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Case Reports in Vascular Medicine
Volume 2019, Article ID 6486158, 3 pages
https://doi.org/10.1155/2019/6486158
Case Report

Elephantiasis and Directed Occupational Rehabilitation

1Cardiology and Cardiovascular Surgery Department of the Medicine School in São José do Rio Preto (FAMERP), CNPq (National Council for Research and Development), Brazil
2Medicine School of Universidade Federal do Mato Grosso-Cuiabá-UFMT and Research Group in the Clínica Godoy, Sao Jose do Rio Preto, Brazil
3Pediatrics Unit Intensive Therapy of Santa Casa de São Paulo, Brazil and Research Group of Clínica Godoy, São Jose do Rio Preto, Brazil
4Medicine School in São José do Rio Preto (FAMERP) and Research Group in the Clínica Godoy, Sao Jose do Rio Preto, Brazil

Correspondence should be addressed to Jose Maria Pereira de Godoy; moc.liamg@pmjyodog

Received 11 December 2018; Accepted 10 January 2019; Published 11 February 2019

Academic Editor: Halvor Naess

Copyright © 2019 Jose 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 the present study was to demonstrate the cure of elephantiasis over a ten-year follow-up period and novel discoveries with directed occupational rehabilitation. A 66-year-old female patient with a history of bilateral lower limb lymphedema reported the aggravation of the condition over the years, reaching stage III (elephantiasis). The physical examination confirmed elephantiasis. The circumference of the left lower limb was 106 cm. Her body weight was 106 kilograms, height was 160 cm, and the body mass index (BMI) was 41.6 kg/m2. The patient was submitted to intensive treatment for three weeks, which led to a 21-kg reduction in weight and 66 cm reduction in leg circumference. Ten years after treatment, the patient has maintained the results with the compression stockings. Elephantiasis can be cured, although lymphedema cannot. The cure of elephantiasis depends on maintaining the treatment of lymphedema after normalization or near normalization. Directed occupational therapy stimulates the search for new activities and a life closer to normality.