Postural Hypotension Associated with Nonelastic Pantyhose during Lymphedema TreatmentReport as inadecuate




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Case Reports in Dermatological MedicineVolume 2014 2014, Article ID 536126, 3 pages

Case Report

Cardiology and Cardiovascular Surgery Department, Medicine School in São José do Rio Preto FAMERP, Avenida Constituição 1306, 15025120 São José do Rio Preto, SP, Brazil

Research Group in Godoy Clinic, Avenida Constituição 1306, 15025120 São José do Rio Preto, SP, Brazil

Medicine School in São José do Rio Preto FAMERP and Research Group in Godoy Clinic, Avenida Constituição 1306, 15025120 São José do Rio Preto, SP, Brazil

Received 17 April 2014; Accepted 20 June 2014; Published 6 July 2014

Academic Editor: Gérald E. Piérard

Copyright © 2014 Jose Maria Pereira de Godoy et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The case of a 72-year-old female patient with elephantiasis is reported. The patient was submitted to two surgeries to remove the edema. After surgery, the leg again evolved to elephantiasis and eventually she was referred to the Clinica Godoy for clinical treatment. Intensive treatment was carried out 6 to 8 hours per day and the patient lost more than 70% of the limb volume within one week. After this loss, the volume was maintained using grosgrain compression pantyhose for 24 hours per day. During the return appointment, the patient suffered from systemic hypotension a drop of more than 30 mmHg within three minutes while she was standing after removing the stocking. A further investigation showed that the symptoms only appeared when the stocking was worn for 24 hours. Thus, the patient was advised to use the stocking only during the day thereby avoiding the symptoms of hypotension.





Author: Jose Maria Pereira de Godoy, Daniel Zucchi Libanore, and Maria de Fatima Guerreiro Godoy

Source: https://www.hindawi.com/



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