Rehabilitación del linfedema. Estado de la cuestión
El linfedema es la manifestación clínica de la insuficiencia del sistema linfático, que da lugar al acumulo en el espacio intersticial de un fluido rico en proteínas, provocando la proliferación del tejido graso y una fibrosis progresiva del tejido celular subcutáneo (TCS), todo ello derivado de la falta de propulsión de la linfa a través de los canales linfáticos.
Esta situación tiene diferentes causas. Puede derivarse de displasias congénitas del sistema linfático, conocidas como linfedema primario o estar provocada por diferentes eventos, como por ejemplo después de una resección ganglionar a nivel axilar o retroperitoneal, por irradiación o por repetidas linfangitis con linfoesclerosis, que son los conocidos como linfedemas secundarios.
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