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Title Self-explanatory.
Elephantiasis is typically
characterized by a thickening of the skin and subcutaneou subcutaneous s tissue that gives rise to the grossly enlarged and swollen limbs that earn the condition its name.
Elephantiasis refers to a parasitic infection that causes extreme swelling in the arms and legs.
The disease is caused by the filarial worm, which is transmi transmitted tted form human to human via the female mosquito when it takes a blood meal. The parasite grows into an adult worm
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that lives in the lymphatic system of humans.
HISTORY Lymphatic filariasis is thought to have affected humans for about 4000 years. Artifacts from ancient Egypt (2000 BC and the !ot civili"ation in civili"ation in #est Africa ($00 BC sho% possible elephantiasis elephantiasis symptoms. &he first clear reference to the disease occurs in ancient 'ree literature) %herein scholars differentiated the often similar symptoms of lymphatic filariasis from those of leprosy leprosy.. &he first documentation of symptoms occurred in the *+th century) %hen ,an -uyghen van Linschoten %rote Linschoten %rote about the disease during the eploration of 'oa 'oa.. /imilar symptoms %ere reported by subseuent eplorers in areas of Asia and Africa Africa)) though an understand understanding ing of the disease did not begin to develop until centuries later.
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-enry #ucherer ) made the connection bet%een microfilariae and elephantiasis) establishing the course of research that %ould ultimately eplain the disease. 1n *5+) ,oseph Bancroft discovered Bancroft discovered the adult form of the %orm.
1n *55) the lifecycle involving an arthropod vector %as theori"ed by 6atric 7anson) 7anson) %ho proceeded to demonstrate the presence of the %orms in mosuitoes. 7anson incorrectly hypothesi"ed hypothesi"e d that the disease %as transmitted through sin contact %ith %ater in %hich the mosuitoes had laid eggs. 1n *800) 'eorge Carmichael Lo% determined Lo% determined the actual transmission method by discovering the presence of the %orm in the proboscis of the mosuito vector.
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SIGN OF SYMPTOMS *. &he most most spectacular spectacular symptom symptom of lymphatic filariasis is elephantiasis elephantiasis)) a stage lymph edema %ith edema %ith thicening of the sin and sin and underlying tissues. &his %as the first mosuito9b mosuito9borne orne disease disease to to be discovered.
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2. &he sin condition the the disease causes is called :elephantiasis tropica: (also no%n as :elephantiasis arabum: 3. Elephantiasis mainly affects the lo%er etremities; the ears ears)) mucous membranes) membranes ) and amputation amputation stumps stumps are affected less freuently. -o%ever) various species of filarial %orms tend to affect different parts of
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(causing hydrocele hydrocele formation) formation) %hile Brugia timori rarely timori rarely affects the genitals. 4. &hose %ho develop the chronic stages of elephantiasis elephan tiasis are usually amicrofilaraemic amicrofilaraemic and and often have adverse immunological immunological reactions to the microfilariae as microfilariae as %ell as the adult %orms. 5. Elephantiasis results %hen the parasites lodge in the lymphatic system and system and cause blocages to the flo% of lymph. 1nfections usually begin in childhood. 6. /in rashes) urticarial papules papules)) and arthritis arthritis)) as %ell as hyper9 hyper9 and and hypopigmentation macules. 7. /erous cavity filariasis cavity filariasis presents %ith symptoms similar to subcutaneo subcutaneous us filariasis) in addition to abdomina abdominall pain) because these %orms are also deep9tissue d%ellers. 8. &hose %ho develop the chronic stages of elephantiasis elephan tiasis
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usually amicrofilaraemic amicrofilaraemic and and often have adverse immunological immunological reactions to the adult %orms.. 8. Elephantiasis leads to mared s%elling of the lo%er half of the body
CAUSES Elephantiasis s occurs in the presence 1. Elephantiasi of microscopic) thread9lie parasitic
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of helminth helminth infection. infection . &hree types of %orm cause the disease and damage the lymphatic system .
3. &he disease itself is a result of a comple interplay bet%een several factors< the %orm) the endosymbiotic Wolbachia Wolbachia bacteria bacteria %ithin the %orm) the host=s immune response) and the numerous opportunistic infections and disorders that arise. 4. &he parasite infects the lymph nodes and blocs the flo% of lymph lymph throughout throughout
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Life cycle of parasite
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Wuchereria Wucherer ia bancrofti is
a human parasitic round%orm round%orm that that is the ma>or cause of lymphatic filariasis. filariasis . 1t is one of the three parasitic %orms) together %ith Brugia malayi and and B. timori ) that infect the lymphatic system to cause lymphatic filariasis. &hese filarial %orms are spread by a variety of mosuito vector species. species. W. bancrofti is is the most prevalent of the three and affects over *20 million people) primarily in Central Africa and the !ile delta) /outh and Central
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conditions it also causes tropical eosinophilia)) an asthmatic disease. eosinophilia Limited treatment modalities eist and no vaccines vaccines have have been developed. W. bancrofti carry carry out their life cycle in cycle in t%o hosts hosts.. -uman beings serve beings serve as the definitive host and host and mosuitoes mosuitoes as as their intermediate hosts. hosts . &he adult parasites reside in the lymphatics lymphatics of of the human host. &hey are found mostly in the afferent lymphatic channels of the lymph glands in the lo%er part of the body. &he first9stage larvae) no%n
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microfilariae in humans easier to determine. &he microfilariae are found mainly in the peripheral blood and can be found at pea amounts from *0 p.m. to 4 a.m. &hey migrate bet%een the deep and the peripheral circulation ehibiting uniue diurnal periodicity. 3uring the day) they are present in the deep veins) and during the night) they migrate to the peripheral circulation. &he
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as lo%ered body temperature) oygen tension and adrenal activity) and an increased carbon dioide tension) among other physical alterations) any of %hich could be the signals for the rhythmic behavior of microfilaria parasites. 1f the hosts sleep by day and are a%ae at night) their periodicity is reversed. 1n the /outh 6acific) %here W. bancrofti sho%s sho%s diurnal periodicity) it is
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infected mosuito has its net blood meal) W. bancrofti is is egested via the mosuito=s proboscis into the blood stream of the ne% human host. &he larvae move through the lymphatic system to system to regional lymph nodes) predominantly in the legs and genital area. &he larvae develop into adult %orms over the course of a year) and reach seual maturity in the afferen afferentt
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Wuchereria bancrofti
3iagnosis
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&he blood sample is typically in the form of a thic smear and and stained %ith 'iemsa stain.. &esting the blood serum stain serum for for antibodies against the disease may also be used. ?or this reason) the blood has to be collected nocturnally. &he Carter Center @s @s 1nternational &as ?orce for 3isease Eradication declared lymphatic filariaisis one of si.
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Africa) albenda"ole Africa) albenda"ole (donated (donated by 'lao/mithline 'lao/mithline is being used %ith ivermectin ivermectin (donated (donated by 7erc Co. to treat the disease) %hereas else%here in the Co. %orld) albenda"ole is used %ith diethylcarbama"ine diethylcarbama"ine.. &ransmission &rans mission of the infection can be broen %hen a single dose of these combined oral medicines is consistently maintained annually for a duration of four to si years. Dsing a combination of treatments
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Additionally)) surgical treatment Additionally treatment may be helpful helpful for issues related to scrotal elephantia elephantiasis sis and hydrocele hydrocele.. -o%ever) surgery is generally ineffective ineffe ctive at correcting elephantiasis elephantiasis of the limbs. A vaccine vaccine is is not yet available but in 20*F the Dniversity of 1llinois %as reporting 8$G efficacy in testing against B. malayi in in mice. &reatment for podoconiosis consists of
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the %orm. #hen the symbiotic bacteria of the adult %orms are illed by the antibiotic) they no longer provide chemicals %hich the nematode larvae need to develop) %hich either ill the larvae or prevent their normal development. &his permanently sterili"es the adult %orms) %hich additionally die %ithin * or 2 years instead of after their normal *0 to *4 years
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minus. The growth was soft, and the overlying skin showed rigidities . A clinical diagnosis of fibrolipoma was suggested. Fine needle aspiration of the growth was performed. Micr Micros oscop copy y show showed ed hypo hypoce cell llul ular ar smea smears rs with with an occasional lymphocyte in a proteinaceous background.
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Lymphatic filariasis (elephantiasis is >ust one of Lymphatic a number of neglected tropical diseases (!&3s
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estimated the disease costs Africa J*.F billion a year in lost productivity
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www.yahoo.com www.wikiedia.o!g
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I would like to express ! spe"i#l
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Thi si st oc er t i f yt hatt hi spr oj ec thasbeen madebyRAHULKUMA MAR ofc l as sXI ICon
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