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Medline ® Abstract for Reference 31

of 'Clinical features and diagnosis of peripheral lymphedema'

Upper limb lymphedema associated with polyarthritis of rheumatoid type.
Kiely PD, Joseph AE, Mortimer PS, Bourke BE
J Rheumatol. 1994;21(6):1043.
OBJECTIVE: To determine the cause of upper limb edema in 8 patients with peripheral polyarthritis of rheumatoid-type.
METHODS: Objective assessment of lymph function using quantitative lymphoscintigraphy.
RESULTS: Seven cases with either rheumatoid or psoriatic arthritis were found to have impaired lymph drainage associated with edema. All cases shared a distal rheumatoid pattern of arthritis but showed no relation between severity of lymphatic impairment and either duration or severity of arthritis.
CONCLUSION: Polyarthritis of rheumatoid-type may be associated with lymphedema due to impaired lymphatic function.
Department of Rheumatology, St. George's Hospital, London, England.