elephantiasis


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elephantiasis

(ĕl`əfăntī`əsĭs), abnormal enlargement of any part of the body due to obstruction of the lymphatic channels in the area (see lymphatic systemlymphatic system
, network of vessels carrying lymph, or tissue-cleansing fluid, from the tissues into the veins of the circulatory system. The lymphatic system functions along with the circulatory system in absorbing nutrients from the small intestines.
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), usually affecting the arms, legs, or external genitals. In tropical countries the most common cause is filariasis, infestation with certain filaria, small parasitic roundworms (see wormworm,
common name for various unrelated invertebrate animals with soft, often long and slender bodies. Members of the phylum Platyhelminthes, or the flatworms, are the most primitive; they are generally small and flat-bodied and include the free-living planarians (of the class
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) of the genera Wuchereria bancrofti or Brugia malayi that are introduced into the body by many species of mosquitoes. The adult worms live in the lymphatic system, causing local inflammation, fibrosis, and obstruction, and resulting in the characteristic enlargement and thickening of the skin. The initial damage done by the worms can be greatly worsened by secondary bacterial and fungal infections.

Recovery from filariasis is possible and surgery sometimes helps, but any elephantiasis that develops during the disease cannot be cured. Ivermectin, an antifilarial drug, has been effective with a single dose. Diethylcarbamazine often kills the adult worms or impairs their reproductive capabilities, and the antibiotic doxycycline, which works by killing symbiotic bacteria that live inside the worms, also eliminates adult worms. Albendazole, in combination with others drugs, is being used in a program of mass drug administration undertaken under the auspices of the World Health Organization in an attempt to eliminate filariasis. Begun in 1999 the program treats an entire population in an attempt to eradicate the worm. Control of mosquitoes also is instrumental in holding down the incidence of the disease. Careful hygiene and other measures that prevent and control subsequent bacterial and fungal infections in limbs or genitals in which the lymphatic system has been damaged can reduce disfigurement and suffering. Blocking of the lymph channels and elephantiasis can also result from lymphogranuloma venereum, a sexually transmitted diseasesexually transmitted disease
(STD) or venereal disease,
term for infections acquired mainly through sexual contact. Five diseases were traditionally known as venereal diseases: gonorrhea, syphilis, and the less common granuloma inguinale, lymphogranuloma venereum, and
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, and from podoconiosis, an abnormal inflammatory response to recurring barefoot exposure to irritant mineral particles in certain volcanic soils.

Elephantiasis

 

a disease of man and some animal species, manifested by a progessive thickening of the skin and subcutaneous tissue resulting from chronic lymphatic obstruction and lymphatic edema. Elephantiasis is caused by a congenital, hereditary, or acquired insufficiency of the lymphatics, with accompanying impairment of lymph dynamics—the absorption of lymph through the lymph capillaries and the flow of lymph through the lymphatic system.

In man, elephantiasis affects mainly the lower extremities. The disease’s onset is marked by slight, painless edema of the foot or ankle joint that disappears when the extremity is elevated. The edema gradually spreads upward, persisting and becoming firmer to the touch if the patient remains confined in bed over a lengthy period. The leg becomes deformed, resembling that of an elephant. Except for a sensation of heaviness in the leg, pain is generally absent. Elephantiasis must be distinguished from edemas and thickenings of the lower extremities arising from such disorders as chronic venous insufficiency, obesity, endocrine disturbances, and tumors.

Treatment at the onset of the disease is conservative: elastic stockings or bandages are worn, regular massage is administered, and the extremity is kept elevated. Surgical treatment of advanced elephantiasis is effective in 85 percent of the cases.

Elephantiasis occurs in horses and some breeds of swine. The inflammatory process that caused the disease is treated.

REFERENCE

Gorshkov, S. Z., and G. G. Karavanov. Slonovost’. Moscow, 1972.

S. Z. GORSHKOV

elephantiasis

[‚el·ə·fan′tī·ə·səs]
(medicine)
A parasitic disease of humans caused by the filarial nematode Wuchereria bancrofti; characterized by cutaneous and subcutaneous tissue enlargement due to lymphatic obstruction.

elephantiasis

Pathol a complication of chronic filariasis, in which nematode worms block the lymphatic vessels, usually in the legs or scrotum, causing extreme enlargement of the affected area
References in periodicals archive ?
The report reviews key players involved in the therapeutics development for Elephantiasis (Lymphatic Filariasis) and enlists all their major and minor projects
Abdominal-pelvic computed tomography showed no evidence of lymphadenopathy or malignancy throughout abdomen and pelvis in keeping with idiopathic scrotal elephantiasis.
Filariasis caused by Wuchereria bancrofti, also known as Bancroftian elephantiasis and lymphatic filariasis have been reported to be endemic in twelve northern districts of Bangladesh.
On the basis of clinical, serological and haematological examinations, diagnosis was established as lymphatic filariasis causing elephantiasis of the scrotum.
Elephantiasis is the most obvious manifestation of lymphatic filariasis, afflicting a minority of people infected with filarial worms (WHO 2010).
He has already developed elephantiasis, which results in thickening of the skin and tissue on his legs.
An example is a case in which a radio show suggested falsely that a victim of elephantiasis was forced into a shotgun marriage because that was the only basis upon which anyone would marry him.
The grading was carried out using the following criterion: Hydrocele 0 = normal, 1 = 6-7 cm, 2 = 8-11 cm, 3 = 12-15 cm, 4 = >15 cm; limb elephantiasis 0 = normal, 1 = loss of contour (lymphoedema), 2 = thickened skin, loss of elasticity, 3 = evident elephantiasis, deep skin folds, wart-like skin; scrotal elephantiasis 0 = normal, 1 = lymphoedema, 2 = thickened scrotal skin, loss of elasticity, 3 = evident elephantiasis.
Other presenting features include as scrotal elephantiasis and gangrene (6).
Almost 25 million men suffer from genital manifestations of the disease (mostly hydrocele, chylocele and swellings of the scrotum and penis), another 15 million mainly women have lymphoedema or elephantiasis of the leg as well as acute and recurrent secondary bacterial infections.
Manson wrestled with the problem of elephantiasis, but his microscope was no good and the place lacked scientific literature.