Pathophysiology of lymphedema Book Section


Authors: Hespe, G. E.; Nitti, M. D.; Mehrara, B. J.
Editors: Greene, A. K.; Slavin, S. A.; Brorson, H.
Article/Chapter Title: Pathophysiology of lymphedema
Abstract: Although lymphedema is a common disease, the pathophysiology and underlying cellular changes that regulate lymphatic dysfunction after injury remain poorly understood. This lack of understanding is a major obstacle to development of targeted treatment options. As a result, the mainstay treatment of lymphedema currently is palliative options such as compression and physical therapy. Recent studies have aimed to address this gap in our knowledge and have increased our ability to identify patients who are at risk for developing lymphedema and, more importantly, to develop novel methods to treat this disease. These studies have shown that obesity, radiation, infections, and genetic changes significantly increase the risk of developing secondary or iatrogenic lymphedema. In addition, advances in animal studies have shown that fibrosis and the cellular mechanisms that regulate this process play a key role in the pathogenesis of lymphedema. The purpose of this review is to highlight these advances and identify potential areas for future research. © Springer International Publishing Switzerland 2015.
Keywords: inflammation; obesity; lymphedema; fibrosis; tgf-beta; il-4; adipose tissue deposition; il-13; t-helper 2 cells; t-helper cells
Book Title: Lymphedema: Presentation, Diagnosis, and Treatment
ISBN: 978-3-319-14492-4
Publisher: Springer  
Publication Place: Cham, Switzerland
Date Published: 2015-01-01
Start Page: 9
End Page: 18
Language: English
DOI: 10.1007/978-3-319-14493-1_2
PROVIDER: scopus
DOI/URL:
Notes: Book Chapter: 2 -- Export Date: 2 November 2015 -- Source: Scopus
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  1. Babak Mehrara
    451 Mehrara
  2. Geoffrey Eckerson Hespe
    24 Hespe
  3. Matthew   Nitti
    12 Nitti