Acute attacks in the extremities of persons living in an area endemic for bancroftian filariasis: differentiation of two syndromes
The natural history of lymphatic disease in human filariasis remains unclear, but recurrent episodes of acute lymphangitis are believed to constitute a major risk factor for the development of chronic lymphoedema and elephantiasis. Prospective analysis of 600 patients referred to the filariasis clin...
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| Veröffentlicht in: | Transactions of the Royal Society of Tropical Medicine and Hygiene 1999-07, Vol.93 (4), p.413-417 |
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| container_title | Transactions of the Royal Society of Tropical Medicine and Hygiene |
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| creator | Dreyer, Gerusa Medeiros, Zulma Netto, Maria José Leal, Nilma Cintra de Castro, Luiz Gonzaga Piessens, Will F. |
| description | The natural history of lymphatic disease in human filariasis remains unclear, but recurrent episodes of acute lymphangitis are believed to constitute a major risk factor for the development of chronic lymphoedema and elephantiasis. Prospective analysis of 600 patients referred to the filariasis clinic of the Centro de Pesquisas Aggeu Magalhães/FIOCRUZ in Recife, Brazil, indicated that 2 distinct acute syndromes accompanied by lymphangitis occur in residents of this filariasis-endemic area. One syndrome, which we call acute filarial lymphangitis (AFL), is caused by the death of adult worms. It is relatively uncommon in untreated persons, usually is asymptomatic or has a mild clinical course, and rarely causes residual lymphoedema. The second syndrome, of acute dermatolymphangioadenitis (ADLA), is not caused by filarial worms
per se, but probably results from secondary bacterial infections. ADLA is a common cause of chronic lymphoedema and elephantiasis in Recife as well as in other areas of Brazil where lymphatic filariasis is not present. The syndromes of AFL and ADLA can be readily distinguished from each other by simple clinical criteria. |
| doi_str_mv | 10.1016/S0035-9203(99)90140-2 |
| format | Article |
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per se, but probably results from secondary bacterial infections. ADLA is a common cause of chronic lymphoedema and elephantiasis in Recife as well as in other areas of Brazil where lymphatic filariasis is not present. The syndromes of AFL and ADLA can be readily distinguished from each other by simple clinical criteria.</description><identifier>ISSN: 0035-9203</identifier><identifier>EISSN: 1878-3503</identifier><identifier>DOI: 10.1016/S0035-9203(99)90140-2</identifier><identifier>PMID: 10674092</identifier><identifier>CODEN: TRSTAZ</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Acute Disease ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Animals ; Biological and medical sciences ; Diagnosis, Differential ; Diseases caused by nematodes ; elephantiasis ; Elephantiasis, Filarial - diagnosis ; Elephantiasis, Filarial - therapy ; Female ; Filariases ; Helminthic diseases ; Humans ; hygiene ; Infectious diseases ; lymphangitis ; Lymphangitis - parasitology ; Lymphatic filariases ; lymphatic filariasis ; lymphoedema ; Male ; Medical sciences ; Middle Aged ; Parasitic diseases ; Prospective Studies ; Recurrence ; Syndrome ; Tropical medicine ; Wuchereria bancrofti</subject><ispartof>Transactions of the Royal Society of Tropical Medicine and Hygiene, 1999-07, Vol.93 (4), p.413-417</ispartof><rights>1999</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c593t-858f61e97592804a462fe69946c2551bf6fe4f34e5ea94c80da1209664e7dbd13</citedby><cites>FETCH-LOGICAL-c593t-858f61e97592804a462fe69946c2551bf6fe4f34e5ea94c80da1209664e7dbd13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,777,781,786,787,23911,23912,25121,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1917202$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10674092$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dreyer, Gerusa</creatorcontrib><creatorcontrib>Medeiros, Zulma</creatorcontrib><creatorcontrib>Netto, Maria José</creatorcontrib><creatorcontrib>Leal, Nilma Cintra</creatorcontrib><creatorcontrib>de Castro, Luiz Gonzaga</creatorcontrib><creatorcontrib>Piessens, Will F.</creatorcontrib><title>Acute attacks in the extremities of persons living in an area endemic for bancroftian filariasis: differentiation of two syndromes</title><title>Transactions of the Royal Society of Tropical Medicine and Hygiene</title><addtitle>Trans R Soc Trop Med Hyg</addtitle><description>The natural history of lymphatic disease in human filariasis remains unclear, but recurrent episodes of acute lymphangitis are believed to constitute a major risk factor for the development of chronic lymphoedema and elephantiasis. Prospective analysis of 600 patients referred to the filariasis clinic of the Centro de Pesquisas Aggeu Magalhães/FIOCRUZ in Recife, Brazil, indicated that 2 distinct acute syndromes accompanied by lymphangitis occur in residents of this filariasis-endemic area. One syndrome, which we call acute filarial lymphangitis (AFL), is caused by the death of adult worms. It is relatively uncommon in untreated persons, usually is asymptomatic or has a mild clinical course, and rarely causes residual lymphoedema. The second syndrome, of acute dermatolymphangioadenitis (ADLA), is not caused by filarial worms
per se, but probably results from secondary bacterial infections. ADLA is a common cause of chronic lymphoedema and elephantiasis in Recife as well as in other areas of Brazil where lymphatic filariasis is not present. 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| ispartof | Transactions of the Royal Society of Tropical Medicine and Hygiene, 1999-07, Vol.93 (4), p.413-417 |
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| language | eng |
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| subjects | Acute Disease Adolescent Adult Aged Aged, 80 and over Animals Biological and medical sciences Diagnosis, Differential Diseases caused by nematodes elephantiasis Elephantiasis, Filarial - diagnosis Elephantiasis, Filarial - therapy Female Filariases Helminthic diseases Humans hygiene Infectious diseases lymphangitis Lymphangitis - parasitology Lymphatic filariases lymphatic filariasis lymphoedema Male Medical sciences Middle Aged Parasitic diseases Prospective Studies Recurrence Syndrome Tropical medicine Wuchereria bancrofti |
| title | Acute attacks in the extremities of persons living in an area endemic for bancroftian filariasis: differentiation of two syndromes |
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