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KMID : 1024720220120010031
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Geriatric Rehabilitation
2022 Volume.12 No. 1 p.31 ~ p.39
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Complication of Chronic Lymphedema in an Elderly Achondroplasia Patient: A Case Report
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Yoon Ju-Yul
Won Yu-Hui
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Abstract
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Chronic lymphedema can cause severe complications such as infection, pain, disability, and secondary malignancy. We introduce a case of neglected chronic lymphedema in an elderly achondroplasia patient. The patient visited the hospital for lymphedema and skin lesion suspected of malignancy, which had been neglected for more than 8 years after breast cancer treatment. The patient quickly confirmed chronic inflammation after biopsy of the suspected malignancy site. After that, taking into account the patient's underlying medical condition and social and economic status, a modified protocol of complete decongestion treatment (home-based) was established as a sustainable therapeutic strategy. Caregivers were educated to ensure proper home treatment, and thus, patient visits to institutions were minimized. At the same time, complete decongestion treatment was simplified to reduce the burden on caregivers and patient to ensure sustainable and appropriate treatment. As a result, successful lymphedema treatment was achieved without treatment abandonment.
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KEYWORD
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Lymphedema, Achondroplasia
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