on the lymphatic system can be a cause of
phlebo-lymphedema
Secondary
Phlebolymphedema is an acquired condition that starts off with
chronic Venus insufficiency due to various causes, and which latter
leads to chronic lymphatic insufficiency. In
the presence of venous hypertension, which is characteristic of most
venous disorders, the increase in lymphatic flow becomes much greater
than the lymph transport capacity. Treatment for chronic Secondary
Phlebolymphedema, consists of treating the venous abnormality, and
watching regression of the lymphatic problem.
The
diagnosis of Primary and Secondary Phlebolymphedema is based on a
detailed history and physical examination, and related tests.
Information
source and references:
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CAMPAIGN
For global awareness it is being asked that the
WHO - WORLD HEALTH ORGANIZATION,
name:
"LYMPHEDEMA - AWARENESS & CURES"
as the World Health Day campaign
KATHY BATES
LYMPHEDEMA EMBASSADOR
