title: Postural Hypotension Associated with Nonelastic Pantyhose during Lymphedema Treatment.
abstract: The case of a 72-year-old female patient with elephantiasis is reported. The patient was submitted to two surgeries to remove the edema. After surgery, the leg again evolved to elephantiasis and eventually she was referred to the Clinica Godoy for clinical treatment. Intensive treatment was carried out (6 to 8 hours per day) and the patient lost more than 70% of the limb volume within one week. After this loss, the volume was maintained using grosgrain compression pantyhose for 24 hours per day. During the return appointment, the patient suffered from systemic hypotension (a drop of more than 30 mmHg within three minutes) while she was standing after removing the stocking. A further investigation showed that the symptoms only appeared when the stocking was worn for 24 hours. Thus, the patient was advised to use the stocking only during the day thereby avoiding the symptoms of hypotension.
authors.affiliation: Cardiology and Cardiovascular Surgery Department, Medicine School in São José do Rio Preto (FAMERP), Avenida Constituição 1306, 15025120 São José do Rio Preto, SP, Brazil.
authors.forename: Jose Maria
authors.initials: JM
authors.lastname: Pereira de Godoy
authors.affiliation: Research Group in Godoy Clinic, Avenida Constituição 1306, 15025120 São José do Rio Preto, SP, Brazil.
authors.forename: Daniel
authors.identifier: 0000-0001-8774-4077
authors.initials: D
authors.lastname: Zucchi Libanore
authors.affiliation: Medicine School in São José do Rio Preto (FAMERP) and Research Group in Godoy Clinic, Avenida Constituição 1306, 15025120 São José do Rio Preto, SP, Brazil.
authors.forename: Maria de Fatima
authors.initials: Mde F
authors.lastname: Guerreiro Godoy
references.citation: Am J Physiol Regul Integr Comp Physiol. 2013 Jul 15;305(2):R164-70
references.pmid: 23637139
references.citation: Am Fam Physician. 2011 Sep 1;84(5):527-36
references.pmid: 21888303
references.citation: Lymphology. 2004 Jun;37(2):62-4
references.pmid: 15328758
references.citation: Cardiovasc Eng. 2009 Dec;9(4):134-43
references.pmid: 19813090
references.citation: Case Rep Med. 2014;2014:456060
references.pmid: 24715912
references.citation: Otol Neurotol. 2011 Dec;32(9):1518-21
references.pmid: 22072269
references.citation: Acta Neurol Scand. 2012 Jul;126(1):32-6
references.pmid: 21916853
references.citation: J Appl Physiol (1985). 2012 Nov;113(10):1659-68
references.pmid: 22678960
references.citation: J Spinal Cord Med. 2012 Mar;35(2):81-8
references.pmid: 22333734
references.citation: Int Angiol. 2012 Oct;31(5):494-8
references.pmid: 22990514
references.citation: Exp Physiol. 2012 Dec;97(12):1272-80
references.pmid: 22689443
references.citation: Physiol Behav. 2012 Jun 25;106(4):569-73
references.pmid: 22387271
references.citation: Acta Physiol Hung. 2009 Jun;96(2):157-66
references.pmid: 19457761