+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Risk Factors for Chronic Intertrigo of the Lymphedema Leg in Southern India: A Case-Control Study

, : Risk Factors for Chronic Intertrigo of the Lymphedema Leg in Southern India: A Case-Control Study. International Journal of Lower Extremity Wounds 14(4): 377-383

Rich clinical experiences indicate that toe web intertrigo is a major predisposing condition for cellulitis/acute dermatolymphango adenitis (ADLA) and the number of lesions is the strongest predictor of frequency of ADLA in lymphedema (LE) patients. However, there is scanty information on the risk factors for the establishment of chronic toe web intertrigo in LE patients. We performed a case-control study recruiting 52 lower limb LE with intertrigo and 52 lower limb LE without intertrigo in community settings and assessed general and local potential risk factors for chronic intertrigo. Analysis of local risk factors revealed that topical application of oil, tingling and numbness of the extremities were associated independently with chronic intertrigo. In multivariate analysis, LE grades III and IV were associated with chronic intertrigo, after adjusting for tingling and numbness, prophylactic antibiotic, age group, and gender. From a public health perspective, LE patients of grades III and IV and patients under antibiotic prophylaxis should be self-motivated to look for the early symptoms of toe web intertrigo to prevent chronic stage and recurrent episodes of cellulitis. Patients with history of tingling and numbness of the periphery need to be monitored for pressure effects leading to poor vascularization and delayed healing of intertrigo.


PMID: 26353823

DOI: 10.1177/1534734615604289

Other references

Roy, A., 1985: Squatting in labour and left lateral births for posterior position. Nursing Journal of India 76(3): 61-3, 65-6

Lephart, S.M.; Pincivero, D.M.; Giraldo, J.L.; Fu, F.H., 1997: The role of proprioception in the management and rehabilitation of athletic injuries. Rehabilitation continues to evolve with the increased emphasis on patient management and proprioceptive training. Proprioception can be defined as a specialized variation of the sensory modality of touch that encompasses the sensation of joint mov...

Weissman, S.J.; Beskhlebnaya, V.; Chesnokova, V.; Chattopadhyay, S.; Stamm, W.E.; Hooton, T.M.; Sokurenko, E.V., 2007: Differential stability and trade-off effects of pathoadaptive mutations in the Escherichia coli FimH adhesin. FimH is the tip adhesin of mannose-specific type 1 fimbriae of Escherichia coli, which are critical to the pathogenesis of urinary tract infections. Point FimH mutations increasing monomannose (1M)-specific uroepithelial adhesion are commonly foun...

Anonymous, 1954: White Pine needle blight. Further evidence is now available to indicate that needle blight may be capable of causing the death of Pinus strobus that have been blighted annually over a period of years. Preliminary studies indicate that it may cause considerable loss of incr...

Sydow, B.V., 1961: Influence of type of animal, maintenance and feeding on biological evaluation of protein with albino rats, and a contribution to the evaluation of milk.. In 12 N retention trials with 620 young albino rats protein of differently processed skimmed milks was evaluated by productive protein value, N accumulated in body x 100/N intake. Between rats of 3 strains and between sexes there was no difference...

Gaida, M.M.; Steffen, T.Große.; Günther, F.; Tschaharganeh, D.F.; Felix, K.; Bergmann, F.; Schirmacher, P.; Hänsch, G.M., 2013: Polymorphonuclear neutrophils promote dyshesion of tumor cells and elastase-mediated degradation of E-cadherin in pancreatic tumors. Pancreatic ductal adenocarcinoma (PDAC) presenting with a micropapillary growth pattern is frequently associated with a prominent neutrophil infiltration into the tumor. The relevance of neutrophil infiltrates for tumor progression, however, is st...

Maskell, L.C.; Crowe, A.; Dunbar, M.J.; Emmett, B.; Henrys, P.; Keith, A.M.; Norton, L.R.; Scholefield, P.; Clark, D.B.; Simpson, I.C.; Smart, S.M.; Clough, Y., 2013: Exploring the ecological constraints to multiple ecosystem service delivery and biodiversity. Understanding and quantifying constraints to multiple ecosystem service delivery and biodiversity is vital for developing management strategies for current and future human well-being. A particular challenge is to reconcile demand for increased fo...

Buscaino, G.A.; Guadagnino, M., 1978: Latest contribution to "theoretical and practical trends of Italian psychiatry" from 1950 to 1976. Acta Neurologica. Quaderni 37: 131-159

Bala, P.; Kaur, D., 1988: Observations on a cephaline gregarine Hirmocystis granulata n. sp. from the gut of Myllocerus undecimpustulatus maculosus. Geobios New Reports, 71: 14-17

Malinen, E.; Hult, E.A.; Hole, E.O.; Sagstuen, E., 2003: Alanine radicals, part 4: Relative amounts of radical species in alanine dosimeters after exposure to 6-19 MeV electrons and 10 kV-15 MV photons. The amino acid l-alpha-alanine can be used for high-precision dosimetry over a wide dose range, using EPR spectroscopy for monitoring radical concentrations. It is important, however, to understand the underlying composition of the observed EPR sp...