During
the early ages of medicine Sir
William Osler, published in 1892 under the title "An Undescribed
Variety of Hereditary Oedema." Discovered a foreign inherited disease which is now world
widely known as Milroy’s Disease.
Milroy disease is a condition that affects the normal function of the
lymphatic system.
The lymphatic system produces
and transports fluids and immune cells throughout the body. Impaired transport
with accumulation of lymph fluid can cause swelling (lymphedema).
Individuals with Milroy disease typically have lymphedema in their
lower legs and feet at birth or develop it in infancy. The lymphedema typically
occurs on both sides of the body and may worsen over time.
Milroy
disease is associated with other features
in addition to lymphedema. Males with Milroy disease are sometimes born with an
accumulation of fluid in the scrotum (hydrocele). Males and females may have
upslanting toenails, deep creases in the toes, wart-like growths (papillomas),
and prominent leg veins. Some individuals develop non-contagious skin
infections called cellulitis that can damage the thin tubes that carry lymph
fluid (lymphatic vessels). Episodes of cellulitis can cause further swelling in
the lower limbs.
Milroy disease is a rare disorder; its incidence is unknown. Milroy disease is inherited in an autosomal dominant
pattern, which means one copy of the altered gene in each cell is sufficient to
cause the disorder. In many cases, an affected person inherits the mutation
from one affected parent.
Treatment for this rare disorder is first-line
treatment for lymphedema is complex physical therapy. This
treatment is aimed at improving lymphedema with manual lymphatic drainage,
massage, and exercise.
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