Erysipelas in women with breast cancer followed in a rehabilitation service
DOI:
https://doi.org/10.5216/ree.v22.55712Keywords:
Breast Neoplasms, Morbidity, Erysipelas, NursingAbstract
A cross-sectional study that analyzed the occurence of erysipelas in women with breast cancer. It was conducted in a rehabilitation center, and 84 women with breast cancer were included by convenience. It was observed that 19% of women had signs and symptoms of erysipelas. The most prevalent signs were skin hyperemia, local heat, and pain (100%). Moreover, 75% of participants with erysipelas also had lymphedema (p<0.005). Among women with lymphedema and erysipelas, 83.8% had the lymphedema before erysipelas. The prevalence of erysipelas among women with breast cancer in rehabilitation pointed that within the predisposing factors of this pathology, there was an association with the presence of lymphedema. This data justify the inclusion of prevention measures for lymphedema, such as hydration of the superior limb homolateral to the surgery and to avoid trauma in the care provided to women with breast cancer, also preventing erysipelas.
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Panhofer P, Ferenc V, Schütz M, Gleiss A, Dubsky P, Jakesz R. et al. Standardization of morbidity assessment in breast cancer surgery using the Clavien Dindo Classification. Int J Surg [Internet]. 2014 [acesso em: 25 jun. 2018];12(4):334-9. Disponível em: https://www.journal-surgery.net/article/S1743-9191(14)00020-X/fulltext. https://doi.org/10.1016/j.ijsu.2014.01.012.
Inghammar M, Rasmussen M, Linder A. Recurrent erysipelas: risk factors and clinical presentation. BMC Infect Dis [Internet]. 2014 [acesso em: 25 jun. 2018];14(270):1-6. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4033615/pdf/1471-2334-14-270.pdf. https://doi.org/10.1186/1471-2334-14-270.
Vignes S. Lymphedema: from diagnosis to treatment. Rev Med Interne [Internet]. 2017 [acesso em: 06 fev. 2020];38(2):97-105. Disponível em: https://www.sciencedirect.com/science/article/pii/S0248866316304702?via%3Dihub. https://doi.org/10.1016/j.revmed.2016.07.005.
Al-Niaimi F, Cox N. Cellulitis and lymphoedema: a vicious cycle. J Lymphoedema [Internet]. 2009 [acesso em: 30 jun. 2018];4(2):38-42. Disponível em: https://pdfs.semanticscholar.org/03de/fd2c50232aa96ff1ef836ddfb2f62f395a70.pdf.
Teasdale EJ, Lalonde A, Muller I, Chalmers J, Samrt P, Hooper J et al. Patients’ understanding of cellulitsis and views about how best to prevent recurrent episodes: mixed-methods study in primary and secondary care. Br J Dermatol [Internet]. 2019 [acesso em: 05 fev. 2020];180(4):810-20. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6487809/. https://doi.org/10.1111/bjd.17445.
Kofteridis DP, Valachis A, Koutsounaki E, Maraki S, Mavrogeni E, Economidou FN et al. Skin and soft tissue infections in patients with solid tumors. Scientific World Journal [Internet]. 2012 [acesso em: 05 ago. 2018];2012:1-6. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3289964/pdf/TSWJ2012-804518.pdf. https://doi.org/10.1100/2012/804518.
Alcorso J, Sherman KA, Koelmeyer L, Mackie H, Boyages J. Psychosocial factors associated with adherence for self-management behaviors in women with breast cancer-related lymphedema. Supportive Care Cancer [Internet]. 2016 [acesso em: 15 jun. 2018];24(1):139–46. Disponível em: https://link.springer.com/article/10.1007%2Fs00520-015-2766-x. https://doi.org/10.1007/s00520-015-2766-x.
World Health Organization. Obesity: preventing and managing the global epidemic. Geneva: WHO; 2000.
Breivik H. Fifty years on the Visual Analogue Scale (VAS) for pain-intensity is still good for acute pain. But multidimensional assessment is needed for chronic pain. Sacand J Pain [Internet]. 2016 [acesso em: 05 fev. 2020];11(1):150-2. Disponível em: https://www.degruyter.com/view/journals/sjpain/11/1/article-p150.xml. https://doi.org/10.1016/j.sjpain.2016.02.004.
Freifeld AG, Bow EJ, Sepkowitz KA, Boeckh MJ, Ito JI, Mullen CA et al. Executive summary: clinical practice guideline for the use of antimicrobial agents in neutropenic patients with cancer: 2010 update by the infectious diseases society of America. Clin Infect Dis [Internet]. 2011 [acesso em: 15 jun. 2018];52(4):427-31. Disponível em: https://academic.oup.com/cid/article/52/4/427/379008. https://doi.org/10.1093/cid/ciq147.
Cruz RAO, Miranda EG, Santos EC, Ferreira MGMS, Santana RA. Abordagem e reflexões para o cuidado do cliente com erisipela. REBES [internet]. 2016 [acesso em: 20 set. 2018];6(1):22-6. Disponível em: http://oaji.net/articles/2016/2628-1461620160.pdf. http://dx.doi.org/10.18378/rebes.v6i1.3902.
Cireap N, Narita D, Ilina R, Nicola T. Erysipelas of upper limb: a complication of breast cancer surgery. Jurnalul de Chirurgie [Internet]. 2010 [acesso em: 15 ago. 2018];6(2):1-5. Disponível em: http://www.jurnaluldechirurgie.ro/jurnal/docs/jurnal210/art%2004_vol%206_2010_nr%202.pdf.
Lee D, Piller N, Hoffner M, Manjer J, Brorson H. Liposuction of postmastectomy arm lymphedema decreases the incidence of erysipelas. Lymphology [Internet]. 2016 [acesso em: 15 set. 2018];49(2):85-92. Disponível em: https://journals.uair.arizona.edu/index.php/lymph/article/view/19411/19046.
Kechaou BHYM, Cherif E, Boukhris I, Ben Hassine L. Erysipelas in Tunisian Patients: epidemiological, clinical features and risk factors in internal medicine. Biomed J Sci & Tech Res [Internet]. 2018 [acesso em: 23 set. 2018];5(3):4515-18. Disponível em: https://biomedres.us/pdfs/BJSTR.MS.ID.001196.pdf. http://dx.doi.org/10.26717/BJSTR.2018.05.001196.
National Lymphedema Network. Position statement of the National Lymphedema Network [Internet]. 2012 [acesso em: 02 jun. 2018];1-2. Disponível em: https://klosetraining.com/wp-content/uploads/2015/05/NLNsumm.pdf.
Asdourian MS, Skolny MN, Brunelle C, Seward CE, Salama L, Taghian AG. Precautions for breast cancerrelated lymphoedema: risk from air travel, ipsilateral arm blood pressure measurements, skin puncture, extreme temperatures, and cellulitis. Lancet Oncol [Internet]. 2016 [acesso em: 15 ago. 2018];17(9):E392-E405. Disponível em: https://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(16)30204-2/fulltext. https://doi.org/10.1016/S1470-2045(16)30204-2.
Matijasevic M, Dekic NA, Kolarevic D, Milosevic S, Tomasevic Z, Jurisic V. Erysipelas in breast cancer patients after the radical mastectomy. Cent Eur J Med [Internet]. 2012 [acesso em: 15 jun. 2018];7(2):149‑53. Disponível em: https://link.springer.com/article/10.2478/s11536-011-0127-9. https://doi.org/10.2478/s11536-011-0127-9.
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