{"id":"https://openalex.org/W8769078","doi":null,"title":"Severe lymphedema caused by repeated self-injury.","display_name":"Severe lymphedema caused by repeated self-injury.","publication_year":2011,"publication_date":"2011-12-01","ids":{"openalex":"https://openalex.org/W8769078","mag":"8769078","pmid":"https://pubmed.ncbi.nlm.nih.gov/22458120"},"language":"en","primary_location":{"id":"pmid:22458120","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/22458120","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Lymphology","raw_type":"Case Reports"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5067487331","display_name":"Makoto Mihara","orcid":"https://orcid.org/0000-0003-3385-4566","observed_orcids":["https://orcid.org/0000-0003-3385-4566"]},"institutions":[{"id":"https://openalex.org/I74801974","display_name":"The University of Tokyo","ror":"https://ror.org/057zh3y96","country_code":"JP","type":"education","lineage":["https://openalex.org/I74801974"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"M Mihara","raw_affiliation_strings":["Department of Plastic Surgery/Aesthetic Surgery, University of Tokyo, Tokyo, Japan. mihara@keiseigeka.name"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Plastic Surgery/Aesthetic Surgery, University of Tokyo, Tokyo, Japan. mihara@keiseigeka.name","institution_ids":["https://openalex.org/I74801974"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5006357670","display_name":"Hisako Hara","orcid":"https://orcid.org/0000-0002-0365-0477","observed_orcids":["https://orcid.org/0000-0002-0365-0477"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"H Hara","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017026237","display_name":"Noriyuki Murai","orcid":"https://orcid.org/0000-0002-1552-5104","observed_orcids":["https://orcid.org/0000-0002-1552-5104"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"N Murai","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031406231","display_name":"Takeshi Todokoro","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"T Todokoro","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"T Iida","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"T Iida","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009821769","display_name":"Mitsunaga Narushima","orcid":"https://orcid.org/0000-0001-7631-301X","observed_orcids":["https://orcid.org/0000-0001-7631-301X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"M Narushima","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5087714404","display_name":"Isao Koshima","orcid":"https://orcid.org/0000-0003-2307-5905","observed_orcids":["https://orcid.org/0000-0003-2307-5905"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"I Koshima","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.1622,"has_fulltext":false,"cited_by_count":4,"citation_normalized_percentile":{"value":0.54858307,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":95},"biblio":{"volume":"44","issue":"4","first_page":"183","last_page":"6"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11469","display_name":"Lymphatic System and Diseases","score":0.8970000147819519,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11469","display_name":"Lymphatic System and Diseases","score":0.8970000147819519,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12426","display_name":"Lymphatic Disorders and Treatments","score":0.0949999988079071,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10980","display_name":"Vascular Malformations and Hemangiomas","score":0.0010999999940395355,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/secondary-lymphedema","display_name":"secondary lymphedema","score":0.8669999837875366},{"id":"https://openalex.org/keywords/self-harm","display_name":"self-harm","score":0.7900000214576721},{"id":"https://openalex.org/keywords/upper-limb-lymphedema","display_name":"upper limb lymphedema","score":0.8980000019073486},{"id":"https://openalex.org/keywords/lymphatic-vessel-injury","display_name":"lymphatic vessel injury","score":0.6919999718666077},{"id":"https://openalex.org/keywords/young-adult-patient","display_name":"young adult patient","score":0.5210000276565552},{"id":"https://openalex.org/keywords/differential-diagnosis","display_name":"differential diagnosis","score":0.781000018119812}],"concepts":[{"id":"https://openalex.org/C2781392513","wikidata":"https://www.wikidata.org/wiki/Q916398","display_name":"Lymphedema","level":4,"score":0.9721553325653076},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8610170483589172},{"id":"https://openalex.org/C2777129934","wikidata":"https://www.wikidata.org/wiki/Q7443853","display_name":"Secondary lymphedema","level":5,"score":0.799889087677002},{"id":"https://openalex.org/C2778368355","wikidata":"https://www.wikidata.org/wiki/Q5488","display_name":"Aplasia","level":2,"score":0.5905324816703796},{"id":"https://openalex.org/C2775862295","wikidata":"https://www.wikidata.org/wiki/Q2660911","display_name":"Dissection (medical)","level":2,"score":0.5500786900520325},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5470097064971924},{"id":"https://openalex.org/C181152851","wikidata":"https://www.wikidata.org/wiki/Q712604","display_name":"Lymphatic system","level":2,"score":0.5151485204696655},{"id":"https://openalex.org/C2780327212","wikidata":"https://www.wikidata.org/wiki/Q1568160","display_name":"Hypoplasia","level":2,"score":0.5018675327301025},{"id":"https://openalex.org/C2780849966","wikidata":"https://www.wikidata.org/wiki/Q170758","display_name":"Lymph node","level":2,"score":0.5008652210235596},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.4963231682777405},{"id":"https://openalex.org/C2776660947","wikidata":"https://www.wikidata.org/wiki/Q841423","display_name":"Upper limb","level":2,"score":0.44403475522994995},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.33294808864593506},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.14632165431976318},{"id":"https://openalex.org/C530470458","wikidata":"https://www.wikidata.org/wiki/Q128581","display_name":"Breast cancer","level":3,"score":0.10576954483985901},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.1056404709815979}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008209","descriptor_name":"Lymphedema","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D016728","descriptor_name":"Self-Injurious Behavior","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D034941","descriptor_name":"Upper Extremity","qualifier_ui":"Q000293","qualifier_name":"injuries","is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:22458120","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/22458120","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Lymphology","raw_type":"Case Reports"},{"id":"mag:8769078","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/22458120","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":10,"referenced_works":["https://openalex.org/W26221504","https://openalex.org/W1966694113","https://openalex.org/W1975676591","https://openalex.org/W1986738642","https://openalex.org/W1990814763","https://openalex.org/W2033448629","https://openalex.org/W2076643054","https://openalex.org/W2115576182","https://openalex.org/W2159162929","https://openalex.org/W2403748593"],"related_works":["https://openalex.org/W2752064654","https://openalex.org/W7098105532","https://openalex.org/W4241674768","https://openalex.org/W40117331","https://openalex.org/W3175908345","https://openalex.org/W2070374371","https://openalex.org/W6960048948","https://openalex.org/W2147541467","https://openalex.org/W4231551210","https://openalex.org/W4238191092"],"abstract_inverted_index":{"Lymphedema":[0],"is":[1,35],"divided":[2],"into":[3],"primary":[4],"and":[5,15,23,46,108],"secondary":[6,30,102],"forms.":[7],"Primary":[8],"lymphedema":[9,31,92,103],"often":[10],"develops":[11],"in":[12,52,68,73,113],"young":[13,63,116],"people":[14],"may":[16],"be":[17,106],"caused":[18,93],"by":[19,79,94],"lymphvascular":[20],"aplasia,":[21],"hypoplasia,":[22],"hyperplasia.":[24],"The":[25],"most":[26,50],"frequent":[27],"cause":[28],"of":[29,42,121],"after":[32],"lymphatic":[33],"filariasis":[34],"regional":[36],"lymph":[37,71],"node":[38],"dissection":[39],"for":[40],"treatment":[41],"a":[43,61,114,119],"malignant":[44],"tumor,":[45],"this":[47],"complication":[48],"occurs":[49],"frequently":[51],"middle":[53],"aged":[54],"or":[55,123],"older":[56],"patients.":[57],"Here,":[58],"we":[59],"describe":[60],"relatively":[62,115],"patient":[64,117],"(27":[65],"years":[66],"old)":[67],"whom":[69],"collecting":[70],"vessels":[72],"the":[74],"upper":[75],"limb":[76],"were":[77],"disrupted":[78],"repeated":[80],"self-injury,":[81],"with":[82],"resultant":[83],"lymphedema.":[84],"There":[85],"have":[86],"been":[87],"very":[88],"few":[89],"reports":[90],"on":[91],"self-induced":[95],"trauma.":[96],"This":[97],"case":[98],"report":[99],"illustrates":[100],"that":[101],"should":[104],"also":[105],"considered":[107],"evaluated":[109],"appropriately":[110],"when":[111],"diagnosed":[112],"without":[118],"history":[120],"cancer":[122],"infection.":[124]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2022,"cited_by_count":2},{"year":2013,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
