Lymphedema, Microbiota
Conditions
Brief summary
Lymphedema is a chronic and progressive disease of the lymphatic vessels which affects about 300 million people worldwide. Patients may experience recurrent soft tissue infection of the limb affected by lymphedema, in terms of erysipelas, lymphangitis or cellulitis. No previous study has ever investigated the possible role of the gut microbiota in the genesis of acute infectious/inflammatory episodes in these patients. Our hypothesis is that lymphedema patients with recurrent soft tissue infections are characterized by pro-inflammatory changes in the microbiota.
Interventions
typing of the gut microbiota from a stool sample
Sponsors
Study design
Eligibility
Inclusion criteria
(Group A): * 18-85 years * primary or secondary, upper or lower limb lymphedema, I-II-III stage ISL * at least 3 episodes of soft tissue infection in an year, in the last 2 years * consent to participate in the study Inclusion Criteria (Group B): * 18-85 years * primary or secondary, upper or lower limb lymphedema, stage I-II-III (ISL) * no episodes of soft tissue infection in the last 2 years * consent to participate in the study
Exclusion criteria
* No compliance to perform limb compression and skin hygiene * Antibiotic therapy in the last 15 days * Diabetes mellitus * Immunodeficiency * Ongoing neoplastic pathology * Taking immunosuppressive drugs * Unavailability to follow-up for at least 24 months post-enrollment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| comparison alpha diversity | 60 months | comparison alpha diversity of the gut microbiota in groups A and B |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| comparison beta diversity | 60 months | comparison beta diversity of the gut microbiota in groups A and B |
| evaluation of the microbiome differential abundance | 60 months | evaluation of the microbiome differential abundance to identify taxa associated |
Countries
Italy
Contacts
Fondazione Policlinico Universitario Agostino Gemelli IRCCS