Skip to content

Advertisement

You're viewing the new version of our site. Please leave us feedback.

Learn more

BMC Geriatrics

Volume 10 Supplement 1

de Senectute: Age and Health Forum

Open Access

Lymphatic deseases: geriatrical epidemiological data: the role of rehabilitation

  • M Ricci1 and
  • L Sandroni2
BMC Geriatrics201010(Suppl 1):A113

https://doi.org/10.1186/1471-2318-10-S1-A113

Published: 19 May 2010

Background

In 1994 the WHO showed about 140 millions cases of lymphedema (Table 1).
Table 1

Statistics WHO 1994

Statistics WHO 1994

Total Lymphedema

140 Ml

Primary Lymphedema

70 Ml

Parasitic origin (F.B.)

40 Ml

Secondary Lymphedema

20 Ml

Functional Problems (CVD)

10 Ml

Italian epidemiological studies report that primary lymphedema are more frequent than secondary. The localization of upper limbs recognizes secondary lymphedema; the primary ones can be located in lower limbs. 30-40 y.o. women are more exposed.

In geriatric patients lymphedema is generally secondary and concerned with upper limbs (Mastectomy). In lower limbs it follows cervix carcinoma treatments (46%), urologic diseases (39%), melanoma treatments (6%), Hodgkin lymphoma (3%), venous failures etc.

In geriatric patients lymphedema disabilities make previous pathologies worse and rehabilitative therapies are recommended.

Materials and methods

In UO Medicina Riabilitativa, Ospedali Riuniti Ancona, Lymphedema is treated throught a Rehabilitative Project performed by a Team.

The treatments are concerned with patient’s impairments and disabilities, according to ICF.

Results

In 2008, 83 new patients have been examined. 10 males and 73 females. Mean age 57,7 y.o.

25 Lymphedema in over 65 y.o. patients: 24 secondary and 1 primary. The secondary were: 44 post-mastectomy; 21 post surgical operation on pelvis or lower limbs; 8 after CVD; 1 post-radiotherapy; 1 post erysipelas. Tables 2, 3 and 4
Table 2

Statistics

Statistics

Total patients

83

Primary Lymph.

8

Secondary Lymph.

75

Mean Age

57,7

Table 3

 

Total patients

over 65 y.o.

Post-Mastectomy

44

14

Post-Surg. L.L.

21

4

Post-CVD

8

5

Post-eresypelas

1

1

Post-Radiotherapy

1

0

Table 4

Over 65 y.o.

25

 

secondary Lymphedemas 24

 

primary Lymphedema 1

Conclusions

This statistics show that in geriatric patients lymphatic system pathologies are often related both to CVD and to surgery (pelvis operations) with inguinal, iliac and lumbar aortic nodes removal.

Authors’ Affiliations

(1)
Rehabilitative Medicine, Ospedali Riuniti Ancona
(2)
School of Medicine, Università Politecnica Marche

References

  1. Antignani PL, et al: L’insufficienza venosa cronica: risultati di un’indagine epidemiologica in Italia. Il quaderno della Flebologia. 2006Google Scholar
  2. Michelini S, et al: Epidemiologia del linfedema. Auxilia-Linfologia. 1998Google Scholar
  3. Gasbarro V, Michelini S, Antignani PL, Tsolaki E, Ricci M, Allegra C: The CEAP-L classification for lymphedemas of the limbs: the Italian experience. Internationale Angiology. 2009, 28 (24): 315-324.Google Scholar
  4. Ricci M: Proposal of Disability Scale for Lymphoedema. Eur J Lymphol. 2008, XIX (55):Google Scholar
  5. World Health Organization: International Classification of Functionng, Disability and Health. WHO. 2001Google Scholar

Copyright

© Ricci and Sandroni; licensee BioMed Central Ltd. 2010

This article is published under license to BioMed Central Ltd.

Advertisement