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Case Reports in Dermatological Medicine
Volume 2012 (2012), Article ID 834798, 3 pages
http://dx.doi.org/10.1155/2012/834798
Case Report

Control of Lymphorrhea and Treatment of Warty Excrescences in Elephantiasis

1Cardiology and Cardiovascular Surgery Department, Faculty of Medicine School of São José do Rio Preto (FAMERP), Avenida Brigadeiro Faria Lima, 5416 Vila São Pedro, 15090-000 São José do Rio Preto, SP, Brazil
2Vascular Laser Center, Clínica Godoy, 1306 Avenida Constituição, 15025-120 São Jose do Rio Preto, SP, Brazil

Received 19 September 2012; Accepted 23 October 2012

Academic Editors: K. Jimbow, M. Jinnin, and J. A. Tschen

Copyright © 2012 José Maria Pereira de Godoy et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The aim of this study is to report the control of lymphorrhea in the intensive treatment of elephantiasis, using an Unna boot. The case of a 29-year-old female patient is reported. This young patient evolved with the more serious form of lymphedema, elephantiasis, after surgical treatment of an abdominal neoplasm and radiotherapy. Warty excrescences were present on both legs and genitalia where lymphorrhea was constant. The patient arrived at the Godoy's Clinic for treatment. She was weighed and perimetric evaluations were made at the start of treatment and thereafter every day during an intensive outpatient treatment of eight hours daily for three weeks. Treatment included manual lymph drainage, mechanical lymph drainage using the RA Godoy device, and the continuous use of compression stockings with adjustments made every three hours. An Unna boot was employed as compression at sites of dermal lesions (warty excrescences) with overlapping use of individualized compression stockings that were individually adapted. The Unna boot was renewed every two days during the first week and every 3 days during the second and third weeks. By the end of this course of treatment, most of the warty excrescences had reduced in size or even disappeared and the lymphorrhea was controlled.