Indian Journal of Physical Medicine and Rehabilitation

Register      Login

VOLUME 29 , ISSUE 2 ( 2018 ) > List of Articles

CASE REPORT

Disability Limitation in Elephantiasis

Vasanthi K Sreekala

Keywords : Filariasis, Postsurgical rehabilitation.,Elephantiasis

Citation Information : Sreekala VK. Disability Limitation in Elephantiasis. Indian J Phy Med Rehab 2018; 29 (2):53-55.

DOI: 10.5005/jp-journals-10066-0026

License: CC BY-ND 3.0

Published Online: 00-06-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

EIephantiasis, a chronic irreversible lymphoedema of the extremities, commonly involving legs, is caused due to obstruction of lymphatic vessels by microfilariae of Wuchereria bancrofti, Brugia malayi, and Loa loa. Two of our patients of age 56 and 58 years presented with elephantiasis. One patient was bed-bound while the other patient used to manage ambulation. Both of them were advised to undergo reconstructive surgery which the ambulatory patient refused. After 5-stage surgical correction and postsurgical rehabilitation, the bedbound patient started walking with a walker 3 months after the last surgery and became independently ambulant after 6 months.


PDF Share
  1. Tada I. Pathogenesis of chronic symptoms of filariasis with emphasis on elephantiasis. J Trop Med Health 2011 Mar;39 (1 Suppl 2):47-50.
  2. Cui ZH, Liu B, Lin XJ, Gao CL, Tian GM, Wang DL, Zou ZS, Xie C, Shi JP, Song SF, et al. Epidemiological survey on patients with advanced filariasis in Shandong province of China. Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi 1990;8(4):245-248.
  3. Otsuji Y. Epidemiology and control of filariasis. Trop Med Health 2003;7(1):48-56.
  4. Molyneux D. Lymphatic filariasis—elimination: a public health success. Filaria J 2003;2:13.
  5. Jones HW, Kahn RA. Surgical treatment of elephantiasis. Plast Reconstruct Surg 1970 Jul;46(1):8-12.
  6. Blocker TG. Surgical treatment of elephantiasis of lower extremities. Plast Reconstruct Surg 1949 Sep;4(5):407-414.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.