Filarial Lymphedema: A Debilitating Old World Disease in Modern Tropics - Our Experience and Review of Literature
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 4
Abstract
Filarial lymphedema , also known as elephantiasis is a neglected chronic disease of the tropics with an estimated population of approximately 36 million population living with this condition as per WHO [1 ]. While the infection may be acquired in childhood, its visible manifestations may occur later in life causing severe and temporary/ permanent disability and disfigurement [2]. Objective: to present our experience with patients presenting with filarial lymphedema. Methodology: Between September 2016 to October 2017, 11 patients presented to us with grade III / IV lymphedema involving lower limbs or penoscrotal region or both. 8 of them had already received antifilarial medication several cycles in past, 3 of them were previously operated and presented with a recurrence of the condition. In our setting patients were treated with medicine, excisional surgery and other supportive measures appropriate as per patient’s condition. Results: In the 6 month period of follow up patients presented with better cosmetic outcome, being able to ambulate easily and perform day to day activities, while some patients with penoscrotal filariasis were able to resume sexual activity. Conclusion: Filarial lymphedema, though associated with chronicity and recurrence, can be controlled and managed by several measures including excisional surgery. It has a high social stigma and is a debilitating condition. In lack of any definitive treatment, elimination remains the key to management of this disease worldwide.
Authors and Affiliations
Dr. Binay Kumar
Keywords
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