Illustrations courtesy of the USAID-funded MMDP Project led by Helen Keller International
Lokasi cacing W. bancrofti pada orang
dewasa
Sistem Limfe
Pertahanan tubuh
Cacing dewasa hidup di saluran limfe dan
menyebabkan dilatasi saluran limfe
arms, breasts,
genitals)
Cacing dewasa mati tapi dilatasi dan gangguan
fungsi limfe menetap
Lymphatic filariasis ‒ Disease spectrum
Asymptomatic:
microfilaraemia
subclinical lymphatic damage
Chronic:
lymphoedema (or elephantiasis)
hydrocele
Acute:
adenolymphangitis (ADL) or acute attacks
Asymptomatic
Lymphoedema Hydrocele
(elephantiasis)
Chronic disease ‒ Spectrum of lymphoedema
Lymphoedèmes
Acute
Swelling attacks (LE) Folds
Elephantiase
Knobs
“Mossy lesions”
Acute Attack
Chronic disease ‒ Hydrocele
Normal Hydrocele
Acute disease ‒ Acute attack
Contoh: memotong/menggaruk,
gigitan serangga, infeksi jamur,
paronychia, eksim
Entry lesions
Courtesy: Togo
Courtesy: G. Dreyer
Disease
Infection Lymphoedema Acute attacks
progression