Evolution of Skin during Rehabilitation for Elephantiasis Using Intensive Treatment

The objective of this study is to describe the evolution of the skin during rehabilitation for elephantiasis using intensive treatment. We report on the case of a 55-year-old patient with a seven-year history of leg edema. The patient reported that it began with repeated outbreaks of erysipelas over...

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Main Authors: Henrique Jose Pereira de Godoy, Ricardo Budtinger Filho, Maria de Fatima Guerreiro Godoy, José Maria Pereira de Godoy
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Dermatological Medicine
Online Access:http://dx.doi.org/10.1155/2016/4305910
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author Henrique Jose Pereira de Godoy
Ricardo Budtinger Filho
Maria de Fatima Guerreiro Godoy
José Maria Pereira de Godoy
author_facet Henrique Jose Pereira de Godoy
Ricardo Budtinger Filho
Maria de Fatima Guerreiro Godoy
José Maria Pereira de Godoy
author_sort Henrique Jose Pereira de Godoy
collection DOAJ
description The objective of this study is to describe the evolution of the skin during rehabilitation for elephantiasis using intensive treatment. We report on the case of a 55-year-old patient with a seven-year history of leg edema. The patient reported that it began with repeated outbreaks of erysipelas over several years. One leg evolved with significant edema leading to an inability to ambulate and for about one month the patient said that he could not get out of bed. Moreover the patient was obese weighing 130 kilos and with a BMI of 39. Intensive treatment was performed over three weeks resulting in a significant reduction in limb volume. The treatment consisted of Mechanical Lymphatic Therapy (RAGodoy), Cervical Lymphatic Stimulation (Godoy & Godoy technique), and a custom-made inelastic stocking of a grosgrain textile. What caught the attention during therapy were the open wounds resulting from fragmentation of the plaque as the edema reduced; the plaque was about 0.5 cm thick. As the treatment evolved the plaque disappeared and the wounds healed. The limb size decreased by more than 80% in three weeks after which the patient began to be treated in an outpatient setting with ambulation using a grosgrain stocking.
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series Case Reports in Dermatological Medicine
spelling doaj-art-cbf0ce6276344a4aa62e85eabeb65b612025-02-03T05:54:03ZengWileyCase Reports in Dermatological Medicine2090-64632090-64712016-01-01201610.1155/2016/43059104305910Evolution of Skin during Rehabilitation for Elephantiasis Using Intensive TreatmentHenrique Jose Pereira de Godoy0Ricardo Budtinger Filho1Maria de Fatima Guerreiro Godoy2José Maria Pereira de Godoy3Universidade Federal de Mato Grosso (UFMT), Cuiabá, MT, BrazilUniversidade Federal de Mato Grosso (UFMT), Cuiabá, MT, BrazilPostgraduation Course of the Medicine School in São José do Rio Preto (FAMERP) and Research Group of the Clínica Godoy, São Jose do Rio Preto, SP, BrazilResearch Group of Godoy Clinic, Cardiology and Cardiovascular Surgery Department of the Medicine School in São José do Rio Preto (FAMERP), São José do Rio Preto, SP, BrazilThe objective of this study is to describe the evolution of the skin during rehabilitation for elephantiasis using intensive treatment. We report on the case of a 55-year-old patient with a seven-year history of leg edema. The patient reported that it began with repeated outbreaks of erysipelas over several years. One leg evolved with significant edema leading to an inability to ambulate and for about one month the patient said that he could not get out of bed. Moreover the patient was obese weighing 130 kilos and with a BMI of 39. Intensive treatment was performed over three weeks resulting in a significant reduction in limb volume. The treatment consisted of Mechanical Lymphatic Therapy (RAGodoy), Cervical Lymphatic Stimulation (Godoy & Godoy technique), and a custom-made inelastic stocking of a grosgrain textile. What caught the attention during therapy were the open wounds resulting from fragmentation of the plaque as the edema reduced; the plaque was about 0.5 cm thick. As the treatment evolved the plaque disappeared and the wounds healed. The limb size decreased by more than 80% in three weeks after which the patient began to be treated in an outpatient setting with ambulation using a grosgrain stocking.http://dx.doi.org/10.1155/2016/4305910
spellingShingle Henrique Jose Pereira de Godoy
Ricardo Budtinger Filho
Maria de Fatima Guerreiro Godoy
José Maria Pereira de Godoy
Evolution of Skin during Rehabilitation for Elephantiasis Using Intensive Treatment
Case Reports in Dermatological Medicine
title Evolution of Skin during Rehabilitation for Elephantiasis Using Intensive Treatment
title_full Evolution of Skin during Rehabilitation for Elephantiasis Using Intensive Treatment
title_fullStr Evolution of Skin during Rehabilitation for Elephantiasis Using Intensive Treatment
title_full_unstemmed Evolution of Skin during Rehabilitation for Elephantiasis Using Intensive Treatment
title_short Evolution of Skin during Rehabilitation for Elephantiasis Using Intensive Treatment
title_sort evolution of skin during rehabilitation for elephantiasis using intensive treatment
url http://dx.doi.org/10.1155/2016/4305910
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