Background approximately 14 million persons living in areas endemic for lymphatic filariasis have lymphedema of the leg clinical studies indicate that repeated episodes of bacterial acute dermatolymphangioadenitis adla lead to progression of lymphedema and that basic lymphedema management which emphasizes hygiene skin care exercise and leg elevation can reduce adla frequency. Basic lymphoedema management treatment and prevention of problems associated with lymphatic filariasis. Best practice for the management of lymphoedema 1 lymphoedema is a progressive chronic condition that affects a significant number of people and can have deleterious effects on patients physical and psychosocial health even though it may be greatly ameliorated by appropriate management many patients receive inadequate treatment are unaware. Normal lymphatic physiology the normal function of the lymphatics is to return proteins lipids and water from the interstitium to the intravascular space 40 50 of serum proteins are transported by this route each day high hydrostatic pressures in arterial capillaries force proteinaceous fluid into the interstitium resulting in increased
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