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KMID : 0388219950020010028
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Journal of the Korean Rheumatism Association
1995 Volume.2 No. 1 p.28 ~ p.33
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Lymphedema Associated with Rheumatoid Arthritis
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김평남
김동욱/김태환/김승영/잔재범/정성수/이인홍/배상철/유대현
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Abstract
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Objective :
@EN To investigate the clinical manifestations and causes of upper limb edema in 8 patients with rheumatoid arthritis.
@ES Methods :
@EN Eight patients with upper limb edema in association with rheumatoid arthritis were investigated for their clinical manifestations and assessment of lymphatic function with lymphoscintigrphy. In lymphoscintigraphy, 99mTc-Human serum
albumin(<0.3ml,
1.0mci) was injected subcutaneously into the second wed space of each hand. Images were obtained over injection site and both axillary regions at Ohr and 2hr post-injection. The visualization of axillary lymph node and the percentage uptake of
isotope
in the axillary regions were evaluatied.
@ES Results :
@EN All patients except one have unilateral upper limb edema and showed no relation between lymphedema and either activity or duration of arthritis. Six of eight cases were found to have impaired lymph drainage and two cases showed normal
lymphatic
function.
@ES Conclusion :
@EN This study describes lymphedema in patients with patients with rheumatoid arthritis due to impaired lymphatic function and a relatively rapid production of interstitial fluid.
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KEYWORD
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