Phlebolymphology N°69

Phlebolymphology N°69 – Editorial

Dear Readers, This issue of Phlebolymphology presents an interesting mixture of topics demonstrating the broad variety inherent to our discipline. Clinical physiology is a fascinating field in which Scandinavian medical schools have traditionally played an outstanding role. Einar Stranden from Oslo, one of the leading specialists in the pathophysiology of the peripheral circulation, gives a clear and clinically orientated review of the transcapillary fluid balance in venous edema and the complex mechanism of the venous pump, supplemented by highly educational illustrations and drawings. Reading the methodological details of measuring transcapillary pressure gradients governing Starling’s equilibrium, one can understand that there…

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Edema in venous insufficiency

Einar STRANDEN Section of Vascular Investigations Oslo Vascular Centre Oslo University Hospital, Aker ABSTRACT Edema is a clinical state characterized by an accumulation of fluid in the interstitial or intracellular space. This accumulation develops when the net transcapillary filtration rate exceeds the lymphatic drainage rate over a period of time. In other words, increased filtration or reduced lymph flow or both. The present chapter focuses on the lower limb edema frequently associated with venous insufficiency. Because the key pathophysiological factor behind this edema is increased distal venous pressure in the upright position, much attention is given to the mechanisms leading…

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Discovery of lymphatic filariasis during a humanitarian aid mission to Burkina Faso

André CORNU-THENARD Jean-Luc GILLET J Nathalie GRIMALDI Elizabeth CORNU-THENARD Nelly GILLET Hôpital Saint-Antoine Rue du Fbg Saint-Antoine 75012 Paris, France SUMMARY Lymphatic filariasis affects 120 million persons worldwide, a third of whom live in Africa. It is caused by threadlike parasitic worms transmitted to humans by the bite of mosquitoes which are vectors of the disease. One of the effects resulting from a mosquito bite affecting a lower limb is the occurrence of lymphedema. When the latter becomes massive, it is known as elephantiasis. The purpose of the December 2009 aid mission was to treat patients with this disease by…

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Treatment of vulvar and perineal varicose veins

Jean-François VAN CLEEF Service de médecine vasculaire, Institut Arthur Vernes, 36 rue d’Assas, 75006 Paris, France. Private practice: 43 rue de la Chaussée d’Antin, 75009, Paris, France SUMMARY Vulvar varicose veins occur in 10% of pregnant women, generally during month 5 of a second pregnancy. Anatomically, the vulvar veins have communicating branches and anastomoses between the pelvic wall and the veins of internal organs, between the internal and external iliac venous system, and with the circulation of the medial aspect of the thigh via the perineal veins. Vulvar varices are not caused by an increase in circulatory volume during pregnancy,…

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Recent Guidelines in Chronic Venous Disease: the place of MPFF at a dose of 500 mg

Françoise PITSCH Servier International Suresnes, France This article addresses some of the newer guidelines, the purpose of which is to help clinicians manage patients with chronic venous disease (CVD) of the lower extremities. What is chronic venous disease? CVD covers a full spectrum of venous conditions ranging from telangiectasias to the ultimate complications (venous ulcers). Symptoms are commonly associated with signs of CVD. Venous symptoms are defined as tingling, aching, burning, pain, muscle cramps, swelling, sensations of throbbing or heaviness, itching skin, restless legs, leg tiredness and/or fatigue, which may be exacerbated during the course of the day or by…

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Lymphatic system dysfunction in pediatric populations

Christoph M. PAPENDIECK Angiopediatria, Buenos Aires, Argentina SUMMARY Lymphatic system dysfunction in children has many presentations and syndromes and may affect all parts of the body. It can be classified according to the type of abnormality present as dysplasia of the lymphatics (LAD I), dysplasia of the lymph nodes (LAD II), or dysplasia of the lymphatics and lymph nodes (LAAD). Lymphatic dysplasias can be clinically represented by peripheral lymphedema alone or be associated with more and complex dysfunction in different locations, eg, intestinal lymph vessels, thoracic duct, and others. Primary lymphedema has for many years been the least understood form…

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Report from the EVF meeting

A SNAPSHOT FROM THE 11TH ANNUAL MEETING OF THE EUROPEAN VENOUS FORUM (Antwerp, Belgium) Michel PERRIN E-mail: m.perrin.chir.vasc@wanadoo.fr It was my privilege to serve as the first president at the 2000 inaugural European Venous Forum (EVF) meeting held in Lyon. Ten years later it seems logical to take stock of the present state of the EVF by analyzing the Antwerp congress. First of all in terms of the number of attendees. Attendance has increased from 160 founding members in Lyon to 320 in Belgium. More impressive is the number of participating countries: 38 in total this year covering the five…

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Phlebolymphology N°69 (Vol 18 – N°1 – 2011)

EDITORIAL Editorial Hugo Partsch – Phlebolymphology – 2011 ; 18 (1): 2 PHLEBOLOGY Edema in venous insufficiency E. Stranden – Phlebolymphology – 2011 ; 18 (1): 3 Discovery of lymphatic filariasis during a humanitarian aid mission to Burkina Faso A. Cornu-Thenard – Phlebolymphology – 2011 ; 18 (1): 15 Recent Guidelines in Chronic Venous Disease: the place of MPFF at a dose of 500 mg F. Pitsch – Phlebolymphology – 2011 ; 18 (1): 24 Lymphatic system dysfunction in pediatric populations C. M. Papendieck – Phlebolymphology – 2011 ; 18 (1): 30 Treatment of vulvar and perineal varicose veins J.-F….

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