Risk Factors of Lymphangitis in Patients with Lymphedema at Vajira Hospital

Name: Chakrit Eaimkijkarn

Organization : Division of Plastic and Reconstructive Surgery, Department of Surgery, Faculty of Medicine Vajira Hospital, Navamindradhiraj University

keyword: cellulitis

; lymphangitis

; lymphedema

; risk factors

Abstract: OBJECTIVE: Lymphangitis is a complication often found in lymphedema. It affects patient’s quality of life, morbidity, cosmetic, and functional ability. Potential risk factors of lymphangitis were studied in lymphedema patients of Vajira Hospital. METHODS: This study is a retrospective study. That is, data of lymphedema patients of Vajira Hospital from January 2007 to December 2018 were collected. Demographic data of patients’ gender, age, underlying diseases, BMI, symptoms, site, onset, stages, causes, and types were analyzed to address risk factors using the SPSS program. RESULTS: There were 140 patients participating, consisting of 12 males and 128 females, 78 of which had lymphangitis while the other 62 patients did not have lymphangitis. The average age of patients was 60.09±12.05 years and the average body mass index (BMI) was 28.73±7.81 kg/m2. There were 75 patients having arm lymphedema and 65 patients having leg lymphedema. Additionally, 11 patients had primary lymphedema and 129 patients had secondary lymphedema. The most common complication of lymphedema was lymphangitis (p < 0.001). There was a higher chance for Campisi stages 3, 4 rather than Campisi stages 1, 2 (p < 0.01). The significant presence of wounds was a risk of infection (p < 0.044) in lymphedema patients. The average body weight of patients who had infection was estimated at 74.26 kg, which was higher than that of the non-infected patients, which was at 66.16 +/- 14.67 kg (p = 0.037). CONCLUSION: It is suggested to treat lymphedema since the initial stage, before the symptom reaches its late stage, to reduce the chance of lymphangitis. Besides, patients should be advised to beware of wounds and immediately receive wound treatment to lessen the rate of lymphangitis. Moreover, patients with lymphedema and higher weight are of major concerns as they have more chance to get infected.

ห้องสมุดมหาวิทยาลัยนวมินทราธิราช

Address: กรุงเทพมหานคร

Email: nmu_library@nmu.ac.th

Name: Radchapoom Ketkaew

Role: Department of Surgery, Phichit Hospital, Phichit

Created: 2023

Modified: 2024-02-12

Issued: 2566-10-05

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BibliograpyCitation : Vajira Med J 2023; 67(2) Apr-Jun: 499-506

Vajira Medical Journal: Journal of Urban Medicine (Vajira Med J)

tha

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