tag:blogger.com,1999:blog-78035047509959776572024-03-24T23:09:51.505-07:00S'informer sur le lymphoedèmeRepublication d'informations publiées sur le web. Le propriétaire du blog qui n'est pas médecin ne saurait évaluer la pertinence des informations publiées. Ces articles sont purement informatifs; ils engagent leurs auteurs et ne peuvent en aucun cas remplacer la consultation d'un médecin qui seul pourra donner son avis sur la teneur de ce qui est publié et sur l'adéquation de l'information avec la pathologie de la personne qui le consulte.
Vos commentaires et témoignages sont bienvenus.Seraphimhttp://www.blogger.com/profile/09830433552680718249noreply@blogger.comBlogger74125tag:blogger.com,1999:blog-7803504750995977657.post-5775551470189402172017-10-24T01:53:00.002-07:002017-10-24T01:58:41.617-07:00Diagnostic et prise en charge du lymphoedème<div class="separator" style="clear: both; text-align: center;">
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Article paru dans le Forum médical suisse sous <span style="background-color: white; color: #333333; letter-spacing: 0.266667px;">Licence Creative Commons "</span><a class="external-link-new-window" href="https://creativecommons.org/licenses/by-nc-nd/4.0/" style="-webkit-tap-highlight-color: transparent; background-color: white; box-sizing: border-box; color: rgb(1, 92, 169) !important; cursor: pointer; letter-spacing: 0.266667px; outline: 0px !important; text-decoration-line: none; transition: all 0.2s ease-in-out;" target="_blank" title="Opens internal link in current window">Attribution - Pas d'Utilisation Commerciale - Pas de Modification 4.0 International</a><span style="background-color: white; color: #333333; letter-spacing: 0.266667px;">".</span></span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><span style="background-color: white; color: #333333; letter-spacing: 0.266667px;"><b>Extraits</b></span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">Le lymphœdème (LO) constitue un problème de santé publique dont la prévalence, évaluée à 1,33/1000, est vraisemblablement sous-estimée. Ces dernières années, des progrès ont été réalisés dans la compréhension de son développement et dans sa prise en charge. </span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">S’agissant d’une maladie chronique, le traitement du LO reste difficile. Il nécessite d’être effectué de façon régulière sur le long terme. Ses nombreuses contraintes découragent souvent médecins et patients. </span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">Il est donc important de faire du patient un co-soignant de sa propre maladie. </span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">Une prise en charge précoce et adaptée du LO permettra de minimiser son volume mais aussi de diminuer ses conséquences, en particulier sur la qualité de vie. </span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">Le LO est défini comme une pathologie provoquée par une réduction de transport de la lymphe suite à un trouble organique ou fonctionnel des vaisseaux lymphatiques accompagné d’une lymphostase. </span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;"><b>Seul œdème à forte concentration protéinique, il se distingue de toutes les autres formes d’œdème pour lesquelles prévaut la composante hydrique.</b></span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">L’atteinte du système lymphatique entraîne l’accumulation de protéines dans l’espace extracellulaire. L’augmentation de la pression oncotique interstitielle génère un afflux hydrique à l’origine du LO. </span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">Secondairement, on observe une stimulation des fibroblastes avec production de collagène, une activation des kératinocytes et des adipocytes ainsi qu’une destruction des fibres élastiques. </span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">Cette transformation qualitative des tissus est très probablement la conséquence d’une infiltration des tissus par des cytokines pro-inflammatoires et des macrophages puisque les protéines par elles-mêmes ne sont pas capables d’induire la fibrose observée.</span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">L’évolution du LO se fait donc vers une pathologie tissulaire, avec augmentation du tissu conjonctif et adipeux. </span></span><br />
<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">L’épaississement et la fibrose cutanés sont responsables du signe de Stemmer. Celui-ci se définit par l’impossibilité de plisser la peau de la base du deuxième orteil. Il peut être recherché ailleurs sur le membre ou le tronc permettant ainsi de préciser l’étendue du territoire touché par le LO.</span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">Le diagnostic du LO est avant tout clinique. La connaissance de la physiopathologie, des circonstances précises de son apparition et de ses signes spécifiques se révèlent primordiaux. </span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">Une démarche systématique lors de l’anamnèse du patient, l’inspection et la palption de la zone affectée permet d’établir le diagnostic dans la majorité des cas (tableau).</span></span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEim7nbDzSa1UhTtiR0rm-FSxB0H_kNBQ-44iec5zgh8aTSkXvBZAc6diH0ahoKeBZPfNlFtVH3uBDSHug6xoMOrsxcsKErvObwM-J2idNM9dUvy1KRD08cqpEkDUe2gs7g0GDhL_2tLdbw/s1600/tableau_lymphoedeme.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="549" data-original-width="670" height="327" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEim7nbDzSa1UhTtiR0rm-FSxB0H_kNBQ-44iec5zgh8aTSkXvBZAc6diH0ahoKeBZPfNlFtVH3uBDSHug6xoMOrsxcsKErvObwM-J2idNM9dUvy1KRD08cqpEkDUe2gs7g0GDhL_2tLdbw/s400/tableau_lymphoedeme.jpg" width="400" /></a></div>
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">L’examen clinique précise également la localisation et l’étendue exacte du LO, l’importance de la fibrose tissulaire et l’appréciation des signes du godet et de Stemmer.</span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;"><b>Prise en charge thérapeutique du lymphœdème</b></span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">Un traitement curatif du LO n’existant pas, les traitements visent à réduire le volume du LO, à éviter les complications infectieuses, cutanées et articulaires, à atténuer la gêne fonctionnelle et permettent au patient de vivre le plus normalement possible avec «son» LO.</span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;"><b>La physiothérapie décongestionnante combinée</b></span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">La physiothérapie décongestionnante combinée (PDC) associant soins cutanés, drainage lymphatique manuel (DLM), <b>contention-compression et exercices physiques </b>demeure le traitement de référence. Les bandages en constituent un élément essentiel.</span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">En jouant sur les <b>substances mobilisables</b>, les traitements améliorent le tableau clinique, parfois de façon spectaculaire, mais les facteurs responsables de la maladie persistent de même que sa tendance évolutive. </span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">Ainsi, le moindre écart que pourrait constituer une activité musculaire excessive, l’exposition à la chaleur, le manque de rigueur dans le port de la compression élastique ou la présence d’inflammation entraîne à nouveau une augmentation de volume du membre concerné.</span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">La PDC doit être débutée le plus précocement possible, par des physiothérapeutes spécifiquement formés, avant l’installation d’altérations tissulaires secondaires alors que le LO est encore réversible.</span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large; letter-spacing: 0.266667px;"><b>Le traitement se déroule en 2 phases. </b></span><br />
<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large; letter-spacing: 0.266667px;">Une première phase intensive de drainage à raison de trois séances hebdomadaires au minimum. </span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large; letter-spacing: 0.266667px;">Lorsque la courbe des mesures se stabilise débute la phase de stabilisation/ d’optimalisation caractérisée par le remplacement des bandages réducteurs au profit d’une compression élastique appropriée tant dans son étendue que dans sa classe de compression et du DLM d’entretien.</span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large; letter-spacing: 0.266667px;">Le DLM se doit d’être toujours associé à la contention- compression. Une étude randomisée non aveugle a montré que le <b>DLM en association aux bandages réducteurs</b> permettait une diminution de volume deux fois supérieure à celle obtenue par bandage seul.</span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">Si l’efficacité du <b>DLM au long cours n’est pas prouvée</b>, son utilisation semble toutefois utile pour maintenir la réduction du volume du membre et la souplesse cutanée (consensus d’experts).</span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;"><b>Recommandations au patient</b></span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">Parallèlement au respect des règles d’hygiène de vie, <b>l’apprentissage des autobandages</b> fait partie intégrante de l’éducation thérapeutique des patients et favorise </span></span><span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large; letter-spacing: 0.266667px;">leur autonomie. </span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large; letter-spacing: 0.266667px;"><b>Les bandages nocturnes</b> réalisés à une fréquence évaluée de cas en cas, associés au port d’une compression élastique diurne permettent, après le traitement intensif initial, de maintenir la réduction volumétrique du LO à plus long terme voire d’en diminuer encore le volume.</span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">S’il est conseillé d’<b>éviter la prise de la pression artérielle</b>, le prélèvement sanguin, la pose d’une voie intra-veineuse au niveau du membre atteint, ces directives ne reposent cependant sur aucune base scientifique. </span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">De même, éviter les efforts physiques violents ou répétitifs ou encore le port de charges lourdes est empirique et démenti par des études récentes rapportant l’intérêt de l’haltérophilie chez des patientes opérées d’un cancer du sein, à la fois, en prévention et chez des femmes ayant un LO. </span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;"><b>Le port d’une compression élastique lors de ces exercices physiques est recommandé</b>.</span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">Il existe, par contre, une relation établie entre le <b>surpoids et la fréquence ou l’importance du LO</b>. </span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">La prise en charge nutritionnelle est donc fondamentale dans la stratégie de traitement du LO.</span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;"><b>Traitements adjuvants</b></span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;"><b>La pressothérapie</b> est une approche thérapeutique «facile» et <b>très limitée </b> du LO. </span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">Elle ne contribue qu’à l’évacuation de la composante liquidienne du LO mais agit peu sur sa composante protéique. </span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">Si, associée au DLM et aux bandages, elle augmente la réduction de volume, <b>elle n’est pas efficace isolément</b> et sa performance reste inférieure au DLM. </span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">Cette technique pneumatique doit rester auxiliaire et réservée aux phlébo-lymphœdèmes, où la charge lymphatique hydrique est plus importante.</span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;"><b>Parmi les médicaments efficaces</b>, les <b>oligomères pro- cyanidoliques, les flavonoïdes et le ruscus</b> ont montré des résultats positifs dans des essais randomisés. </span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large; letter-spacing: 0.266667px;">En revanche, </span><span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large; letter-spacing: 0.266667px;"><span style="color: #cc0000;">les diurétiques sont non seulement inefficaces mais délétères</span></span><span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large; letter-spacing: 0.266667px;"> car ils entraînent une déplétion hydrosodée sans éliminer les protéines de haut poids moléculaire accentuant la fibrose tissulaire.</span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;"><b>Le recours à la chirurgie doit encore rester exceptionnel </b>pour traiter les LO. </span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">Il nécessite une prise en charge multidisciplinaire et la réalisation d’une lymphoscintigraphie. </span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">On distingue les techniques de résection et les techniques de dérivation.</span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;"><b>Les techniques de résection sont rarement utilisées</b> en dehors du LO pubien et scrotal pour lequel il s’agit d’une bonne indication. </span></span><br />
<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;"><br /></span></span>
<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">On peut également l’utiliser en cas d’excédent cutané secondaire à un traitement physique.</span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;"><b>Les techniques de dérivation</b> sont des techniques microchirurgicales qui consistent en autogreffes lym</span></span><span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large; letter-spacing: 0.266667px;">phatiques, anastomoses lymphoveineuses et transfert ganglionnaire vascularisé. </span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large; letter-spacing: 0.266667px;">Ces deux dernières sont les plus utilisées. </span><br />
<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large; letter-spacing: 0.266667px;"><br /></span>
<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large; letter-spacing: 0.266667px;">Elles donnent des résultats inconstants à long terme et les transplantations ne sont pas dénuées d’effets secondaires dont le risque de LO sur le site donneur. </span><br />
<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large; letter-spacing: 0.266667px;"><br /></span>
<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large; letter-spacing: 0.266667px;">Les techniques de reconstruction ou de greffes tissulaires n’ont pas fait l’objet d’études suffisamment rigoureuses pour qu’il soit possible d’apprécier leur intérêt, leur innocuité et surtout leurs indications.</span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">Dans le LO des membres, il est possible de faire une liposuccion des tissus cellulo-adipeux excessifs. </span></span><br />
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="letter-spacing: 0.266667px;">Ce geste ne s’adresse qu’aux œdèmes volumineux organisés hors de toute autre solution thérapeutique bien conduite. Les techniques chirurgicales restent actuellement des procédés adjuvants au traitement physique, ne permettant pas sa suppression ni l’arrêt du port d’une compression élastique.</span></span><br />
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<b><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt;">R</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.1pt;">é</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt;">f</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.1pt;">ére</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif;">n<span style="letter-spacing: .1pt;">ces</span></span></b><span lang="EN-US" style="font-family: "arial" , sans-serif;"><o:p></o:p></span></div>
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<span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">1<span style="letter-spacing: 1.55pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 117%;">R</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.15pt; line-height: 117%;">o</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.25pt; line-height: 117%;">c</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.15pt; line-height: 117%;">k</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.1pt; line-height: 117%;">s</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 117%;">o</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">n<span style="letter-spacing: -.3pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 117%;">SG</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">,<span style="letter-spacing: -.1pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.25pt; line-height: 117%;">R</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 117%;">i</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">v<span style="letter-spacing: .1pt;">e</span><span style="letter-spacing: .15pt;">r</span>a<span style="letter-spacing: -.5pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 96%;">K</span><span style="letter-spacing: .15pt; mso-font-width: 96%;">K</span>.<span style="letter-spacing: -.3pt;"> </span><span style="letter-spacing: .05pt; 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mso-font-width: 104%;">o</span>f <span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .25pt; mso-font-width: 116%;">y</span>m<span style="letter-spacing: .05pt;">p</span><span style="letter-spacing: .05pt;">h</span><span style="letter-spacing: .1pt;">e</span><span style="letter-spacing: .05pt; mso-font-width: 98%;">d</span><span style="letter-spacing: .1pt; mso-font-width: 98%;">e</span><span style="letter-spacing: .15pt; mso-font-width: 104%;">m</span><span style="letter-spacing: .2pt; mso-font-width: 104%;">a</span>.<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .2pt;">An</span>n<span style="letter-spacing: .45pt;"> </span>N<span style="letter-spacing: -.4pt;"> </span>Y<span style="letter-spacing: -.4pt;"> </span>A<span style="letter-spacing: .15pt;">c</span><span style="letter-spacing: .1pt;">a</span>d<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: .1pt;">S</span><span style="letter-spacing: .2pt;">c</span><span style="letter-spacing: .15pt;">i</span>.<span style="letter-spacing: -.4pt;"> </span>2<span style="letter-spacing: .05pt; mso-font-width: 117%;">0</span>0<span style="letter-spacing: -.15pt; mso-font-width: 99%;">8</span>;<span style="letter-spacing: .1pt; mso-font-width: 67%;">1</span><span style="letter-spacing: .15pt; mso-font-width: 67%;">1</span>3<span style="letter-spacing: -.05pt; mso-font-width: 67%;">1</span>:<span style="letter-spacing: -.05pt;">1</span><span style="letter-spacing: -.1pt; mso-font-width: 90%;">4</span>7<span style="letter-spacing: .15pt; mso-font-width: 89%;">–</span><span style="letter-spacing: .2pt; mso-font-width: 82%;">5</span><span style="letter-spacing: .05pt; mso-font-width: 91%;">4.</span></span><span lang="EN-US" style="font-family: "arial" , sans-serif; line-height: 117%;"><o:p></o:p></span></div>
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<span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">2<span style="letter-spacing: 1.55pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.1pt; line-height: 117%;">M</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.2pt; line-height: 117%;">a</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 117%;">r</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.25pt; line-height: 117%;">k</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">h<span style="letter-spacing: .1pt;">u</span>s<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 82%;">CE</span>,<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: .15pt;">K</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: .05pt;">r</span><span style="letter-spacing: .1pt;">lse</span>n<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: .25pt; mso-font-width: 93%;">T</span><span style="letter-spacing: -.35pt; mso-font-width: 93%;">V</span>,<span style="letter-spacing: -.3pt;"> </span><span style="letter-spacing: -.15pt;">W</span><span style="letter-spacing: .1pt;">a</span><span style="letter-spacing: .15pt;">g</span><span style="letter-spacing: .05pt;">n</span><span style="letter-spacing: .1pt;">e</span>r<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 111%;">M</span>,<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 91%;">e</span>t<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 91%;">a</span><span style="letter-spacing: .15pt; mso-font-width: 131%;">l</span>.<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .15pt;">I</span><span style="letter-spacing: .05pt;">n</span><span style="letter-spacing: .2pt;">c</span><span style="letter-spacing: .1pt;">re</span><span style="letter-spacing: .15pt;">a</span><span style="letter-spacing: .1pt;">s</span><span style="letter-spacing: .15pt;">e</span>d<span style="letter-spacing: -.65pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 116%;">I</span>n<span style="letter-spacing: .05pt; mso-font-width: 133%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 102%;">e</span><span style="letter-spacing: .15pt; mso-font-width: 102%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 104%;">s</span><span style="letter-spacing: .2pt; mso-font-width: 104%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 135%;">i</span><span style="letter-spacing: .2pt; mso-font-width: 135%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 104%;">i</span><span style="letter-spacing: .2pt; mso-font-width: 104%;">a</span>l <span style="letter-spacing: .15pt;">P</span><span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: .05pt;">ot</span><span style="letter-spacing: .1pt;">e</span><span style="letter-spacing: .2pt;">i</span>n<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 93%;">Bec</span>a<span style="letter-spacing: .1pt;">us</span>e<span style="letter-spacing: -.3pt;"> </span>of<span style="letter-spacing: .15pt;">
I</span>m<span style="letter-spacing: .1pt;">p</span><span style="letter-spacing: .2pt;">ai</span><span style="letter-spacing: .1pt;">re</span>d<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: -.2pt;">L</span><span style="letter-spacing: .25pt;">y</span>m<span style="letter-spacing: .05pt;">p</span>h<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: .1pt;">D</span><span style="letter-spacing: .15pt;">r</span><span style="letter-spacing: .2pt;">ai</span><span style="letter-spacing: .1pt;">na</span>ge<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 96%;">D</span><span style="letter-spacing: .15pt; mso-font-width: 96%;">oe</span>s<span style="letter-spacing: -.3pt;"> </span>N<span style="letter-spacing: .05pt;">o</span>t<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 116%;">I</span><span style="letter-spacing: .05pt; mso-font-width: 109%;">n</span>d<span style="letter-spacing: .05pt; mso-font-width: 101%;">u</span><span style="letter-spacing: .1pt; mso-font-width: 101%;">c</span>e <span style="letter-spacing: .05pt;">F</span><span style="letter-spacing: .1pt;">i</span><span style="letter-spacing: .05pt;">b</span><span style="letter-spacing: .1pt;">ro</span>s<span style="letter-spacing: .1pt;">i</span>s<span style="letter-spacing: -.15pt;"> </span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: .05pt;">n</span>d<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 116%;">I</span><span style="letter-spacing: .15pt; mso-font-width: 118%;">nf</span><span style="letter-spacing: .1pt; mso-font-width: 118%;">l</span><span style="letter-spacing: .2pt; mso-font-width: 91%;">a</span><span style="letter-spacing: .2pt; mso-font-width: 113%;">m</span><span style="letter-spacing: .15pt; mso-font-width: 113%;">m</span>a<span style="letter-spacing: .2pt; mso-font-width: 133%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 113%;">io</span>n<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .25pt; mso-font-width: 119%;">i</span>n<span style="letter-spacing: -.8pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 91%;">L</span><span style="letter-spacing: .25pt; mso-font-width: 112%;">y</span>m<span style="letter-spacing: .05pt; mso-font-width: 102%;">ph</span><span style="letter-spacing: .1pt; mso-font-width: 102%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 98%;">d</span><span style="letter-spacing: .1pt; mso-font-width: 98%;">e</span><span style="letter-spacing: .15pt; mso-font-width: 104%;">m</span><span style="letter-spacing: .2pt; mso-font-width: 104%;">a</span>.<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 95%;">A</span><span style="letter-spacing: .25pt; mso-font-width: 95%;">T</span><span style="letter-spacing: .2pt; mso-font-width: 95%;">V</span>B<span style="letter-spacing: -.3pt;"> </span>2<span style="letter-spacing: -.05pt; mso-font-width: 92%;">0</span><span style="letter-spacing: .15pt; mso-font-width: 92%;">1</span><span style="letter-spacing: -.15pt; mso-font-width: 92%;">3</span><span style="letter-spacing: .05pt; mso-font-width: 92%;">;</span><span style="letter-spacing: -.05pt; mso-font-width: 86%;">3</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">3</span><span style="letter-spacing: .05pt; mso-font-width: 94%;">:</span>2<span style="letter-spacing: .05pt; mso-font-width: 101%;">6</span><span style="letter-spacing: .3pt; mso-font-width: 101%;">6</span><span style="letter-spacing: -.05pt; mso-font-width: 86%;">–</span><span style="letter-spacing: -.2pt; mso-font-width: 86%;">7</span><span style="letter-spacing: .05pt; mso-font-width: 91%;">4.</span></span><span lang="EN-US" style="font-family: "arial" , sans-serif; line-height: 117%;"><o:p></o:p></span></div>
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<span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">3<span style="letter-spacing: 1.55pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 117%;">M</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.1pt; line-height: 117%;">e</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 117%;">ndo</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.1pt; line-height: 117%;">l</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">a<span style="letter-spacing: .7pt;">
</span><span style="letter-spacing: .2pt; mso-font-width: 93%;">A</span>,<span style="letter-spacing: -.25pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 76%;">S</span><span style="letter-spacing: .25pt; mso-font-width: 101%;">c</span><span style="letter-spacing: .2pt; mso-font-width: 101%;">h</span><span style="letter-spacing: .05pt; mso-font-width: 112%;">l</span><span style="letter-spacing: .1pt; mso-font-width: 112%;">ö</span>g<span style="letter-spacing: .15pt; mso-font-width: 91%;">e</span>l<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 111%;">M</span><span style="letter-spacing: .05pt; mso-font-width: 68%;">J</span>,<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 90%;">G</span><span style="letter-spacing: .1pt; mso-font-width: 110%;">h</span><span style="letter-spacing: .2pt; mso-font-width: 91%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 131%;">l</span><span style="letter-spacing: .2pt; mso-font-width: 91%;">a</span><span style="letter-spacing: .2pt; mso-font-width: 111%;">m</span><span style="letter-spacing: .15pt; mso-font-width: 111%;">k</span><span style="letter-spacing: .2pt; mso-font-width: 103%;">a</span><span style="letter-spacing: .25pt; mso-font-width: 103%;">r</span><span style="letter-spacing: .15pt; mso-font-width: 105%;">p</span><span style="letter-spacing: .05pt; mso-font-width: 105%;">o</span><span style="letter-spacing: .2pt; mso-font-width: 114%;">u</span>r<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 93%;">A</span>,<span style="letter-spacing: -.25pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 91%;">e</span>t<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 91%;">a</span><span style="letter-spacing: .15pt; mso-font-width: 131%;">l</span>.<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 97%;">Th</span>e<span style="letter-spacing: -.35pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 91%;">L</span><span style="letter-spacing: .25pt; mso-font-width: 112%;">y</span>m<span style="letter-spacing: .05pt; mso-font-width: 107%;">ph</span><span style="letter-spacing: .1pt; mso-font-width: 91%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 105%;">d</span><span style="letter-spacing: .1pt; mso-font-width: 91%;">e</span><span style="letter-spacing: .15pt; mso-font-width: 113%;">m</span>a <span style="letter-spacing: .05pt; mso-font-width: 94%;">R</span><span style="letter-spacing: .1pt; mso-font-width: 94%;">ese</span><span style="letter-spacing: .2pt; mso-font-width: 94%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .25pt; mso-font-width: 94%;">c</span>h<span style="letter-spacing: -.2pt;"> </span>G<span style="letter-spacing: .1pt; mso-font-width: 111%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 111%;">o</span>up.<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 110%;">M</span><span style="letter-spacing: .05pt; mso-font-width: 110%;">u</span><span style="letter-spacing: .15pt; mso-font-width: 133%;">t</span>a<span style="letter-spacing: .2pt; mso-font-width: 135%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 135%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 108%;">o</span><span style="letter-spacing: .1pt; mso-font-width: 108%;">n</span>s<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .25pt; mso-font-width: 119%;">i</span>n<span style="letter-spacing: -.8pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 133%;">t</span><span style="letter-spacing: .05pt;">h</span>e<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 87%;">V</span><span style="letter-spacing: .05pt; mso-font-width: 87%;">E</span>G<span style="letter-spacing: .1pt;">F</span><span style="letter-spacing: .2pt;">R</span>3
<span style="letter-spacing: -.05pt;">S</span><span style="letter-spacing: .1pt;">i</span><span style="letter-spacing: .15pt;">g</span><span style="letter-spacing: .1pt;">n</span><span style="letter-spacing: .2pt;">ali</span><span style="letter-spacing: .05pt;">n</span>g<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 87%;">P</span>a<span style="letter-spacing: .2pt; mso-font-width: 133%;">t</span><span style="letter-spacing: -.05pt; mso-font-width: 108%;">h</span><span style="letter-spacing: .15pt; mso-font-width: 108%;">w</span>ay<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 80%;">E</span><span style="letter-spacing: -.2pt; mso-font-width: 109%;">x- </span><span style="letter-spacing: -.1pt;">p</span>l<span style="letter-spacing: .05pt;">ai</span>n<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 91%;">3</span><span style="letter-spacing: -.25pt; mso-font-width: 91%;">6</span>%<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: -.1pt;">o</span>f<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 83%;">F</span><span style="letter-spacing: .05pt; mso-font-width: 104%;">am</span><span style="letter-spacing: .1pt; mso-font-width: 134%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 134%;">l</span>i<span style="letter-spacing: .1pt;">a</span>l<span style="letter-spacing: -.7pt;"> </span><span style="letter-spacing: -.35pt; mso-font-width: 91%;">L</span><span style="letter-spacing: .1pt; mso-font-width: 112%;">y</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">m</span><span style="letter-spacing: -.1pt; mso-font-width: 107%;">ph</span>e<span style="letter-spacing: -.05pt; mso-font-width: 105%;">d</span>em<span style="letter-spacing: .05pt; mso-font-width: 91%;">a</span>.<span style="letter-spacing: -.7pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">Mo</span>l<span style="letter-spacing: -.85pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 76%;">S</span><span style="letter-spacing: .1pt; mso-font-width: 111%;">y</span><span style="letter-spacing: -.05pt; mso-font-width: 111%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 111%;">d</span><span style="letter-spacing: -.05pt; mso-font-width: 111%;">r</span><span style="letter-spacing: -.1pt; mso-font-width: 110%;">om</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">o</span>l.<span style="letter-spacing: -.7pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 88%;">2</span><span style="letter-spacing: -.15pt; mso-font-width: 92%;">0</span>1<span style="letter-spacing: -.3pt;">3</span><span style="letter-spacing: -.15pt;">;</span><span style="letter-spacing: -.05pt; mso-font-width: 94%;">4</span><span style="letter-spacing: -.3pt; mso-font-width: 94%;">(</span><span style="letter-spacing: -.2pt; mso-font-width: 97%;">6</span><span style="letter-spacing: -.25pt; mso-font-width: 97%;">)</span><span style="letter-spacing: -.1pt; mso-font-width: 94%;">:</span><span style="letter-spacing: -.05pt; mso-font-width: 94%;">2</span><span style="letter-spacing: -.1pt; mso-font-width: 85%;">57</span><span style="letter-spacing: .2pt; mso-font-width: 85%;">–</span><span style="letter-spacing: -.05pt; mso-font-width: 101%;">6</span><span style="letter-spacing: -.15pt; mso-font-width: 101%;">6</span>.</span><span lang="EN-US" style="font-family: "arial" , sans-serif; line-height: 117%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 117%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.6pt; margin-right: 6.85pt; margin-top: 0cm; text-indent: -6.55pt;">
<span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">4<span style="letter-spacing: 1.55pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: -0.2pt; line-height: 117%;">T</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 117%;">o</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.1pt; line-height: 117%;">ms</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 117%;">o</span><span lang="EN-US" style="font-family: "arial" , sans-serif; line-height: 117%;"><span style="color: #231f20;">n</span><span style="color: #231f20; letter-spacing: 0.3pt;">
</span><span style="color: #231f20; letter-spacing: -0.1pt;">D</span><span style="color: #231f20;">,</span><span style="color: #231f20; letter-spacing: -0.3pt;"> </span><span style="color: #231f20; letter-spacing: 0.15pt;">L</span><span style="color: #231f20; letter-spacing: 0.1pt;">e</span><span style="color: #231f20; letter-spacing: 0.05pt;">s</span><span style="color: #231f20; letter-spacing: 0.1pt;">se</span><span style="color: #231f20; letter-spacing: 0.3pt;">r</span><span style="color: #231f20;">t</span><span style="color: #231f20; letter-spacing: -0.45pt;"> </span><span style="color: #231f20; letter-spacing: 0.1pt;">C</span><span style="color: #231f20;">,</span><span style="color: #231f20; letter-spacing: -0.05pt;"> </span><span style="color: #231f20;">L</span><span style="color: #231f20; letter-spacing: 0.05pt;">ü</span><span style="color: #231f20; letter-spacing: 0.2pt;">th</span><span style="color: #231f20;">i</span><span style="color: #231f20; letter-spacing: 1.05pt;"> </span><span style="color: #231f20; letter-spacing: 0.1pt;">I</span><span style="color: #231f20;">,</span><span style="color: #231f20; letter-spacing: -0.45pt;"> </span><span style="color: #231f20; letter-spacing: 0.1pt;">e</span><span style="color: #231f20;">t</span><span style="color: #231f20; letter-spacing: -0.45pt;"> </span><span style="color: #231f20; letter-spacing: 0.2pt;">a</span><span style="color: #231f20; letter-spacing: 0.15pt;">l</span><span style="color: #231f20;">.</span><span style="color: #231f20; letter-spacing: -0.45pt;"> </span><span style="color: #231f20; letter-spacing: 0.05pt;">P</span><span style="color: #231f20;">a</span><span style="color: #231f20; letter-spacing: 0.2pt;">t</span><span style="color: #231f20; letter-spacing: 0.05pt;">hol</span><span style="color: #231f20; letter-spacing: 0.1pt;">o</span><span style="color: #231f20; letter-spacing: 0.15pt;">g</span><span style="color: #231f20; letter-spacing: 0.05pt;">i</span><span style="color: #231f20; letter-spacing: 0.1pt;">e</span><span style="color: #231f20;">s</span><span style="color: #231f20; letter-spacing: -0.45pt;"> </span><span style="color: #231f20; letter-spacing: 0.15pt;">v</span><span style="color: #231f20; letter-spacing: 0.15pt;">a</span><span style="color: #231f20; letter-spacing: 0.1pt;">s</span><span style="color: #231f20; letter-spacing: 0.15pt;">c</span><span style="color: #231f20; letter-spacing: 0.2pt;">u</span><span style="color: #231f20; letter-spacing: 0.1pt;">l</span><span style="color: #231f20; letter-spacing: 0.2pt;">a</span><span style="color: #231f20; letter-spacing: 0.2pt;">i</span><span style="color: #231f20; letter-spacing: 0.1pt;">r</span><span style="color: #231f20; letter-spacing: 0.1pt;">e</span><span style="color: #231f20;">s</span><span style="color: #231f20; letter-spacing: -0.45pt;"> </span><span style="color: #231f20; letter-spacing: 0.05pt;">l</span><span style="color: #231f20; letter-spacing: 0.25pt;">y</span><span style="color: #231f20;">m</span><span style="color: #231f20; letter-spacing: 0.05pt;">p</span><span style="color: #231f20; letter-spacing: 0.1pt;">h</span><span style="color: #231f20; letter-spacing: 0.1pt;">a- </span><span style="color: #231f20; letter-spacing: 0.2pt;">t</span><span style="color: #231f20; letter-spacing: 0.05pt;">i</span><span style="color: #231f20; letter-spacing: 0.05pt;">qu</span><span style="color: #231f20; letter-spacing: 0.1pt;">e</span><span style="color: #231f20; letter-spacing: -0.1pt;">s</span><span style="color: #231f20;">:</span><span style="color: #231f20; letter-spacing: -0.45pt;"> </span><span style="color: #231f20; letter-spacing: 0.05pt;">a</span><span style="color: #231f20; letter-spacing: 0.05pt;">p</span><span style="color: #231f20; letter-spacing: 0.15pt;">p</span><span style="color: #231f20; letter-spacing: 0.05pt;">o</span><span style="color: #231f20; letter-spacing: 0.3pt;">r</span><span style="color: #231f20;">t</span><span style="color: #231f20; letter-spacing: -0.45pt;"> </span><span style="color: #231f20; letter-spacing: 0.05pt;">d</span><span style="color: #231f20;">e</span><span style="color: #231f20; letter-spacing: -0.6pt;"> </span><span style="color: #231f20; letter-spacing: 0.1pt;">l</span><span style="color: #231f20;">a</span><span style="color: #231f20; letter-spacing: -0.45pt;"> </span><span style="color: #231f20; letter-spacing: 0.05pt;">l</span><span style="color: #231f20; letter-spacing: 0.25pt;">y</span><span style="color: #231f20;">m</span><span style="color: #231f20; letter-spacing: 0.05pt;">ph</span><span style="color: #231f20; letter-spacing: 0.2pt;">o</span><span style="color: #231f20;">-fl</span><span style="color: #231f20; letter-spacing: 0.05pt;">uo</span><span style="color: #231f20; letter-spacing: 0.1pt;">ro</span><span style="color: #231f20; letter-spacing: 0.1pt;">sc</span><span style="color: #231f20; letter-spacing: 0.05pt;">op</span><span style="color: #231f20; letter-spacing: 0.05pt;">i</span><span style="color: #231f20; letter-spacing: 0.15pt;">e</span><span style="color: #231f20;">.</span><span style="color: #231f20; letter-spacing: -0.45pt;"> </span><span style="color: #231f20; letter-spacing: 0.05pt;">R</span><span style="color: #231f20; letter-spacing: 0.1pt;">e</span><span style="color: #231f20; letter-spacing: 0.25pt;">v</span><span style="color: #231f20; letter-spacing: 0.05pt;">u</span><span style="color: #231f20;">e</span><span style="color: #231f20; letter-spacing: -0.3pt;"> </span><span style="color: #231f20; letter-spacing: 0.05pt;">m</span><span style="color: #231f20; letter-spacing: 0.1pt;">é</span><span style="color: #231f20; letter-spacing: 0.2pt;">d</span><span style="color: #231f20; letter-spacing: 0.05pt;">i</span><span style="color: #231f20; letter-spacing: 0.15pt;">c</span><span style="color: #231f20; letter-spacing: 0.2pt;">a</span><span style="color: #231f20; letter-spacing: 0.05pt;">l</span><span style="color: #231f20;">e</span><span style="color: #231f20; letter-spacing: 0.1pt;"> </span><span style="color: #231f20; letter-spacing: 0.05pt;">s</span><span style="color: #231f20; letter-spacing: 0.2pt;">u</span><span style="color: #231f20; letter-spacing: 0.1pt;">i</span><span style="color: #231f20; letter-spacing: 0.05pt;">s</span><span style="color: #231f20; letter-spacing: 0.1pt;">s</span><span style="letter-spacing: 0.15pt;"><span style="color: #231f20;">e.</span> </span></span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; text-align: center;">2<span style="letter-spacing: -.05pt;">0</span></span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.15pt; text-align: center;">1</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: -0.1pt; text-align: center;">5</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; text-align: center;">;<span style="letter-spacing: .1pt;">1</span></span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: -0.1pt; text-align: center;">1</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: -0.15pt; text-align: center;">(</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.15pt; text-align: center;">4</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; text-align: center;">6</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: -0.15pt; text-align: center;">0</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: -0.1pt; text-align: center;">)</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; text-align: center;">:3</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; text-align: center;">6<span style="letter-spacing: .1pt;">2</span></span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.15pt; text-align: center;">–</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: -0.05pt; text-align: center;">5</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; text-align: center;">.</span></div>
<div class="MsoNormal" style="line-height: 117%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.6pt; margin-right: 5.3pt; margin-top: 1.3pt; text-indent: -6.55pt;">
<span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">5<span style="letter-spacing: 1.55pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 117%;">M</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.2pt; line-height: 117%;">c</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">N<span style="letter-spacing: .15pt;">e</span></span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.15pt; line-height: 117%;">e</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 117%;">l</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">y</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: -0.45pt; line-height: 117%;"> </span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.15pt; line-height: 117%;">M</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.25pt; line-height: 117%;">L</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">,</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: -0.45pt; line-height: 117%;"> </span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.1pt; line-height: 117%;">Ma</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 117%;">g</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.15pt; line-height: 117%;">e</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">e<span style="letter-spacing: .75pt;"> </span>D<span style="letter-spacing: .25pt;">L</span>,<span style="letter-spacing: -.15pt;"> </span><span style="letter-spacing: .15pt;">Lee</span>s<span style="letter-spacing: -.5pt;"> </span><span style="letter-spacing: .2pt;">A</span><span style="letter-spacing: .25pt;">L</span>,<span style="letter-spacing: -.2pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.1pt; line-height: 117%;">e</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">t</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: -0.45pt; line-height: 117%;"> </span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.2pt; line-height: 117%;">a</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.15pt; line-height: 117%;">l</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">.</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: -0.45pt; line-height: 117%;"> </span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 117%;">Th</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">e<span style="letter-spacing: -.35pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.1pt; line-height: 117%;">a</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 117%;">d</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.2pt; line-height: 117%;">d</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 117%;">i</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.2pt; line-height: 117%;">t</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 117%;">i</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">o</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">n</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: -0.45pt; line-height: 117%;"> </span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 117%;">o</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">f<span style="letter-spacing: .15pt;">
</span><span style="letter-spacing: .1pt; mso-font-width: 105%;">m</span><span style="letter-spacing: .2pt; mso-font-width: 105%;">a</span>n<span style="letter-spacing: .15pt;">u</span><span style="letter-spacing: .2pt;">a</span>l<span style="letter-spacing: -.35pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 131%;">l</span><span style="letter-spacing: .25pt; mso-font-width: 112%;">y</span><span style="letter-spacing: .1pt; mso-font-width: 112%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 107%;">p</span><span style="letter-spacing: .1pt; mso-font-width: 107%;">h</span>a<span style="letter-spacing: .2pt; mso-font-width: 133%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 105%;">i</span>c<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .2pt;">d</span><span style="letter-spacing: .15pt;">r</span><span style="letter-spacing: .2pt;">ai</span><span style="letter-spacing: .1pt;">na</span>ge<span style="letter-spacing: .05pt;"> t</span>o<span style="letter-spacing: -.65pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 91%;">c</span><span style="letter-spacing: .05pt; mso-font-width: 110%;">omp</span><span style="letter-spacing: .1pt; mso-font-width: 110%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 91%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 88%;">s</span>s<span style="letter-spacing: .05pt; mso-font-width: 137%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 108%;">o</span>n<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 133%;">t</span><span style="letter-spacing: .05pt;">h</span><span style="letter-spacing: .1pt;">e</span><span style="letter-spacing: .15pt; mso-font-width: 122%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 91%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 107%;">p</span>y<span style="letter-spacing: -.45pt;"> </span>f<span style="letter-spacing: .05pt;">o</span>r<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 102%;">b</span><span style="letter-spacing: .1pt; mso-font-width: 102%;">re</span><span style="letter-spacing: .15pt; mso-font-width: 90%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 90%;">s</span>t<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 98%;">c</span><span style="letter-spacing: .2pt; mso-font-width: 98%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 98%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 98%;">ce</span>r<span style="letter-spacing: -.35pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 122%;">r</span><span style="letter-spacing: .15pt; mso-font-width: 91%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 131%;">l</span>a<span style="letter-spacing: .05pt; mso-font-width: 133%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 91%;">e</span>d <span style="letter-spacing: -.05pt;">l</span><span style="letter-spacing: .15pt;">y</span><span style="letter-spacing: -.1pt;">m</span><span style="letter-spacing: -.05pt;">ph</span><span style="letter-spacing: .05pt;">e</span><span style="letter-spacing: -.05pt;">d</span>e<span style="letter-spacing: .05pt;">m</span><span style="letter-spacing: -.1pt;">a</span>:<span style="letter-spacing: 1.3pt;"> </span>a<span style="letter-spacing: -.5pt;"> </span><span style="letter-spacing: .05pt;">r</span><span style="letter-spacing: .1pt;">a</span><span style="letter-spacing: -.05pt;">ndo</span><span style="letter-spacing: .1pt;">m</span><span style="letter-spacing: .05pt;">i</span>zed<span style="letter-spacing: 1.15pt;"> </span>c<span style="letter-spacing: -.05pt;">o</span><span style="letter-spacing: -.1pt;">n</span><span style="letter-spacing: .1pt;">t</span>r<span style="letter-spacing: -.05pt;">o</span><span style="letter-spacing: .1pt;">l</span><span style="letter-spacing: -.05pt;">l</span><span style="letter-spacing: .05pt;">e</span>d<span style="letter-spacing: -.5pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 133%;">t</span><span style="letter-spacing: .15pt; mso-font-width: 128%;">r</span>i<span style="letter-spacing: .1pt; mso-font-width: 91%;">a</span><span style="letter-spacing: -.1pt; mso-font-width: 131%;">l</span>:<span style="letter-spacing: -.65pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 90%;">B</span>re<span style="letter-spacing: .05pt;">a</span>st<span style="letter-spacing: -.65pt;"> </span>C<span style="letter-spacing: .1pt; mso-font-width: 102%;">a</span><span style="letter-spacing: -.05pt; mso-font-width: 102%;">n</span>cer<span style="letter-spacing: -.65pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 92%;">T</span>re<span style="letter-spacing: -.1pt;">a</span>t<span style="letter-spacing: -.65pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 85%;">R</span>es.</span><span lang="EN-US" style="font-family: "arial" , sans-serif; line-height: 117%;"> </span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; text-align: center;">2<span style="letter-spacing: .05pt;">0</span></span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.1pt; text-align: center;">0</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: -0.05pt; text-align: center;">4</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: -0.05pt; text-align: center;">;</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; text-align: center;">8</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: -0.1pt; text-align: center;">6</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; text-align: center;">:</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; text-align: center;">9</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.3pt; text-align: center;">6</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; text-align: center;">–<span style="letter-spacing: -.1pt;">1</span></span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; text-align: center;">0<span style="letter-spacing: -.05pt;">5</span></span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; text-align: center;">.</span></div>
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<div class="MsoNormal" style="line-height: 117%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.6pt; margin-right: 9.35pt; margin-top: 1.3pt; text-align: justify; text-indent: -6.55pt;">
<span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">6<span style="letter-spacing: 1.55pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.1pt; line-height: 117%;">S</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.2pt; line-height: 117%;">c</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.2pt; line-height: 117%;">hm</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 117%;">i</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.15pt; line-height: 117%;">t</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">z</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: -0.45pt; line-height: 117%;"> </span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.2pt; line-height: 117%;">K</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.1pt; line-height: 117%;">H</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">,</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: -0.45pt; line-height: 117%;"> </span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.25pt; line-height: 117%;">A</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.2pt; line-height: 117%;">h</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 117%;">m</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.1pt; line-height: 117%;">e</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">d<span style="letter-spacing: .45pt;">
</span><span style="letter-spacing: .15pt; mso-font-width: 87%;">R</span><span style="letter-spacing: .2pt; mso-font-width: 87%;">L</span>,<span style="letter-spacing: -.2pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 105%;">T</span><span style="letter-spacing: .1pt; mso-font-width: 105%;">r</span><span style="letter-spacing: -.05pt; mso-font-width: 105%;">o</span>x<span style="letter-spacing: .15pt;">e</span>l<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 92%;">A</span><span style="letter-spacing: .1pt; mso-font-width: 92%;">B</span>,<span style="letter-spacing: -.2pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 91%;">e</span>t<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 91%;">a</span><span style="letter-spacing: .15pt; mso-font-width: 131%;">l</span>.<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 98%;">W</span><span style="letter-spacing: .1pt; mso-font-width: 104%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 104%;">i</span><span style="letter-spacing: .2pt; mso-font-width: 103%;">g</span>ht<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 131%;">l</span><span style="letter-spacing: .15pt; mso-font-width: 125%;">ifti</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">n</span>g<span style="letter-spacing: -.45pt;"> </span>f<span style="letter-spacing: .05pt;">o</span>r<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 106%;">w</span><span style="letter-spacing: .05pt; mso-font-width: 106%;">o</span><span style="letter-spacing: .05pt; mso-font-width: 104%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 104%;">e</span>n at<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .25pt;">r</span><span style="letter-spacing: .1pt;">i</span>sk<span style="letter-spacing: .45pt;"> </span>f<span style="letter-spacing: .05pt;">o</span>r<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 102%;">b</span><span style="letter-spacing: .1pt; mso-font-width: 102%;">re</span><span style="letter-spacing: .15pt; mso-font-width: 90%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 90%;">s</span>t<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 91%;">c</span><span style="letter-spacing: .2pt; mso-font-width: 102%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 102%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 98%;">ce</span><span style="letter-spacing: .15pt; mso-font-width: 98%;">r</span>-<span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: .15pt; mso-font-width: 91%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 131%;">l</span>a<span style="letter-spacing: .05pt; mso-font-width: 133%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 91%;">e</span>d<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 105%;">l</span><span style="letter-spacing: .25pt; mso-font-width: 105%;">y</span>m<span style="letter-spacing: .05pt;">ph</span><span style="letter-spacing: .1pt;">e</span><span style="letter-spacing: .05pt;">d</span><span style="letter-spacing: .1pt;">e</span><span style="letter-spacing: .15pt;">m</span>a:<span style="letter-spacing: -.5pt;"> </span>a<span style="letter-spacing: -.3pt;"> </span><span style="letter-spacing: .15pt;">r</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: .05pt;">ndo</span><span style="letter-spacing: .2pt;">m</span><span style="letter-spacing: .15pt;">i</span><span style="letter-spacing: .05pt;">z</span><span style="letter-spacing: .15pt;">e</span>d<span style="letter-spacing: 1.4pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 133%;">t</span><span style="letter-spacing: .25pt; mso-font-width: 122%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 137%;">i</span><span style="letter-spacing: .2pt; mso-font-width: 102%;">a</span><span style="letter-spacing: .15pt; mso-font-width: 102%;">l</span>. J<span style="letter-spacing: .25pt;">AMA</span>.<span style="letter-spacing: -.2pt;"> </span>2<span style="letter-spacing: -.05pt; mso-font-width: 92%;">0</span><span style="letter-spacing: -.1pt; mso-font-width: 92%;">1</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">0</span><span style="letter-spacing: .05pt; mso-font-width: 112%;">;</span>3<span style="letter-spacing: .1pt; mso-font-width: 117%;">0</span><span style="letter-spacing: -.1pt; mso-font-width: 99%;">4</span><span style="letter-spacing: .05pt; mso-font-width: 99%;">:</span><span style="letter-spacing: .05pt; mso-font-width: 95%;">2</span><span style="letter-spacing: -.05pt; mso-font-width: 95%;">6</span><span style="letter-spacing: .05pt; mso-font-width: 101%;">9</span><span style="letter-spacing: .3pt; mso-font-width: 101%;">9</span><span style="letter-spacing: -.05pt; mso-font-width: 86%;">–</span><span style="letter-spacing: -.1pt; mso-font-width: 86%;">7</span>0<span style="letter-spacing: -.05pt; mso-font-width: 82%;">5</span>.</span><span lang="EN-US" style="font-family: "arial" , sans-serif; line-height: 117%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 117%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.6pt; margin-right: 9.35pt; margin-top: 1.3pt; text-align: justify; text-indent: -6.55pt;">
<span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0pt; margin-right: 16.95pt; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif;">7<span style="letter-spacing: 1.55pt;">
</span></span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif;">I<span style="letter-spacing: .05pt;">b</span><span style="letter-spacing: .15pt;">r</span><span style="letter-spacing: .2pt;">ah</span><span style="letter-spacing: .15pt;">i</span>m<span style="letter-spacing: 1.7pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 94%;">E</span><span style="letter-spacing: .2pt; mso-font-width: 94%;">M</span>,<span style="letter-spacing: -.3pt;"> </span><span style="letter-spacing: .25pt; mso-font-width: 106%;">A</span><span style="letter-spacing: .1pt; mso-font-width: 106%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 106%;">-</span>H<span style="letter-spacing: .05pt;">o</span><span style="letter-spacing: .15pt;">m</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: .05pt;">i</span><span style="letter-spacing: .2pt;">d</span>h<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 94%;">A</span>.<span style="letter-spacing: -.35pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 101%;">Ph</span><span style="letter-spacing: .1pt; mso-font-width: 101%;">y</span>s<span style="letter-spacing: .05pt; mso-font-width: 137%;">i</span><span style="letter-spacing: .15pt; mso-font-width: 91%;">c</span><span style="letter-spacing: .2pt; mso-font-width: 91%;">a</span>l<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 91%;">a</span><span style="letter-spacing: .2pt; mso-font-width: 106%;">ct</span><span style="letter-spacing: .05pt; mso-font-width: 118%;">i</span><span style="letter-spacing: .25pt; mso-font-width: 118%;">v</span><span style="letter-spacing: .05pt; mso-font-width: 135%;">i</span><span style="letter-spacing: .25pt; mso-font-width: 135%;">t</span>y<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: .05pt;">n</span>d<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 88%;">s</span><span style="letter-spacing: .2pt; mso-font-width: 114%;">u</span><span style="letter-spacing: .35pt; mso-font-width: 114%;">r</span><span style="letter-spacing: .25pt; mso-font-width: 118%;">v</span><span style="letter-spacing: .05pt; mso-font-width: 118%;">i</span><span style="letter-spacing: .15pt;">v</span><span style="letter-spacing: .2pt;">a</span>l<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 106%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 106%;">ft</span><span style="letter-spacing: .1pt; mso-font-width: 106%;">e</span>r </span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 115%;">b</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.1pt; line-height: 115%;">r</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.1pt; line-height: 115%;">ea</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.1pt; line-height: 115%;">s</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 115%;">t</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: -0.45pt; line-height: 115%;"> </span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.15pt; line-height: 115%;">c</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.2pt; line-height: 115%;">a</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 115%;">n</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.1pt; line-height: 115%;">ce</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 115%;">r<span style="letter-spacing: -.35pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.2pt; line-height: 115%;">d</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.1pt; line-height: 115%;">ia</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.15pt; line-height: 115%;">g</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 115%;">n</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.1pt; line-height: 115%;">o</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 115%;">s</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.1pt; line-height: 115%;">i</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: -0.1pt; line-height: 115%;">s</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 115%;">:</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: -0.45pt; line-height: 115%;"> </span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 115%;">m</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.1pt; line-height: 115%;">e</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.15pt; line-height: 115%;">t</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.1pt; line-height: 115%;">a-</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.2pt; line-height: 115%;">a</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.1pt; line-height: 115%;">n</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.2pt; line-height: 115%;">a</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 115%;">l</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.1pt; line-height: 115%;">y</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 115%;">s<span style="letter-spacing: .1pt;">i</span>s<span style="letter-spacing: .4pt;"> </span>of<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: .05pt;">pub</span><span style="letter-spacing: .2pt;">l</span><span style="letter-spacing: .1pt;">i</span><span style="letter-spacing: .05pt;">sh</span><span style="letter-spacing: .1pt;">e</span>d<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 88%;">s</span><span style="letter-spacing: .2pt; mso-font-width: 117%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 117%;">u</span><span style="letter-spacing: .2pt; mso-font-width: 114%;">d</span><span style="letter-spacing: .05pt; mso-font-width: 114%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 91%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 88%;">s</span>. <span style="letter-spacing: .05pt;">M</span><span style="letter-spacing: .1pt;">e</span>d
<span style="letter-spacing: .1pt; mso-font-width: 94%;">O</span><span style="letter-spacing: .05pt; mso-font-width: 103%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 103%;">c</span><span style="letter-spacing: .05pt; mso-font-width: 112%;">o</span><span style="letter-spacing: .15pt; mso-font-width: 112%;">l</span>.<span style="letter-spacing: -.45pt;"> </span>2<span style="letter-spacing: -.05pt; mso-font-width: 92%;">0</span><span style="letter-spacing: .05pt; mso-font-width: 92%;">1</span><span style="letter-spacing: -.05pt; mso-font-width: 79%;">1</span><span style="letter-spacing: .05pt; mso-font-width: 79%;">;</span><span style="letter-spacing: .05pt; mso-font-width: 93%;">2</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">8</span><span style="letter-spacing: -.2pt; mso-font-width: 90%;">:</span>75<span style="letter-spacing: .25pt;">3</span><span style="letter-spacing: .3pt; mso-font-width: 95%;">–</span><span style="letter-spacing: -.05pt; mso-font-width: 95%;">6</span><span style="letter-spacing: -.05pt; mso-font-width: 82%;">5.</span></span></div>
<div class="MsoNormal" style="line-height: 117%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.5pt; margin-right: 27.25pt; margin-top: 0cm; text-align: justify; text-indent: -6.55pt;">
<span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">8<span style="letter-spacing: 1.55pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">S<span style="letter-spacing: .1pt;">h</span>aw<span style="letter-spacing: 1.45pt;"> </span><span style="letter-spacing: .15pt;">C</span>,<span style="letter-spacing: -.4pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 117%;">Mo</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.35pt; line-height: 117%;">r</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.2pt; line-height: 117%;">ti</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 117%;">m</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.1pt; line-height: 117%;">e</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">r<span style="letter-spacing: -.4pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: -0.45pt; line-height: 117%;">P</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">,<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: -.05pt;">J</span><span style="letter-spacing: .05pt;">ud</span>d<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: -.3pt;">P</span><span style="letter-spacing: .15pt;">A</span>.<span style="letter-spacing: .05pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">A<span style="letter-spacing: -.5pt;"> </span><span style="letter-spacing: .15pt;">r</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: .05pt;">ndo</span><span style="letter-spacing: .2pt;">m</span><span style="letter-spacing: .15pt;">i</span><span style="letter-spacing: .1pt;">ze</span>d<span style="letter-spacing: 1.35pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 107%;">c</span><span style="letter-spacing: .05pt; mso-font-width: 107%;">o</span>n<span style="letter-spacing: .2pt;">t</span><span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: .05pt;">o</span><span style="letter-spacing: .2pt;">l</span><span style="letter-spacing: .05pt;">l</span><span style="letter-spacing: .1pt;">e</span>d<span style="letter-spacing: -.35pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 133%;">t</span><span style="letter-spacing: .25pt; mso-font-width: 122%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 137%;">i</span><span style="letter-spacing: .2pt; mso-font-width: 102%;">al </span>of<span style="letter-spacing: .15pt;"> </span>w<span style="letter-spacing: .1pt;">e</span><span style="letter-spacing: .05pt;">i</span><span style="letter-spacing: .2pt;">g</span>ht<span style="letter-spacing: -.55pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 122%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 91%;">e</span>d<span style="letter-spacing: .05pt; mso-font-width: 101%;">u</span><span style="letter-spacing: .2pt; mso-font-width: 101%;">c</span><span style="letter-spacing: .2pt; mso-font-width: 135%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 135%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 108%;">o</span>n<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 90%;">a</span>s<span style="letter-spacing: -.3pt;"> </span>a<span style="letter-spacing: -.25pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 108%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 108%;">re</span>a<span style="letter-spacing: .2pt;">t</span><span style="letter-spacing: .05pt;">m</span><span style="letter-spacing: .1pt;">e</span>nt<span style="letter-spacing: -.45pt;"> </span>f<span style="letter-spacing: .05pt;">o</span>r<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 102%;">b</span><span style="letter-spacing: .1pt; mso-font-width: 102%;">re</span><span style="letter-spacing: .15pt; mso-font-width: 90%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 90%;">s</span>t<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 91%;">c</span><span style="letter-spacing: .2pt; mso-font-width: 102%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 102%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 98%;">ce</span><span style="letter-spacing: .15pt; mso-font-width: 98%;">r</span>-<span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: .15pt; mso-font-width: 91%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 131%;">l</span>a<span style="letter-spacing: .05pt; mso-font-width: 133%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 91%;">e</span>d <span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .25pt; mso-font-width: 116%;">y</span>m<span style="letter-spacing: .05pt;">p</span><span style="letter-spacing: .05pt;">h</span><span style="letter-spacing: .15pt;">e</span><span style="letter-spacing: .05pt; mso-font-width: 98%;">d</span><span style="letter-spacing: .1pt; mso-font-width: 98%;">e</span><span style="letter-spacing: .15pt; mso-font-width: 104%;">m</span><span style="letter-spacing: .2pt; mso-font-width: 104%;">a</span>.<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 95%;">C</span><span style="letter-spacing: .2pt; mso-font-width: 95%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 95%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 95%;">ce</span><span style="letter-spacing: -.15pt; mso-font-width: 95%;">r</span>.<span style="letter-spacing: -.35pt;"> </span>2<span style="letter-spacing: .05pt; mso-font-width: 117%;">00</span><span style="letter-spacing: -.3pt; mso-font-width: 90%;">7</span>;<span style="letter-spacing: .1pt; mso-font-width: 67%;">1</span><span style="letter-spacing: -.1pt; mso-font-width: 67%;">1</span><span style="letter-spacing: -.1pt; mso-font-width: 113%;">0</span><span style="letter-spacing: -.05pt; mso-font-width: 113%;">:</span>8<span style="letter-spacing: .05pt;">6</span><span style="letter-spacing: .2pt; mso-font-width: 93%;">8</span><span style="letter-spacing: -.05pt; mso-font-width: 93%;">–</span><span style="letter-spacing: -.2pt; mso-font-width: 90%;">7</span><span style="letter-spacing: .05pt; mso-font-width: 90%;">4</span>.</span><span lang="EN-US" style="font-family: "arial" , sans-serif; line-height: 117%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 117%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.5pt; margin-right: 8.8pt; margin-top: 0cm; text-indent: -6.55pt;">
<span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">9<span style="letter-spacing: 1.55pt;">
</span></span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.2pt; line-height: 117%;">Mi</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.15pt; line-height: 117%;">r</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.2pt; line-height: 117%;">a</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 117%;">n</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.15pt; line-height: 117%;">d</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">a<span style="letter-spacing: 1.15pt;">
</span>F<span style="letter-spacing: -.15pt;"> </span><span style="letter-spacing: -.05pt;">J</span><span style="letter-spacing: -.1pt;">r</span>,<span style="letter-spacing: -.1pt;"> </span>P<span style="letter-spacing: .1pt;">ere</span>z<span style="letter-spacing: -.25pt;"> </span>M<span style="letter-spacing: .15pt;">C</span>,<span style="letter-spacing: -.15pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 83%;">C</span><span style="letter-spacing: .15pt; mso-font-width: 90%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 90%;">s</span><span style="letter-spacing: .2pt; mso-font-width: 135%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 135%;">i</span><span style="letter-spacing: .2pt; mso-font-width: 113%;">gl</span><span style="letter-spacing: .05pt; mso-font-width: 113%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 108%;">o</span><span style="letter-spacing: .2pt; mso-font-width: 108%;">n</span>i<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 111%;">M</span><span style="letter-spacing: .25pt; mso-font-width: 91%;">L</span>,<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 91%;">e</span>t<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 91%;">a</span><span style="letter-spacing: .15pt; mso-font-width: 131%;">l</span>.<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 80%;">E</span><span style="letter-spacing: .05pt; mso-font-width: 105%;">ff</span><span style="letter-spacing: .15pt; mso-font-width: 105%;">e</span><span style="letter-spacing: .2pt; mso-font-width: 106%;">c</span>t<span style="letter-spacing: -.45pt;"> </span>of<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 88%;">s</span><span style="letter-spacing: .1pt; mso-font-width: 91%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 103%;">q</span><span style="letter-spacing: .05pt;">u</span><span style="letter-spacing: .1pt;">e</span>n<span style="letter-spacing: .2pt;">t</span><span style="letter-spacing: .1pt; mso-font-width: 104%;">i</span><span style="letter-spacing: .2pt; mso-font-width: 104%;">a</span>l <span style="letter-spacing: .25pt; mso-font-width: 114%;">i</span>n<span style="letter-spacing: .05pt;">t</span><span style="letter-spacing: .1pt;">e</span><span style="letter-spacing: .3pt;">r</span><span style="letter-spacing: .25pt;">m</span><span style="letter-spacing: .05pt;">i</span><span style="letter-spacing: .3pt;">t</span><span style="letter-spacing: .05pt;">t</span><span style="letter-spacing: .1pt;">e</span>nt<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 105%;">p</span><span style="letter-spacing: .05pt; mso-font-width: 102%;">ne</span><span style="letter-spacing: .2pt; mso-font-width: 112%;">u</span><span style="letter-spacing: .15pt; mso-font-width: 112%;">m</span>a<span style="letter-spacing: .2pt; mso-font-width: 133%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 105%;">i</span>c<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 91%;">c</span><span style="letter-spacing: .05pt; mso-font-width: 110%;">o</span>m<span style="letter-spacing: .05pt; mso-font-width: 111%;">p</span><span style="letter-spacing: .1pt; mso-font-width: 111%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 91%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 88%;">s</span>s<span style="letter-spacing: .05pt; mso-font-width: 137%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 108%;">o</span>n<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .05pt;">o</span>n<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: .1pt;">b</span><span style="letter-spacing: .05pt;">o</span><span style="letter-spacing: .2pt;">t</span>h<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 131%;">l</span><span style="letter-spacing: .1pt; mso-font-width: 93%;">e</span>g<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 131%;">l</span><span style="letter-spacing: .25pt; mso-font-width: 112%;">y</span>m<span style="letter-spacing: .05pt; mso-font-width: 102%;">ph</span><span style="letter-spacing: .1pt; mso-font-width: 102%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 98%;">d</span><span style="letter-spacing: .1pt; mso-font-width: 98%;">e</span><span style="letter-spacing: .15pt; mso-font-width: 104%;">ma </span><span style="letter-spacing: -.05pt;">v</span><span style="letter-spacing: .05pt;">o</span>l<span style="letter-spacing: .2pt;">u</span><span style="letter-spacing: .05pt;">m</span>e<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: .05pt;">n</span>d<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: .05pt;">o</span>n<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 111%;">l</span><span style="letter-spacing: .3pt; mso-font-width: 111%;">y</span>m<span style="letter-spacing: .05pt;">p</span>h<span style="letter-spacing: -.6pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 133%;">t</span><span style="letter-spacing: .15pt; mso-font-width: 122%;">r</span><span style="letter-spacing: .2pt; mso-font-width: 91%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 113%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 88%;">s</span><span style="letter-spacing: .15pt; mso-font-width: 105%;">p</span><span style="letter-spacing: .05pt; mso-font-width: 111%;">o</span><span style="letter-spacing: .3pt; mso-font-width: 111%;">r</span>t<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 90%;">a</span>s<span style="letter-spacing: -.25pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 88%;">s</span><span style="letter-spacing: .1pt; mso-font-width: 104%;">e</span><span style="letter-spacing: .2pt; mso-font-width: 104%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 112%;">i</span><span style="letter-spacing: .2pt; mso-font-width: 112%;">-</span><span style="letter-spacing: .05pt; mso-font-width: 106%;">q</span><span style="letter-spacing: .1pt; mso-font-width: 106%;">u</span><span style="letter-spacing: .2pt; mso-font-width: 102%;">a</span>n<span style="letter-spacing: .2pt; mso-font-width: 135%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 135%;">i</span><span style="letter-spacing: .15pt; mso-font-width: 133%;">t</span>a<span style="letter-spacing: .2pt; mso-font-width: 135%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 135%;">i</span>v<span style="letter-spacing: .15pt; mso-font-width: 91%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span>y<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 91%;">e</span><span style="letter-spacing: .15pt;">v</span><span style="letter-spacing: .2pt;">a</span>l<span style="letter-spacing: .15pt;">u</span>a<span style="letter-spacing: .05pt; mso-font-width: 133%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 98%;">ed </span><span style="letter-spacing: .05pt;">b</span>y<span style="letter-spacing: -.05pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 131%;">l</span><span style="letter-spacing: .25pt; mso-font-width: 112%;">y</span>m<span style="letter-spacing: .05pt; mso-font-width: 106%;">ph</span><span style="letter-spacing: .1pt; mso-font-width: 106%;">o</span><span style="letter-spacing: .1pt; mso-font-width: 90%;">s</span><span style="letter-spacing: .2pt; mso-font-width: 90%;">c</span><span style="letter-spacing: .2pt; mso-font-width: 120%;">i</span>n<span style="letter-spacing: .2pt; mso-font-width: 135%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 135%;">i</span><span style="letter-spacing: .15pt; mso-font-width: 105%;">gr</span><span style="letter-spacing: .05pt; mso-font-width: 98%;">ap</span><span style="letter-spacing: -.05pt; mso-font-width: 110%;">h</span><span style="letter-spacing: -.25pt; mso-font-width: 110%;">y</span>.<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: -.2pt;">L</span><span style="letter-spacing: .25pt;">y</span>m<span style="letter-spacing: .05pt;">pho</span>l<span style="letter-spacing: .1pt;">o</span><span style="letter-spacing: .25pt;">g</span><span style="letter-spacing: -.25pt;">y</span>.<span style="letter-spacing: 1.35pt;"> </span>2<span style="letter-spacing: .05pt; mso-font-width: 117%;">0</span><span style="letter-spacing: -.05pt; mso-font-width: 117%;">0</span>1<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 76%;">S</span><span style="letter-spacing: .05pt; mso-font-width: 98%;">e</span><span style="letter-spacing: -.05pt; mso-font-width: 98%;">p</span><span style="letter-spacing: .05pt; mso-font-width: 92%;">;</span><span style="letter-spacing: .15pt; mso-font-width: 92%;">3</span><span style="letter-spacing: .1pt; mso-font-width: 94%;">4</span><span style="letter-spacing: -.05pt; mso-font-width: 94%;">(</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">3</span><span style="letter-spacing: -.1pt; mso-font-width: 91%;">)</span>:<span style="letter-spacing: .15pt;">1</span><span style="letter-spacing: -.05pt; mso-font-width: 84%;">3</span><span style="letter-spacing: .25pt; mso-font-width: 84%;">5</span><span style="letter-spacing: .3pt; mso-font-width: 93%;">–</span><span style="letter-spacing: .05pt; mso-font-width: 93%;">4</span><span style="letter-spacing: .05pt; mso-font-width: 72%;">1.</span></span><span lang="EN-US" style="font-family: "arial" , sans-serif; line-height: 117%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 117%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.5pt; margin-right: 8.2pt; margin-top: 0cm; text-indent: -10.5pt;">
<span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: -0.15pt; line-height: 117%;">1</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">0 <span style="letter-spacing: .65pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 117%;">Vi</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.15pt; line-height: 117%;">g</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 117%;">n</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.1pt; line-height: 117%;">e</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">s<span style="letter-spacing: -.35pt;">
</span><span style="letter-spacing: .05pt; mso-font-width: 77%;">S</span>, <span style="letter-spacing: .05pt;">B</span><span style="letter-spacing: .1pt;">l</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: .05pt;">n</span><span style="letter-spacing: .2pt;">c</span><span style="letter-spacing: .1pt;">h</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: .1pt;">r</span>d<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 111%;">M</span>,<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: -.2pt;">Y</span><span style="letter-spacing: .2pt;">an</span><span style="letter-spacing: .05pt;">nou</span><span style="letter-spacing: .1pt;">tso</span>s<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 93%;">A</span>,<span style="letter-spacing: -.25pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 109%;">A</span><span style="letter-spacing: .25pt; mso-font-width: 109%;">r</span><span style="letter-spacing: .15pt; mso-font-width: 109%;">r</span>a<span style="letter-spacing: .2pt;">u</span><span style="letter-spacing: .05pt;">l</span>t<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 111%;">M</span>.<span style="letter-spacing: -.45pt;"> </span>C<span style="letter-spacing: .05pt; mso-font-width: 110%;">omp</span><span style="letter-spacing: .2pt; mso-font-width: 110%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 105%;">i</span><span style="letter-spacing: .15pt; mso-font-width: 105%;">c</span>a<span style="letter-spacing: .2pt; mso-font-width: 133%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 114%;">i</span>o<span style="letter-spacing: .1pt; mso-font-width: 113%;">n</span>s<span style="letter-spacing: -.45pt;"> </span>of a<span style="letter-spacing: .05pt;">utol</span><span style="letter-spacing: .1pt;">o</span>g<span style="letter-spacing: .05pt;">o</span><span style="letter-spacing: .1pt;">u</span>s<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 106%;">l</span><span style="letter-spacing: .25pt; mso-font-width: 106%;">y</span>m<span style="letter-spacing: .05pt;">p</span><span style="letter-spacing: .1pt;">h</span>-<span style="letter-spacing: .05pt;">n</span><span style="letter-spacing: .1pt;">o</span><span style="letter-spacing: .05pt;">d</span>e<span style="letter-spacing: -.3pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 133%;">t</span><span style="letter-spacing: .15pt; mso-font-width: 122%;">r</span><span style="letter-spacing: .2pt; mso-font-width: 91%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 113%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 88%;">s</span><span style="letter-spacing: .05pt; mso-font-width: 112%;">p</span><span style="letter-spacing: .1pt; mso-font-width: 112%;">l</span><span style="letter-spacing: .2pt; mso-font-width: 102%;">a</span>n<span style="letter-spacing: .15pt; mso-font-width: 133%;">t</span>a<span style="letter-spacing: .2pt; mso-font-width: 135%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 135%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 108%;">o</span>n<span style="letter-spacing: -.45pt;"> </span>f<span style="letter-spacing: .05pt;">o</span>r<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: .25pt; mso-font-width: 114%;">li</span><span style="letter-spacing: .05pt; mso-font-width: 114%;">m</span>b<span style="letter-spacing: -.7pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 131%;">l</span><span style="letter-spacing: .25pt; mso-font-width: 112%;">y</span>m<span style="letter-spacing: .05pt; mso-font-width: 106%;">ph</span><span style="letter-spacing: .1pt; mso-font-width: 106%;">o</span><span style="letter-spacing: .1pt; mso-font-width: 91%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 105%;">d</span><span style="letter-spacing: .1pt; mso-font-width: 91%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 113%;">m</span><span style="letter-spacing: .2pt; mso-font-width: 91%;">a</span>. E<span style="letter-spacing: .2pt;">u</span>r<span style="letter-spacing: -.45pt;"> </span>J<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 92%;">V</span><span style="letter-spacing: .15pt; mso-font-width: 92%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 92%;">s</span>c<span style="letter-spacing: -.15pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 80%;">E</span><span style="letter-spacing: .05pt; mso-font-width: 107%;">ndo</span><span style="letter-spacing: .15pt; mso-font-width: 96%;">va</span><span style="letter-spacing: .1pt; mso-font-width: 96%;">s</span>c<span style="letter-spacing: -.45pt;"> </span>S<span style="letter-spacing: .2pt; mso-font-width: 114%;">u</span><span style="letter-spacing: .1pt; mso-font-width: 114%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 91%;">g</span>.<span style="letter-spacing: -.45pt;"> </span>2<span style="letter-spacing: -.05pt; mso-font-width: 92%;">0</span><span style="letter-spacing: .15pt; mso-font-width: 92%;">1</span><span style="letter-spacing: -.15pt; mso-font-width: 92%;">3</span>;<span style="letter-spacing: .1pt; mso-font-width: 89%;">4</span>5<span style="letter-spacing: -.05pt; mso-font-width: 86%;">(</span><span style="letter-spacing: -.1pt; mso-font-width: 86%;">5</span><span style="letter-spacing: -.1pt; mso-font-width: 97%;">)</span><span style="letter-spacing: .05pt; mso-font-width: 97%;">:</span>5<span style="letter-spacing: -.1pt;">1</span><span style="letter-spacing: .3pt; mso-font-width: 95%;">6</span><span style="letter-spacing: -.05pt; mso-font-width: 95%;">–</span>2<span style="letter-spacing: -.2pt;">0</span>.</span><span lang="EN-US" style="font-family: "arial" , sans-serif; line-height: 117%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 117%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.6pt; margin-right: 9.35pt; margin-top: 1.3pt; text-align: justify; text-indent: -6.55pt;">
<span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">
</span></div>
<div class="MsoNormal" style="line-height: 117%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.5pt; margin-right: 9.3pt; margin-top: 0cm; text-indent: -10.5pt;">
<span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: -0.1pt; line-height: 117%;">1</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">1 <span style="letter-spacing: .6pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">C</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 117%;">o</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.25pt; line-height: 117%;">r</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.2pt; line-height: 117%;">m</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 117%;">i</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.1pt; line-height: 117%;">e</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">r</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: -0.45pt; line-height: 117%;"> </span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.1pt; line-height: 117%;">J</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 117%;">N</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">,</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: -0.45pt; line-height: 117%;"> </span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 117%;">Ro</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.2pt; line-height: 117%;">u</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; letter-spacing: 0.05pt; line-height: 117%;">rk</span><span lang="EN-US" style="color: #231f20; font-family: "arial" , sans-serif; line-height: 117%;">e<span style="letter-spacing: -0.2pt;">
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="background-color: white; color: #333333; letter-spacing: 0.266667px;"><b>Télécharger l'article complet</b></span></span><br />
<span style="background-color: white; letter-spacing: 0.266667px;"><span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif; font-size: x-small;"><a href="https://medicalforum.ch/fr/resource/jf/journal/file/view/article/fms.2016.02495/fms-02495.pdf/">https://medicalforum.ch/fr/resource/jf/journal/file/view/article/fms.2016.02495/fms-02495.pdf/</a></span></span>Seraphimhttp://www.blogger.com/profile/09830433552680718249noreply@blogger.com10tag:blogger.com,1999:blog-7803504750995977657.post-43851435521881859652017-10-24T00:57:00.000-07:002017-10-24T00:57:42.774-07:00Description du lymphoedème et de son traitement<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj7F_0JkZ-tj_XHnv6vdGj08kTXBW9rAcQdQ5abyVdEKamCurBOV4jUURl1Di8u45fuX-i5aw49ysiZx9URIrae8-9kCLuIjpA4EA7WHAGTMI88cI2WCJCqsqS3mgerTb8Oj0gVymC6Hmk/s1600/lymphoedeme.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="283" data-original-width="667" height="212" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj7F_0JkZ-tj_XHnv6vdGj08kTXBW9rAcQdQ5abyVdEKamCurBOV4jUURl1Di8u45fuX-i5aw49ysiZx9URIrae8-9kCLuIjpA4EA7WHAGTMI88cI2WCJCqsqS3mgerTb8Oj0gVymC6Hmk/s400/lymphoedeme.jpg" width="500" /></a></div>
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<span style="font-size: large;">Article paru dans Passeport Santé</span><br />
<a href="http://www.passeportsante.net/fr/Maux/Problemes/Fiche.aspx?doc=lymphoedeme">http://www.passeportsante.net/fr/Maux/Problemes/Fiche.aspx?doc=lymphoedeme</a><br />
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<b style="box-sizing: border-box; line-height: inherit;">Qu'est-ce que c'est ?</b></h2>
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<span style="font-size: large;">Le lymphœdème se caractérise par une augmentation chronique du volume d’un membre, liée à une accumulation de liquide lymphatique. Le gonflement apparaît lorsque les vaisseaux lymphatiques ne drainent plus assez efficacement la lymphe, qui s'accumule alors dans les tissus situés sous la peau. Un lymphœdème peut entraîner des complications d’ordre infectieux, cutanés et rhumatologiques. <b>Il n’existe pas de traitement curatif du lymphœdème, mais la physiothérapie décongestionnante peut ralentir son développement.</b> La prévalence du lymphœdème serait supérieure à 100 personnes pour 100 000. (1)</span></div>
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<b style="box-sizing: border-box; line-height: inherit;"><a href="https://www.blogger.com/null" name="les-symptomes" style="box-sizing: border-box; line-height: inherit;"></a>Les symptômes</b></h2>
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<span style="font-size: large;">L’étendue et la localisation du lymphœdème sont variables. Il est diagnostiqué de façon clinique lorsque le périmètre du membre atteint est supérieur d'au moins 2 cm à celui du membre sain. </span></div>
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<span style="font-size: large;">Il se manifeste le plus souvent sur un bras ou une jambe, mais le gonflement peut concerner d’autres parties du corps : le visage, le cou, le tronc, les organes génitaux. Il provoque une sensation de lourdeur et de tension, parfois aussi des douleurs. </span></div>
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<span style="font-size: large;">Le lymphœdème provoque un épaississement et une fibrose de la peau mis en évident par le signe de Stemmer, soit l’impossibilité de plisser la peau du 2ème orteil.</span></div>
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<b style="box-sizing: border-box; line-height: inherit;"><a href="https://www.blogger.com/null" name="les-origines-de-la-maladie" style="box-sizing: border-box; line-height: inherit;"></a>Les origines de la maladie</b></h2>
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<span style="font-size: large;">Deux causes très distinctes sont responsables de l’apparition d’un lymphœdème :</span></div>
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<span style="font-size: large;">Lorsqu’une malformation du système lymphatique d’<b>origine génétique</b> est la cause, on parle de <b>lymphœdème primaire.</b> </span></div>
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<span style="font-size: large;">La mutation génétique est le plus fréquemment spontanée mais, dans des cas plus rares, le lymphœdème est congénital et touche plusieurs personnes d’une même famille. </span></div>
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<span style="font-size: large;">Le lymphœdème primaire touche 1 personne sur 10 000 et se déclare le plus souvent à la puberté. (2)</span></div>
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<span style="font-size: large;">Un <b>lymphœdème secondaire</b> désigne une <b>altération</b> acquise du système lymphatique. </span></div>
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<span style="font-size: large;">Elle peut survenir suite à une intervention chirurgicale (une ablation de varices ou des ganglions, par exemple), au traitement d’une tumeur (comme une radiothérapie pour traiter un cancer du sein), à un accident, ou à une infection.</span></div>
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<span style="font-size: large;">Le lymphœdème se distingue nettement de l'<a href="http://www.passeportsante.net/fr/Maux/Problemes/Fiche.aspx?doc=oedeme_jambe_pm" style="box-sizing: border-box; color: #2688c9; line-height: inherit; text-decoration-line: none;">œdème</a><a href="http://www.passeportsante.net/fr/Maux/Problemes/Fiche.aspx?doc=oedeme_jambe_pm" style="box-sizing: border-box; color: #2688c9; line-height: inherit; text-decoration-line: none;"> des jambes</a>. </span></div>
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<span style="font-size: large;">Le premier occasionne <b>un dépôt dans les tissus de protéines dont la lymphe est riche, déclenchant une réaction inflammatoire et une multiplication des tissus (conjonctifs et adipeux)</b>, tandis que le second est constitué principalement d’eau.</span></div>
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<b style="box-sizing: border-box; line-height: inherit;"><a href="https://www.blogger.com/null" name="les-facteurs-de-risque" style="box-sizing: border-box; line-height: inherit;"></a>Les facteurs de risque</b></h2>
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<span style="font-size: large;">Le lymphœdème primaire (d’origine génétique) survient nettement plus fréquemment chez les femmes. On observe chez elles un pic d’incidence à la puberté. D’autre part, la relation est établie entre le surpoids et la fréquence d’apparition du lymphœdème secondaire.</span></div>
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<b style="box-sizing: border-box; line-height: inherit;"><a href="https://www.blogger.com/null" name="prevention-et-traitement" style="box-sizing: border-box; line-height: inherit;"></a>Prévention et traitement</b></h2>
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<span style="font-size: large;"><b>A ce jour, il n’existe pas de traitement curatif du lymphœdème. </b></span></div>
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<span style="font-size: large;">Si elle est précoce, la <b>physiothérapie décongestionnante</b> se révèle efficace pour réduire son volume et soulager les symptômes, mais elle est très contraignante. </span></div>
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<span style="font-size: large;">Elle consiste à combiner les éléments suivants :</span></div>
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<li style="box-sizing: border-box; margin: 0px; padding: 0px;"><span style="font-size: large;">Un drainage lymphatique par un massage manuel pratiqué par un kinésithérapeute spécialement formé. Il stimule les vaisseaux lymphatiques et aide la lymphe à évacuer le gonflement ;</span></li>
<li style="box-sizing: border-box; margin: 0px; padding: 0px;"><span style="font-size: large;">Des textiles ou des bandages de compressions sont appliqués en complément du massage ;</span></li>
<li style="box-sizing: border-box; margin: 0px; padding: 0px;"><span style="font-size: large;">Après la réduction du lymphœdème par massage et compression, l'application d'une contention élastique empêche la lymphe de s'accumuler à nouveau ;</span></li>
<li style="box-sizing: border-box; margin: 0px; padding: 0px;"><span style="font-size: large;">Des exercices physiques spécifiques sont aussi recommandés par le kinésithérapeute.</span></li>
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<span style="font-size: large;"><b>En l’absence de traitement, le lymphœdème progresse de manière chronique et peut causer des complications telles que des infections cutanées.</b> Il peut altérer considérablement la qualité de vie de la personne atteinte en provoquant des douleurs, des invalidités et avoir des conséquences psychologiques.</span></div>
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<strong style="box-sizing: border-box; line-height: inherit;">Fiche créée : juillet 2016</strong><br />
<strong style="box-sizing: border-box; line-height: inherit;">Auteur</strong> : Yves Cambrai </div>
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<b style="box-sizing: border-box; line-height: inherit;"><a href="https://www.blogger.com/null" name="references-bibliographiques" style="box-sizing: border-box; line-height: inherit;"></a>Références bibliographiques</b></h2>
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<span style="font-size: small;"><b>Notes :</b></span></div>
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<span style="font-size: small;">1. Depairon M. et al. Diagnostic et prise en charge du lymphœdème. Forum Médical Suisse, 2016, pages 80–84. [<a href="http://www.medicalforum.ch/docs/smf/2016/04/fr/fms-02495.pdf">http://www.medicalforum.ch/docs/smf/2016/04/fr/fms-02495.pdf</a>]</span></div>
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<span style="font-size: small;">2. Orphanet, le portail des maladies rares et des médicaments orphelins. Lymphoedème primaire, ORPHA77240. [<a href="http://www.orpha.net/consor/cgi-bin/OC_Exp.php?Lng=FR&Expert=77240">http://www.orpha.net/consor/cgi-bin/OC_Exp.php?Lng=FR&Expert=77240</a>]</span></div>
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<span style="font-size: small;">Références :</span></div>
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<span style="font-size: small;">Orphanet, le portail des maladies rares et des médicaments orphelins. Lymphoedème primaire, ORPHA77240. [<a href="http://www.orpha.net/consor/cgi-bin/OC_Exp.php?Lng=FR&Expert=77240">http://www.orpha.net/consor/cgi-bin/OC_Exp.php?Lng=FR&Expert=77240</a>]</span></div>
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<span style="font-size: small;">Depairon M. et al. Diagnostic et prise en charge du lymphœdème. Forum Médical Suisse, 2016, pages 80–84. [<a href="http://www.medicalforum.ch/docs/smf/2016/04/fr/fms-02495.pdf">http://www.medicalforum.ch/docs/smf/2016/04/fr/fms-02495.pdf</a>]</span></div>
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<span style="font-size: small;">Understanding Lymphedema. American Cancer Society. [<a href="http://www.cancer.org/acs/groups/cid/documents/webcontent/002928-pdf.pdf">http://www.cancer.org/acs/groups/cid/documents/webcontent/002928-pdf.pdf</a>]</span></div>
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<span style="font-size: small;">Association Vivre Mieux le Lymphoedeme (AVML). [<a href="http://www.avml.fr/">http://www.avml.fr/</a>]</span></div>
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Seraphimhttp://www.blogger.com/profile/09830433552680718249noreply@blogger.com2tag:blogger.com,1999:blog-7803504750995977657.post-42522495246182124562017-10-10T08:44:00.002-07:002017-10-10T08:47:34.773-07:00Projets de recherche sur le lymphoedème<a href="https://www.blogger.com/blogger.g?blogID=7803504750995977657" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=7803504750995977657" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=7803504750995977657" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><br />
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<a href="https://www.blogger.com/blogger.g?blogID=7803504750995977657" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=7803504750995977657" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=7803504750995977657" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg2NUD-1dbzu-v1s5VjQ-_Hsr1F_eI0VvrxpF2JBRSOTTvkSvPYiAQCu2Jeulxd79lPtaelCmZkq2QqSa3ll1eZ1-MoapsVBR5rTb7LS9Rgi-Xkttk2xlZlN2H7Iii5IYhAD4L5TArfE4U/s1600/projets.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="191" data-original-width="959" height="100" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg2NUD-1dbzu-v1s5VjQ-_Hsr1F_eI0VvrxpF2JBRSOTTvkSvPYiAQCu2Jeulxd79lPtaelCmZkq2QqSa3ll1eZ1-MoapsVBR5rTb7LS9Rgi-Xkttk2xlZlN2H7Iii5IYhAD4L5TArfE4U/s400/projets.jpg" width="500" /></a></div>
<div style="text-align: center;">
<b><span style="font-size: large;">Projets de recherche : </span></b><br />
<b><span style="font-size: large;">indiquer "Lymphoedème" </span></b><b><span style="font-size: large;">dans le champ de recherche</span></b></div>
<div style="text-align: center;">
<b><span style="font-size: large;"><a href="http://www.orpha.net/consor/www/cgi-bin/ResearchTrials_ResearchProjects_Simple.php?lng=FR" target="_blank">Cliquer ICI</a></span></b></div>
<div style="text-align: center;">
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Seraphimhttp://www.blogger.com/profile/09830433552680718249noreply@blogger.com0tag:blogger.com,1999:blog-7803504750995977657.post-35679058800444788502017-10-10T08:19:00.001-07:002017-10-10T08:32:38.791-07:00Fiche sur le Lymphoedème primaire<div class="separator" style="clear: both; text-align: center;">
<a href="https://www.orpha.net/data/patho/Pub/fr/LymphoedemePrimaire-FRfrPub11097.pdf" target="_blank"><img border="0" data-original-height="389" data-original-width="656" height="297" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgL4itx_6WA5yhutP81KlsWvMvZ8ebk8tZMFy8jiuo6i8lgJivit5ggRjkgVYoFHTezXpnBMRQJANw0TYDv_H7253-EiMm7SoblEIH60bgvR8hyphenhyphensYge_O8mPkzfkY0JbuhrEU8EGxNVr2o/s400/lymphoedeme_primaire.jpg" width="500" /></a></div>
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<span lang="EN-US" style="position: relative; top: 0.5pt;"><b>Télécharger la fiche</b></span><br />
<span lang="EN-US" style="position: relative; top: 0.5pt;"><span style="color: #be4804; font-family: "arial" , sans-serif; font-size: xx-small;"><a href="https://www.orpha.net/data/patho/Pub/fr/LymphoedemePrimaire-FRfrPub11097.pdf">https://www.orpha.net/data/patho/Pub/fr/LymphoedemePrimaire-FRfrPub11097.pdf</a></span></span></div>
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<span style="color: #be4804; font-family: "arial" , sans-serif; font-size: xx-small;">Voir aussi <a href="http://www.orpha.net/consor/www/cgi-bin/Disease_Search.php?lng=FR&data_id=11097&Disease_Disease_Search_diseaseGroup=Lymphoedeme&Disease_Disease_Search_diseaseType=Pat&Maladie(s)/groupes%20de%20maladies=Lymphoedeme-primaire&title=Lymphoedeme-primaire&search=Disease_Search_Simple" target="_blank">ICI</a></span></div>
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Résumé</h2>
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Le lymphœdème primaire correspond à l'augmentation chronique du volume d'un membre suite à l'accumulation de liquide lymphatique dans les espaces interstitiels, surtout dans le tissu sous-cutané. </div>
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Il est lié à une malformation de tout ou une partie du système lymphatique. Il peut être congénital (moins de 10% des cas), de révélation précoce (avant 35 ans, 65 à 80% des cas) ou tardive (après 35 ans, 10% des cas). </div>
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La prévalence du lymphœdème primaire est estimée à 1/10 000 avant l'âge de 20 ans. Il existe une nette une prédominance féminine. </div>
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Le lymphœdème primaire touche le plus souvent les membres inférieurs (80% des cas), de façon uni- ou bilatérale, et plus rarement un membre supérieur, le visage, ou les organes génitaux externes. </div>
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Le début est généralement distal (orteils). Le signe de Stemmer (difficulté à pincer la peau de la face dorsale du 2ème orteil) est très évocateur de l'affection. </div>
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L'évolution se fait vers une augmentation de la fibrose et du tissu adipeux alors que la composante liquidienne (lymphe) diminue. Une hyperkératose et une papillomatose de la peau des orteils peuvent survenir. </div>
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La principale complication est l'érysipèle. La cause de l'affection, inconnue, est associée à une dysplasie, une aplasie ou une hypoplasie des voies lymphatiques. Dans 25% des cas environ, il existe un facteur déclenchant : entorse de la cheville, grossesse, sport intensif, piqûre d'insecte... </div>
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Moins de 3% sont des formes familiales, comme le syndrome de Milroy (lymphœdème congénital à transmission autosomique dominante) ou le syndrome de Meige (de révélation tardive à transmission autosomique récessive). </div>
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Des mutations du gène <em style="box-sizing: border-box;">VEGFR3</em> (<em style="box-sizing: border-box;">Vascular endothelial growth factor receptor 3</em>) ont été retrouvées dans certaines familles ayant un syndrome de Milroy. Dans de très rares cas, le lymphœdème peut être associé à d'autres anomalies cliniques (distichiasis, ptosis) ou faire partie d'un syndrome plus complexe (syndromes de Turner, de Klinefelter, de Noonan, trisomie 21, maladie de Waldmann,...). </div>
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Des examens d'imagerie peuvent être nécessaires (scanner, lymphoscintigraphie). Les principaux diagnostics différentiels sont les autres causes générales d'œdème des membres (causes cardiaques, rénales, hypoprotidémie), le lipœdème (accumulation de tissu adipeux des hanches jusqu'au cheville, au cours des obésités) et les causes locales (œdèmes veineux). </div>
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Le traitement comprend une phase de réduction de volume (2 à 3 semaines) basée sur les bandages multicouches peu élastiques quotidiens associés éventuellement à des drainages lymphatiques manuels puis une phase de maintien du volume réduit, basée sur le port d'une compression élastique (bas, mi-bas) la journée associés à des bandages nocturnes à une fréquence inférieure à la phase de réduction. On y associe des soins cutanés pour prévenir les infections.</div>
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Editeur(s) expert(s) : <span style="box-sizing: border-box; font-weight: 700;"> Dr Stephane VIGNES</span> - Dernière mise à jour :<span style="box-sizing: border-box; font-weight: 700;"> Novembre 2007</span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">Le<span style="letter-spacing: -.85pt;"> </span>lymphœdè<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: -.25pt;"> </span>pri<span style="letter-spacing: -.15pt;">m</span>ai<span style="letter-spacing: -.15pt;">r</span>e<span style="letter-spacing: 1.8pt;"> </span>(ou<span style="letter-spacing: 1.15pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">primitif)<span style="letter-spacing: .9pt;"> </span>est<span style="letter-spacing: .4pt;"> </span>u<span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: .15pt;"> </span>a<span style="letter-spacing: -.15pt;">n</span>o<span style="letter-spacing: -.15pt;">m</span>al<span style="letter-spacing: -.15pt;">i</span>e<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: -.15pt;">d</span>u<span style="letter-spacing: .2pt;"> </span>systè<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: -.65pt;"> </span>lymphatique<span style="letter-spacing: 2.7pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span>espo<span style="letter-spacing: -.2pt;">n</span>sable<span style="letter-spacing: .45pt;"> </span>d’u<span style="letter-spacing: -.2pt;">n</span>e<span style="letter-spacing: -.1pt;"> </span>aug<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>tat<span style="letter-spacing: -.2pt;">i</span>on<span style="letter-spacing: 2.65pt;"> </span><span style="letter-spacing: -.2pt;">d</span>e<span style="letter-spacing: -.3pt;"> </span>volu<span style="letter-spacing: -.2pt;">m</span>e d’u<span style="letter-spacing: -.2pt;">n</span>e<span style="letter-spacing: -.1pt;"> </span>part<span style="letter-spacing: -.2pt;">i</span>e<span style="letter-spacing: 1.8pt;"> </span><span style="letter-spacing: -.2pt;">d</span>u<span style="letter-spacing: .1pt;"> </span>corps<span style="letter-spacing: -.45pt;"> </span>qui<span style="letter-spacing: -1.2pt;"> </span>appa<span style="letter-spacing: -.2pt;">r</span>aît<span style="letter-spacing: .7pt;"> </span>enflée<span style="letter-spacing: .5pt;"> </span>(œdè<span style="letter-spacing: -.2pt;">m</span>e)<span style="letter-spacing: -.25pt;"> </span>suite à<span style="letter-spacing: .05pt;"> </span>l’accu<span style="letter-spacing: -.15pt;">m</span>ulat<span style="letter-spacing: -.15pt;">i</span>on <span style="letter-spacing: .75pt;"> </span>a<span style="letter-spacing: -.15pt;">n</span>or<span style="letter-spacing: -.15pt;">m</span>ale<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .15pt;"> </span>lymp<span style="letter-spacing: -.15pt;">h</span><span style="letter-spacing: -.4pt;">e</span>,<span style="letter-spacing: 1.9pt;"> </span>esse<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: -.2pt;">i</span>elle<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">d</span>a<span style="letter-spacing: -.15pt;">n</span>s<span style="letter-spacing: .55pt;"> </span>le<span style="letter-spacing: -.85pt;">
</span>tissu<span style="letter-spacing: 1.3pt;">
</span>sous<span style="letter-spacing: -.7pt;"> </span>la<span style="letter-spacing: -.85pt;"> </span>peau.<span style="letter-spacing: .3pt;"> </span>Il<span style="letter-spacing: 1.4pt;">
</span>to<span style="letter-spacing: -.2pt;">u</span>c<span style="letter-spacing: -.2pt;">h</span>e le<span style="letter-spacing: -.9pt;"> </span>plus<span style="letter-spacing: .2pt;"> </span>souve<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: -.15pt;"> </span>les<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.15pt;">m</span>emb<span style="letter-spacing: -.15pt;">r</span>es<span style="letter-spacing: -.75pt;"> </span>infér<span style="letter-spacing: -.15pt;">i</span>eur<span style="letter-spacing: -.15pt;">s</span>. Les<span style="letter-spacing: -.85pt;"> </span><span style="letter-spacing: -.15pt;">m</span>emb<span style="letter-spacing: -.15pt;">r</span>es<span style="letter-spacing: -.2pt;"> </span>supér<span style="letter-spacing: -.15pt;">i</span>eur<span style="letter-spacing: -.15pt;">s</span>,<span style="letter-spacing: 1.7pt;"> </span>les<span style="letter-spacing: .3pt;"> </span>o<span style="letter-spacing: -.15pt;">r</span>ga<span style="letter-spacing: -.15pt;">n</span>es<span style="letter-spacing: .45pt;"> </span>génitaux
<span style="letter-spacing: .6pt;"> </span>ou<span style="letter-spacing: .7pt;"> </span>la <span style="letter-spacing: -.2pt; mso-font-width: 113%;">f</span>ace<span style="letter-spacing: .2pt;"> </span>so<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .2pt;"> </span>plus<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span>a<span style="letter-spacing: -.2pt;">r</span>e<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .2pt;"> </span>attei<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: -.2pt;">s</span>.<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">C</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">o</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">m</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">b</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">i</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">e</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">n<span style="letter-spacing: 1.7pt;"> </span>d<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: 1.95pt;"> </span>p<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>r<span style="letter-spacing: -2.9pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>s <span style="letter-spacing: .75pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: 3.3pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>s <span style="letter-spacing: .75pt;"> </span>d<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: 1.95pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span>a<span style="letter-spacing: 1.7pt;"> </span>m<span style="letter-spacing: -2.65pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>d<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: 1.95pt;"> </span>?</span></b><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 14.0pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">La<span style="letter-spacing: 1.25pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">é</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">v</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">c</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.6pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">(</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">omb<span style="letter-spacing: -.2pt;">r</span>e<span style="letter-spacing: 1.55pt;"> </span><span style="letter-spacing: -.2pt;">d</span>e<span style="letter-spacing: .55pt;"> </span>cas<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.2pt;">d</span>a<span style="letter-spacing: -.2pt;">n</span>s<span style="letter-spacing: .05pt;"> </span>u<span style="letter-spacing: -.2pt;">n</span>e<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .05pt;">p</span>opu</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.6pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">à<span style="letter-spacing: 1.15pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">un<span style="letter-spacing: -.6pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>o<span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>e<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 91%;">d</span>onné)<span style="letter-spacing: 1.15pt;"> </span>est<span style="letter-spacing: .65pt;"> </span>estimée<span style="letter-spacing: .6pt;"> </span>à<span style="letter-spacing: 1.15pt;"> </span>1 person<span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: 1.4pt;"> </span>sur<span style="letter-spacing: .75pt;"> </span>6<span style="letter-spacing: -.45pt;"> </span>000.<span style="letter-spacing: 1.65pt;"> </span>Cette<span style="letter-spacing: .4pt;"> </span>prévale<span style="letter-spacing: -.15pt;">n</span>ce<span style="letter-spacing: .65pt;"> </span>est<span style="letter-spacing: -1.3pt;"> </span>difficile<span style="letter-spacing: .15pt;"> </span>à<span style="letter-spacing: .45pt;"> </span>appréc<span style="letter-spacing: -.15pt;">i</span>er<span style="letter-spacing: 1.5pt;"> </span>car<span style="letter-spacing: .55pt;"> </span>par<span style="letter-spacing: -.15pt;">f</span>ois<span style="letter-spacing: 2.35pt;"> </span>l’attei<span style="letter-spacing: -.2pt;">n</span>te<span style="letter-spacing: -.35pt;"> </span>est<span style="letter-spacing: -1.3pt;"> </span>mini<span style="letter-spacing: -.15pt;">m</span><span style="letter-spacing: -.4pt;">e</span>,<span style="letter-spacing: 2.6pt;"> </span>se<span style="letter-spacing: -.1pt;"> </span>limita<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .3pt;"> </span>au<span style="letter-spacing: .35pt;"> </span>p<span style="letter-spacing: -.15pt;">i</span>ed<span style="letter-spacing: 1.45pt;"> </span>ou<span style="letter-spacing: -1.25pt;"> </span>à<span style="letter-spacing: .75pt;"> </span>un<span style="letter-spacing: -1.0pt;"> </span>orteil.<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; line-height: 94%;">Q</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt; line-height: 94%;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; line-height: 94%;">u</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt; line-height: 94%;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; line-height: 94%;">i<span style="letter-spacing: 3.3pt;">
</span>p<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>u<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: 3.3pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: 1.7pt;"> </span>ê<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>r<span style="letter-spacing: -2.9pt;"> </span>e<span style="letter-spacing: 1.95pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: 3.3pt;"> </span>? <span style="letter-spacing: .4pt;"> </span>E<span style="letter-spacing: -2.65pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>-<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>l<span style="letter-spacing: 3.05pt;"> </span>p<span style="letter-spacing: -2.65pt;"> </span>r<span style="letter-spacing: -2.65pt;"> </span>é<span style="letter-spacing: -2.65pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: 3.3pt;"> </span>p<span style="letter-spacing: -2.65pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>r<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> o</span>u<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: 3.3pt;"> </span>en<span style="letter-spacing: 1.7pt;"> </span>F<span style="letter-spacing: -2.65pt;"> </span>r<span style="letter-spacing: -2.9pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>c<span style="letter-spacing: -2.65pt;"> </span>e
<span style="letter-spacing: -1.1pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: .95pt;"> </span>d<span style="letter-spacing: -2.65pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>s <span style="letter-spacing: .75pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: 1.95pt;"> </span>m<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>d<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: 1.95pt;"> </span>?</span></b><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 14.0pt; line-height: 94%;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">Le<span style="letter-spacing: -.25pt;"> </span>lymphœdè<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: .35pt;"> </span>pri<span style="letter-spacing: -.15pt;">m</span>ai<span style="letter-spacing: -.15pt;">r</span>e<span style="letter-spacing: 2.4pt;"> </span><span style="letter-spacing: -.15pt;">e</span>xiste<span style="letter-spacing: 1.6pt;"> </span>partout
<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: -.15pt;">d</span>a<span style="letter-spacing: -.15pt;">n</span>s<span style="letter-spacing: .05pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">le<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">m</span>o<span style="letter-spacing: -.15pt;">nd</span><span style="letter-spacing: -.4pt;">e</span>.<span style="letter-spacing: 2.4pt;"> </span>Les<span style="letter-spacing: -.15pt;"> </span>fem<span style="letter-spacing: -.15pt;">m</span>es<span style="letter-spacing: 1.05pt;"> </span>so<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .3pt;"> </span>plus<span style="letter-spacing: .65pt;"> </span>souve<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .3pt;"> </span>at-
tei<span style="letter-spacing: -.15pt;">n</span>tes
<span style="letter-spacing: .7pt;"> </span>que<span style="letter-spacing: .45pt;"> </span>les<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.15pt;">h</span>om<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: -.15pt;">s</span>.<span style="letter-spacing: .7pt;"> </span>Plus<span style="letter-spacing: -.05pt;"> </span>d’u<span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: -.2pt;">f</span>ois<span style="letter-spacing: -.75pt;"> </span>sur<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.15pt;">d</span>eux,<span style="letter-spacing: 1.4pt;"> </span>le<span style="letter-spacing: -.55pt;">
</span>lymphœdè<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: .25pt;"> </span>appa<span style="letter-spacing: -.15pt;">r</span>aît<span style="letter-spacing: 1.6pt;"> </span>ava<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .2pt;"> </span>25<span style="letter-spacing: -1.25pt;"> </span>a<span style="letter-spacing: -.2pt;">n</span><span style="letter-spacing: -.2pt; mso-font-width: 77%;">s</span>.<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">A<span style="letter-spacing: 3.05pt;"> </span></span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">q</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">u</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">o</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">i<span style="letter-spacing: 3.3pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>-<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>l<span style="letter-spacing: 3.05pt;"> </span>d<span style="letter-spacing: -2.65pt;"> </span>û<span style="letter-spacing: 1.7pt;"> </span>?</span></b><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 14.0pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">Da<span style="letter-spacing: -.15pt;">n</span>s<span style="letter-spacing: 1.25pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.6pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.15pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e<span style="letter-spacing: 1.2pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">95<span style="letter-spacing: -.85pt;"> </span>%<span style="letter-spacing: -1.0pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">d</span>es<span style="letter-spacing: .7pt;"> </span>ca<span style="letter-spacing: -.15pt;">s</span>,<span style="letter-spacing: 1.15pt;"> </span>le<span style="letter-spacing: .6pt;"> </span>lymphœdè<span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>e<span style="letter-spacing: .6pt;"> </span>pri<span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>ai<span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span>e<span style="letter-spacing: .6pt;"> </span>affecte<span style="letter-spacing: .6pt;"> </span>u<span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: 1.75pt;"> </span>person<span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: 2.3pt;"> </span>sa<span style="letter-spacing: -.15pt;">n</span>s<span style="letter-spacing: .5pt;"> </span>qu’a<span style="letter-spacing: -.2pt; mso-font-width: 89%;">u</span>cun <span style="letter-spacing: -.15pt; mso-font-width: 83%;">m</span>emb<span style="letter-spacing: -.15pt;">r</span>e<span style="letter-spacing: 2.15pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: 1.2pt;"> </span>sa<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 91%;">f</span>amille<span style="letter-spacing: 1.9pt;"> </span><span style="letter-spacing: -.2pt;">n</span>e<span style="letter-spacing: .15pt;"> </span>soit<span style="letter-spacing: -.3pt;"> </span>attei<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .45pt;"> </span>(cas<span style="letter-spacing: .7pt;"> </span>spo<span style="letter-spacing: -.15pt;">r</span>adique).<span style="letter-spacing: 2.85pt;">
</span><span style="letter-spacing: -.15pt;">M</span>oi<span style="letter-spacing: -.15pt;">n</span>s<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .5pt;"> </span>5<span style="letter-spacing: -.5pt;"> </span>%<span style="letter-spacing: 1.05pt;"> </span><span style="letter-spacing: -.15pt;">d</span>es<span style="letter-spacing: .8pt;"> </span>cas<span style="letter-spacing: .65pt;"> </span>so<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 82%;">d</span>es<span style="letter-spacing: 1.05pt;"> </span><span style="letter-spacing: -.2pt;">f</span>or- <span style="letter-spacing: -.15pt; mso-font-width: 82%;">m</span>es<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: -.2pt;">f</span>amil<span style="letter-spacing: -.2pt;">i</span>ale<span style="letter-spacing: -.2pt;">s</span>.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">L</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e<span style="letter-spacing: .45pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">y</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">h</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">œ</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">è</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">dû<span style="letter-spacing: .5pt;"> </span>à<span style="letter-spacing: -.1pt;"> </span>u<span style="letter-spacing: -.2pt;">n</span>e<span style="letter-spacing: .55pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.35pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">u<span style="letter-spacing: .1pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">é</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">v</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">op<span style="letter-spacing: -.05pt;">p</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.35pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">u<span style="letter-spacing: .1pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">y</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">è</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">y</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">h</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">q</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">é</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;"> dès<span style="letter-spacing: .6pt;"> </span>la <span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>aissa<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>ce <span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>ais <span style="letter-spacing: -.2pt; mso-font-width: 89%;">d</span>o<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>t les <span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>anifestat<span style="letter-spacing: -.2pt; mso-font-width: 125%;">i</span>o<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>s <span style="letter-spacing: -.15pt; mso-font-width: 87%;">n</span>e<span style="letter-spacing: .55pt;"> </span>so<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>t pas<span style="letter-spacing: .6pt;"> </span>toujours imméd<span style="letter-spacing: -.2pt; mso-font-width: 125%;">i</span>ate<span style="letter-spacing: -.2pt; mso-font-width: 77%;">s</span>. Ai<span style="letter-spacing: -.2pt;">n</span>si,<span style="letter-spacing: 1.25pt;"> </span>en<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: -.2pt;">f</span>o<span style="letter-spacing: -.2pt;">n</span>ct<span style="letter-spacing: -.2pt;">i</span>on<span style="letter-spacing: 2.65pt;"> </span><span style="letter-spacing: -.2pt;">d</span>e<span style="letter-spacing: -.4pt;"> </span>l’â<span style="letter-spacing: -.2pt;">g</span>e<span style="letter-spacing: -.45pt;"> </span>d’apparit<span style="letter-spacing: -.2pt;">i</span>on<span style="letter-spacing: 1.75pt;"> </span><span style="letter-spacing: -.2pt;">d</span>e<span style="letter-spacing: -.4pt;"> </span>celles-ci,<span style="letter-spacing: .75pt;"> </span>le<span style="letter-spacing: -.75pt;">
</span>lymphœdè<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.7pt;"> </span>pri<span style="letter-spacing: -.2pt;">m</span>ai<span style="letter-spacing: -.2pt;">r</span>e<span style="letter-spacing: 1.65pt;"> </span>est<span style="letter-spacing: .55pt;"> </span>divisé<span style="letter-spacing: 1.3pt;"> </span>en t<span style="letter-spacing: -.2pt;">r</span>ois<span style="letter-spacing: -.5pt;"> </span>g<span style="letter-spacing: -.15pt;">r</span>oupes<span style="letter-spacing: .7pt;"> </span>:<o:p></o:p></span></div>
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<b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">Le</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: .15pt;">lymphœdème</span>s <span style="letter-spacing: .1pt;"> </span></span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">c</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">o</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">n</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">g</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">é</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">n</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">i</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">t</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">a</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">u</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">x</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 1.1pt; line-height: 108%;"> </span></b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">:<span style="letter-spacing: 1.4pt;">
</span><span style="letter-spacing: .15pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">’</span><span style="letter-spacing: .15pt; mso-font-width: 82%;">œ</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">è</span><span style="letter-spacing: -.05pt; mso-font-width: 86%;">m</span>e<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .15pt; mso-font-width: 88%;">y</span><span style="letter-spacing: .15pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .15pt; mso-font-width: 93%;">h</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .15pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .15pt; mso-font-width: 86%;">q</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">u</span>e<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">pp</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.05pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .15pt;">î</span>t<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 83%;">dè</span>s<span style="letter-spacing: 1.85pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 116%;">l</span>a<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .15pt; mso-font-width: 77%;">ss</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.05pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .15pt; mso-font-width: 85%;">c</span><span style="letter-spacing: -.3pt; mso-font-width: 83%;">e</span>.<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 133%;">I</span><span style="letter-spacing: .15pt; mso-font-width: 116%;">l</span>s <span style="letter-spacing: -.15pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .05pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">é</span><span style="letter-spacing: .05pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 88%;">v</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span>n<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 91%;">10-2</span>5<span style="letter-spacing: 1.05pt;"> </span>%<span style="letter-spacing: -.9pt;">
</span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: 1.3pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span>a<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span>é<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 83%;">d</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: 1.3pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 88%;">y</span><span style="letter-spacing: .05pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .05pt; mso-font-width: 93%;">h</span><span style="letter-spacing: .05pt; mso-font-width: 82%;">œ</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">è</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .05pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 77%;">s</span>.<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: -.35pt; mso-font-width: 74%;">P</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 86%;">m</span>i<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: .05pt;">lym</span>- phœdè<span style="letter-spacing: -.15pt;">m</span>es<span style="letter-spacing: 1.15pt;"> </span>co<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>génitaux,<span style="letter-spacing: .6pt;"> </span>on<span style="letter-spacing: -.6pt;"> </span>disti<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>gue<span style="letter-spacing: .6pt;"> </span>la<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>alad<span style="letter-spacing: -.2pt; mso-font-width: 125%;">i</span>e<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: 1.2pt;"> </span>Mil<span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span>oy<span style="letter-spacing: .6pt;"> </span>qui<span style="letter-spacing: -.4pt;"> </span>cor<span style="letter-spacing: -.15pt;">r</span>espo<span style="letter-spacing: -.15pt;">n</span>d<span style="letter-spacing: 2.75pt;"> </span>à<span style="letter-spacing: .95pt;"> </span>envi<span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span>on<span style="letter-spacing: .6pt;"> </span>2<span style="letter-spacing: -.15pt;"> </span>% <span style="letter-spacing: -.1pt; mso-font-width: 83%;">d</span>e<span style="letter-spacing: 1.7pt;"> </span><span style="letter-spacing: .1pt;">c</span><span style="letter-spacing: .05pt;">e</span>s<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 113%;">f</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .05pt; mso-font-width: 94%;">r</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span>t<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: .05pt;">q</span><span style="letter-spacing: .1pt;">u</span>i<span style="letter-spacing: -.25pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 77%;">s</span>t<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">’</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .05pt; mso-font-width: 94%;">r</span><span style="letter-spacing: -.15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">g</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span>e<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 113%;">f</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span><span style="letter-spacing: -.15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: -.35pt; mso-font-width: 83%;">e</span>.<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">Un</span>e<span style="letter-spacing: 1.35pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">é</span><span style="letter-spacing: -.15pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span>n<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 111%;">(</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">u</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .05pt; mso-font-width: 93%;">n</span>)<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 88%;">d’u</span>n<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: .05pt;">g</span><span style="letter-spacing: .1pt;">è</span><span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span>é </span><i><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">V</span></i><i><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">E</span></i><i><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">GF</span></i><i><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">R</span></i><i><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">-</span></i><i><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 108%;">3 </span></i><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">(pou</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">r<span style="letter-spacing: .1pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">v</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">c</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.25pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.25pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.25pt; line-height: 108%;">h</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.25pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">g</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.25pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">w</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">h</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.25pt; line-height: 108%;">f</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">c</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.25pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">c</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">3</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">)<span style="letter-spacing: -.7pt;">
</span>a<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.05pt;">é</span><span style="letter-spacing: -.05pt; mso-font-width: 126%;">t</span>é<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 86%;">m</span><span style="letter-spacing: -.05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.05pt; mso-font-width: 77%;">s</span>e<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 87%;">e</span>n<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">é</span><span style="letter-spacing: -.05pt; mso-font-width: 88%;">v</span><span style="letter-spacing: -.25pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.25pt; mso-font-width: 89%;">d</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.25pt; mso-font-width: 93%;">n</span><span style="letter-spacing: -.05pt; mso-font-width: 85%;">c</span>e<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 85%;">d</span><span style="letter-spacing: -.05pt; mso-font-width: 85%;">a</span><span style="letter-spacing: -.2pt; mso-font-width: 85%;">n</span>s<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 116%;">l</span>a <span style="letter-spacing: -.25pt; mso-font-width: 86%;">m</span>alad<span style="letter-spacing: -.25pt; mso-font-width: 125%;">i</span>e<span style="letter-spacing: -.35pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: .25pt;"> </span>Mil<span style="letter-spacing: -.25pt; mso-font-width: 94%;">r</span>o<span style="letter-spacing: -.9pt; mso-font-width: 88%;">y</span>.<span style="letter-spacing: -.35pt;"> </span>Ce<span style="letter-spacing: .65pt;"> </span>gè<span style="letter-spacing: -.2pt;">n</span><span style="letter-spacing: -.4pt;">e</span>,<span style="letter-spacing: .3pt;"> </span>localisé<span style="letter-spacing: -.35pt;"> </span>sur<span style="letter-spacing: .3pt;"> </span>le<span style="letter-spacing: -.35pt;"> </span>ch<span style="letter-spacing: -.2pt;">r</span>o<span style="letter-spacing: -.2pt;">m</span>oso<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: .6pt;"> </span>5,<span style="letter-spacing: -.9pt;"> </span>i<span style="letter-spacing: -.25pt; mso-font-width: 93%;">n</span>terv<span style="letter-spacing: -.25pt; mso-font-width: 125%;">i</span>e<span style="letter-spacing: -.25pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: -.35pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 85%;">d</span>a<span style="letter-spacing: -.2pt;">n</span>s<span style="letter-spacing: .25pt;"> </span>le<span style="letter-spacing: -.35pt;"> </span>développe<span style="letter-spacing: -.25pt; mso-font-width: 86%;">m</span>e<span style="letter-spacing: -.25pt; mso-font-width: 93%;">n</span>t <span style="letter-spacing: -.2pt; mso-font-width: 88%;">d</span>u<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 77%;">s</span><span style="letter-spacing: -.05pt; mso-font-width: 88%;">y</span><span style="letter-spacing: -.05pt; mso-font-width: 77%;">s</span><span style="letter-spacing: -.05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">è</span><span style="letter-spacing: -.25pt; mso-font-width: 86%;">m</span>e<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: -.05pt; mso-font-width: 88%;">y</span><span style="letter-spacing: -.05pt; mso-font-width: 86%;">m</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">p</span><span style="letter-spacing: -.05pt; mso-font-width: 93%;">h</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.05pt; mso-font-width: 86%;">q</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">u</span>e<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 85%;">a</span>u<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.05pt;">cour</span>s<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.2pt;">d</span>e<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 116%;">l</span>a<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 113%;">f</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: -.05pt; mso-font-width: 94%;">r</span><span style="letter-spacing: -.25pt; mso-font-width: 86%;">m</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.25pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">o</span>n<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 88%;">d</span>u<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 113%;">f</span><span style="letter-spacing: -.05pt; mso-font-width: 82%;">œ</span><span style="letter-spacing: -.05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">u</span><span style="letter-spacing: -.25pt; mso-font-width: 77%;">s</span>.<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 64%;">C</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">p</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.25pt; mso-font-width: 93%;">n</span><span style="letter-spacing: -.25pt; mso-font-width: 89%;">d</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.25pt; mso-font-width: 93%;">n</span><span style="letter-spacing: -.05pt; mso-font-width: 126%;">t</span>,<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 116%;">l</span>a<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 86%;">m</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">u</span><span style="letter-spacing: -.05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.25pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">o</span>n<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 88%;">d</span>u<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">g</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">è</span><span style="letter-spacing: -.25pt; mso-font-width: 93%;">n</span>e </span><i><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 108%;">VEGFR-3<span style="letter-spacing: -.35pt;"> </span></span></i><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">n’est <span style="letter-spacing: .1pt;"> </span>pas<span style="letter-spacing: 1.0pt;"> </span>prése<span style="letter-spacing: -.15pt;">n</span>te
<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: -.15pt;">d</span>a<span style="letter-spacing: -.15pt;">n</span>s<span style="letter-spacing: 1.7pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">toutes<span style="letter-spacing: 1.15pt;">
</span>les<span style="letter-spacing: -.25pt;"> </span><span style="letter-spacing: -.2pt;">f</span>amilles<span style="letter-spacing: 1.2pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">aya<span style="letter-spacing: -.2pt;">n</span></span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.2pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">u<span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: -.15pt;">m</span>alad<span style="letter-spacing: -.15pt;">i</span>e<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .45pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">Mil<span style="letter-spacing: -.2pt;">r</span>o<span style="letter-spacing: -.9pt;">y</span>.</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;"><o:p></o:p></span></div>
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<div class="MsoNormal" style="line-height: 108%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 62.35pt; margin-right: 59.1pt; margin-top: 0cm; text-align: justify;">
<b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">Le</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: .1pt;">lymphœdème</span>s<span style="letter-spacing: 2.5pt;">
</span><span style="letter-spacing: .1pt;">précoce</span>s </span></b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">:<span style="letter-spacing: 1.05pt;">
</span><span style="letter-spacing: .1pt; mso-font-width: 133%;">I</span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span>s<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 87%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 87%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 87%;">co</span><span style="letter-spacing: -.15pt; mso-font-width: 87%;">r</span>e<span style="letter-spacing: 1.45pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">pp</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">é</span>s<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .1pt; mso-font-width: 88%;">y</span><span style="letter-spacing: .1pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .1pt; mso-font-width: 93%;">h</span><span style="letter-spacing: .1pt; mso-font-width: 82%;">œ</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">è</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 87%;">præc</span><span style="letter-spacing: -.15pt; mso-font-width: 87%;">o</span><span style="letter-spacing: .1pt; mso-font-width: 87%;">x</span>.<span style="letter-spacing: 1.6pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 133%;">I</span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span>s<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">pp</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span>- <span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 77%;">ss</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 88%;">v</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt;">3</span>5<span style="letter-spacing: -.8pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 87%;">a</span><span style="letter-spacing: -.15pt; mso-font-width: 87%;">ns</span>,<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 89%;">g</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">é</span><span style="letter-spacing: .05pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">é</span><span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 86%;">a</span>u<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: -.2pt;">m</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span>a<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 89%;">pub</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">é</span>.<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 133%;">I</span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span>s<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .05pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">é</span><span style="letter-spacing: .05pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 91%;">65-8</span>0<span style="letter-spacing: 1.0pt;"> </span>% <span style="letter-spacing: -.1pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span>a<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span>é<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 83%;">d</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .1pt; mso-font-width: 88%;">y</span><span style="letter-spacing: .1pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .1pt; mso-font-width: 93%;">h</span><span style="letter-spacing: .1pt; mso-font-width: 82%;">œ</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">è</span><span style="letter-spacing: -.1pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .1pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.1pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.1pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.1pt; mso-font-width: 77%;">s</span>.<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 125%;">I</span>l<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 88%;">x</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span>e<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 83%;">é</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">g</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.1pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.1pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 83%;">d</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 113%;">f</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .1pt; mso-font-width: 94%;">r</span><span style="letter-spacing: -.1pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 113%;">f</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span><span style="letter-spacing: -.1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 89%;">d</span>e lymphœdè<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: 1.75pt;"> </span>précoc<span style="letter-spacing: -.4pt;">e</span>,<span style="letter-spacing: 1.25pt;"> </span>e<span style="letter-spacing: -.15pt;">n</span>co<span style="letter-spacing: -.15pt;">r</span>e<span style="letter-spacing: 1.2pt;"> </span>appelées<span style="letter-spacing: .65pt;">
</span><span style="letter-spacing: -.15pt;">m</span>alad<span style="letter-spacing: -.15pt;">i</span>e<span style="letter-spacing: 1.95pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 80%;">M</span>e<span style="letter-spacing: -.2pt;">i</span><span style="letter-spacing: -.2pt; mso-font-width: 89%;">g</span><span style="letter-spacing: -.45pt; mso-font-width: 83%;">e</span>.</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 5.5pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 0cm; margin-top: .2pt; mso-line-height-rule: exactly;">
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<b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">Les<span style="letter-spacing: .6pt;"> </span>lymphœdèmes<span style="letter-spacing: 2.75pt;"> </span></span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">ta<span style="letter-spacing: -.2pt;">r</span></span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">di<span style="letter-spacing: -.2pt;">f</span></span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.2pt; line-height: 108%;"> </span></b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">:<span style="letter-spacing: .7pt;"> </span>ils<span style="letter-spacing: .25pt;"> </span>appa<span style="letter-spacing: -.2pt;">r</span>aisse<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .5pt;"> </span>après<span style="letter-spacing: 1.0pt;"> </span>35<span style="letter-spacing: -.95pt;">
</span>a<span style="letter-spacing: -.15pt;">n</span>s<span style="letter-spacing: 1.1pt;"> </span>et<span style="letter-spacing: .2pt;">
</span><span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span>eprése<span style="letter-spacing: -.2pt;">n</span>te<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .5pt;"> </span>10<span style="letter-spacing: -.95pt;"> </span>%<span style="letter-spacing: -1.1pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: 1.1pt;"> </span>la<span style="letter-spacing: -.25pt;"> </span>totalité<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 84%;">d</span>es<span style="letter-spacing: .55pt;"> </span>lymphœdè<span style="letter-spacing: -.15pt;">m</span>es
<span style="letter-spacing: .05pt;"> </span>pri<span style="letter-spacing: -.2pt;">m</span>ai<span style="letter-spacing: -.2pt;">r</span>e<span style="letter-spacing: -.2pt;">s</span>.</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 11.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 0cm; margin-top: .15pt; mso-line-height-rule: exactly;">
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<b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">E</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">s</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">t</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">-</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">i</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">l<span style="letter-spacing: 3.05pt;"> </span>c<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>g<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>u<span style="letter-spacing: -2.65pt;"> </span>x <span style="letter-spacing: .4pt;"> </span>?</span></b><br />
<span style="font-family: "arial" , sans-serif; letter-spacing: -0.2px;"><br /></span>
<span style="font-family: "arial" , sans-serif;"><span style="font-size: 18.6667px;"> </span></span><span style="font-family: "arial" , sans-serif; letter-spacing: -0.2px;">Non, le lymphœdème primaire n’est pas contagieux.</span></div>
<div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 0cm; margin-top: .3pt; mso-line-height-rule: exactly;">
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<b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">Q</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">u</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">e</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">l</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">l</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">e</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">s <span style="letter-spacing: .75pt;"> </span></span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">e</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">n<span style="letter-spacing: 1.7pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: 3.3pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>s <span style="letter-spacing: .75pt;"> </span>m<span style="letter-spacing: -2.65pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>f<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>s<span style="letter-spacing: 3.15pt;"> </span>?</span></b><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 14.0pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 9.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 0cm; margin-top: .3pt; mso-line-height-rule: exactly;">
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<div class="MsoNormal" style="line-height: 108%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 62.35pt; margin-right: 59.1pt; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">L</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e<span style="letter-spacing: 1.55pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">y</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">h</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">œ</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">è</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.9pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.9pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">é</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">bu</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.9pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">ou</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">v</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.9pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">b</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.9pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.9pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">d’u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">n<span style="letter-spacing: 1.65pt;"> </span><span style="letter-spacing: .1pt;">c</span><span style="letter-spacing: -.1pt;">h</span><span style="letter-spacing: .1pt;">o</span>c<span style="letter-spacing: 1.35pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">(</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">h</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">y</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">q</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.9pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">u<span style="letter-spacing: -.55pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .1pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .1pt; mso-font-width: 88%;">y</span>- <span style="letter-spacing: .05pt; mso-font-width: 85%;">c</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">h</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">og</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 86%;">q</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">u</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 111%;">)</span>,<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 88%;">d’u</span><span style="letter-spacing: -.15pt; mso-font-width: 88%;">n</span>e<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: .05pt;">g</span><span style="letter-spacing: -.15pt;">r</span><span style="letter-spacing: .05pt;">a</span><span style="letter-spacing: -.15pt;">nd</span>e<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 113%;">f</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">gu</span><span style="letter-spacing: -.35pt; mso-font-width: 83%;">e</span>,<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 88%;">d’u</span><span style="letter-spacing: -.15pt; mso-font-width: 88%;">n</span>e<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 113%;">f</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .05pt; mso-font-width: 93%;">n</span>,<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: .05pt;">o</span>u<span style="letter-spacing: -.75pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 87%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 87%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 87%;">co</span><span style="letter-spacing: -.15pt; mso-font-width: 87%;">r</span>e<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 125%;">j</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">u</span><span style="letter-spacing: .05pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span>e<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 86%;">aprè</span>s<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: .05pt;">u</span><span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: 1.6pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 89%;">g</span><span style="letter-spacing: -.15pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .05pt; mso-font-width: 77%;">ss</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 77%;">ss</span><span style="letter-spacing: -.35pt; mso-font-width: 83%;">e</span>. <span style="letter-spacing: .05pt; mso-font-width: 81%;">L</span>e<span style="letter-spacing: 1.3pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 88%;">y</span><span style="letter-spacing: .05pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .05pt; mso-font-width: 93%;">h</span><span style="letter-spacing: .05pt; mso-font-width: 82%;">œ</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">è</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span>e<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 77%;">s</span>t<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.15pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">é</span><span style="letter-spacing: .05pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 77%;">s</span>é<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 87%;">pa</span>r<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: .05pt;">u</span><span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: 1.35pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">ug</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span>n<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: -.15pt;">d</span>u<span style="letter-spacing: -.8pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 88%;">v</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">u</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span>e<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: -.15pt;">d</span>u<span style="letter-spacing: -.8pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 86%;">emb</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">r</span>e<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">tt</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt;">qu</span>i appa<span style="letter-spacing: -.2pt;">r</span>aît<span style="letter-spacing: .15pt;"> </span>enflé<span style="letter-spacing: .55pt;"> </span>(œdè<span style="letter-spacing: -.2pt;">m</span>e).<span style="letter-spacing: -.3pt;"> </span><span style="letter-spacing: -.65pt; mso-font-width: 72%;">T</span>o<span style="letter-spacing: -.2pt;">u</span>cha<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: -.3pt;"> </span>plus<span style="letter-spacing: .05pt;"> </span>fréquem<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: -.3pt;"> </span>le<span style="letter-spacing: -1.05pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 88%;">m</span>emb<span style="letter-spacing: -.15pt;">r</span>e<span style="letter-spacing: -.75pt;"> </span>infér<span style="letter-spacing: -.15pt;">i</span>eu<span style="letter-spacing: -.8pt;">r</span>,
<span style="letter-spacing: .75pt;"> </span>il<span style="letter-spacing: .75pt;"> </span>débute<span style="letter-spacing: .85pt;"> </span>au<span style="letter-spacing: -.15pt;"> </span>p<span style="letter-spacing: -.2pt;">i</span>ed <span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span>t<span style="letter-spacing: .8pt;"> </span>à<span style="letter-spacing: 1.35pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span>a<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 85%;">c</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">h</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 88%;">v</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 116%;">ll</span>e<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span>t<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">u</span>t<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">’é</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span><span style="letter-spacing: -.15pt; mso-font-width: 89%;">d</span><span style="letter-spacing: -.15pt; mso-font-width: 94%;">r</span>e<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 111%;">(</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span>s<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 83%;">pa</span>s<span style="letter-spacing: 1.45pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 89%;">ob</span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span><span style="letter-spacing: -.15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">g</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span>)<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 86%;">a</span>u<span style="letter-spacing: 1.3pt;"> </span><span style="letter-spacing: -.15pt;">m</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .1pt; mso-font-width: 116%;">ll</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span>,<span style="letter-spacing: .8pt;"> </span>à<span style="letter-spacing: 1.35pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span>a<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">u</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 77%;">ss</span><span style="letter-spacing: -.35pt; mso-font-width: 83%;">e</span>,<span style="letter-spacing: .8pt;"> </span>à<span style="letter-spacing: 1.35pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span>a fesse<span style="letter-spacing: .75pt;"> </span>et<span style="letter-spacing: -.1pt;"> </span>au<span style="letter-spacing: .35pt;"> </span>pubi<span style="letter-spacing: -.15pt;">s</span>.<span style="letter-spacing: 1.75pt;"> </span>Il<span style="letter-spacing: 1.7pt;"> </span>peut<span style="letter-spacing: .7pt;"> </span>to<span style="letter-spacing: -.2pt;">u</span>c<span style="letter-spacing: -.2pt;">h</span>er<span style="letter-spacing: .35pt;"> </span>un<span style="letter-spacing: -1.0pt;"> </span>seul<span style="letter-spacing: .65pt;"> </span>ou<span style="letter-spacing: -1.25pt;">
</span>les<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: -.15pt;">d</span>eux<span style="letter-spacing: 1.3pt;"> </span><span style="letter-spacing: -.15pt;">m</span>emb<span style="letter-spacing: -.15pt;">r</span>es<span style="letter-spacing: .65pt;"> </span>infér<span style="letter-spacing: -.2pt;">i</span>eur<span style="letter-spacing: -.2pt;">s</span>.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 5.5pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 0cm; margin-top: .2pt; mso-line-height-rule: exactly;">
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<div class="MsoNormal" style="line-height: 108%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 62.35pt; margin-right: 59.05pt; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">Les<span style="letter-spacing: -.65pt;"> </span>p<span style="letter-spacing: -.15pt;">r</span>emiè<span style="letter-spacing: -.15pt;">r</span>es<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.15pt;">m</span>anifestat<span style="letter-spacing: -.15pt;">i</span>o<span style="letter-spacing: -.15pt;">n</span>s <span style="letter-spacing: 1.25pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">u<span style="letter-spacing: -.95pt;"> </span>lymphœdè<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: 1.3pt;"> </span>so<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .5pt;"> </span>u<span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: 1.15pt;"> </span>se<span style="letter-spacing: -.15pt;">n</span>sat<span style="letter-spacing: -.15pt;">i</span>on<span style="letter-spacing: 2.5pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .75pt;"> </span>ti<span style="letter-spacing: -.2pt;">r</span>aille<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .5pt;"> </span>(«<span style="letter-spacing: -.05pt;"> </span>peau <span style="letter-spacing: .15pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.1pt; mso-font-width: 93%;">n</span><span style="letter-spacing: -.1pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">u</span>e<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: .1pt;">»</span><span style="letter-spacing: .15pt;">)</span>,<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: 1.7pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">u</span><span style="letter-spacing: -.1pt; mso-font-width: 94%;">r</span><span style="letter-spacing: -.1pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">u</span>r<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: .1pt;">o</span>u<span style="letter-spacing: -.35pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: 1.7pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.1pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .15pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">u</span><span style="letter-spacing: -.75pt; mso-font-width: 94%;">r</span>.<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 85%;">A</span>u<span style="letter-spacing: 1.7pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">é</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">b</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">u</span>t<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">’</span><span style="letter-spacing: .1pt; mso-font-width: 82%;">œ</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">è</span><span style="letter-spacing: -.1pt; mso-font-width: 86%;">m</span>e<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .15pt; mso-font-width: 88%;">y</span><span style="letter-spacing: .1pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .1pt; mso-font-width: 93%;">h</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 86%;">q</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">u</span>e<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .15pt; mso-font-width: 77%;">s</span>t<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 90%;">m</span><span style="letter-spacing: .15pt; mso-font-width: 90%;">o</span><span style="letter-spacing: .1pt; mso-font-width: 90%;">u</span>.<span style="letter-spacing: 1.45pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 69%;">S</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.1pt; mso-font-width: 93%;">n</span>s t<span style="letter-spacing: -.2pt;">r</span>aite<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .2pt;"> </span>et<span style="letter-spacing: -.1pt;"> </span>avec<span style="letter-spacing: .7pt;"> </span>le<span style="letter-spacing: -.55pt;"> </span>temp<span style="letter-spacing: -.2pt;">s</span>,<span style="letter-spacing: .7pt;"> </span>le<span style="letter-spacing: -.55pt;"> </span>liqu<span style="letter-spacing: -.15pt;">id</span>e <span style="letter-spacing: .1pt;"> </span>lymphatique <span style="letter-spacing: .25pt;"> </span>co<span style="letter-spacing: -.15pt;">n</span>ti<span style="letter-spacing: -.15pt;">n</span>ue <span style="letter-spacing: .1pt;"> </span>à<span style="letter-spacing: .25pt;"> </span>s’accu<span style="letter-spacing: -.15pt;">m</span>uler<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.15pt;">d</span>a<span style="letter-spacing: -.15pt;">n</span>s<span style="letter-spacing: -.05pt;"> </span>les<span style="letter-spacing: .3pt;"> </span>tissus <span style="letter-spacing: .1pt;">p</span><span style="letter-spacing: -.1pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .1pt; mso-font-width: 88%;">v</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .1pt; mso-font-width: 86%;">q</span><span style="letter-spacing: -.1pt; mso-font-width: 89%;">u</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.1pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: .1pt;">u</span>n<span style="letter-spacing: -.2pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 89%;">g</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .1pt; mso-font-width: 93%;">n</span>f<span style="letter-spacing: .1pt;">l</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.1pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.1pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span>t<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: .1pt;">u</span>n<span style="letter-spacing: -.2pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 83%;">é</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 77%;">ss</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 77%;">ss</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.1pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.1pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: 1.6pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span>a<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 89%;">pea</span>u<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: .1pt;">(</span>f<span style="letter-spacing: .1pt;">ib</span><span style="letter-spacing: -.1pt;">r</span><span style="letter-spacing: .1pt;">os</span>e<span style="letter-spacing: 2.45pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">u</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">ée</span><span style="letter-spacing: .1pt; mso-font-width: 111%;">)</span>.<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: -1.0pt; mso-font-width: 79%;">L</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">’</span><span style="letter-spacing: .1pt; mso-font-width: 82%;">œ</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">è</span><span style="letter-spacing: -.1pt; mso-font-width: 86%;">m</span>e lymphatique<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 89%;">d</span>ev<span style="letter-spacing: -.2pt;">i</span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .35pt;"> </span>alors<span style="letter-spacing: .75pt;"> </span>fer<span style="letter-spacing: -.15pt;">m</span><span style="letter-spacing: -.4pt;">e</span>.<span style="letter-spacing: 1.4pt;"> </span>En<span style="letter-spacing: -.4pt;"> </span>cas<span style="letter-spacing: -.35pt;"> </span>d’attei<span style="letter-spacing: -.15pt;">n</span>te <span style="letter-spacing: 1.8pt;"> </span><span style="letter-spacing: -.2pt;">d</span>u<span style="letter-spacing: -1.1pt;"> </span>p<span style="letter-spacing: -.2pt;">i</span>e<span style="letter-spacing: -.2pt;">d</span>,<span style="letter-spacing: -1.3pt;"> </span>les<span style="letter-spacing: .8pt;"> </span>orteils<span style="letter-spacing: -1.25pt;"> </span>so<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .35pt;"> </span>bo<span style="letter-spacing: -.15pt;">u</span>dinés<span style="letter-spacing: 1.2pt;"> </span>avec
<span style="letter-spacing: -.1pt; mso-font-width: 83%;">d</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: 1.45pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span>s<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.1pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.1pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .1pt; mso-font-width: 88%;">v</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 86%;">a</span><span style="letter-spacing: -.1pt; mso-font-width: 86%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 86%;">qué</span><span style="letter-spacing: -.1pt; mso-font-width: 86%;">s</span>.<span style="letter-spacing: 1.6pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 74%;">P</span><span style="letter-spacing: -.1pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">og</span><span style="letter-spacing: -.1pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 77%;">ss</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 88%;">v</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.1pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.1pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span>,<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span>e<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .1pt; mso-font-width: 88%;">y</span><span style="letter-spacing: .1pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .1pt; mso-font-width: 93%;">h</span><span style="letter-spacing: .1pt; mso-font-width: 82%;">œ</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">è</span><span style="letter-spacing: -.1pt; mso-font-width: 86%;">m</span>e<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 113%;">f</span><span style="letter-spacing: -.1pt; mso-font-width: 113%;">f</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 85%;">c</span>e<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span><span style="letter-spacing: -.1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 113%;">f</span>s<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .1pt; mso-font-width: 77%;">ss</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">u</span>x <span style="letter-spacing: -.15pt; mso-font-width: 87%;">d</span>es<span style="letter-spacing: -.2pt;"> </span>c<span style="letter-spacing: -.15pt;">h</span>eville<span style="letter-spacing: -.15pt;">s</span>.<span style="letter-spacing: 2.75pt;"> </span>La<span style="letter-spacing: -.2pt;"> </span>prése<span style="letter-spacing: -.15pt;">n</span>ce<span style="letter-spacing: -.2pt;"> </span>d’un<span style="letter-spacing: 1.25pt;"> </span>œdè<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: -.4pt;"> </span>volumi<span style="letter-spacing: -.15pt;">n</span>eux
<span style="letter-spacing: .15pt;"> </span>peut<span style="letter-spacing: 2.0pt;"> </span><span style="letter-spacing: -.15pt;">r</span>est<span style="letter-spacing: -.15pt;">r</span>ei<span style="letter-spacing: -.15pt;">ndr</span>e<span style="letter-spacing: 2.8pt;"> </span>la<span style="letter-spacing: -.6pt;">
</span><span style="letter-spacing: -.2pt;">m</span>obilité<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 82%;">d</span>es<span style="letter-spacing: .95pt;"> </span>art<span style="letter-spacing: -.2pt;">i</span>culat<span style="letter-spacing: -.2pt;">i</span>o<span style="letter-spacing: -.2pt;">n</span>s<span style="letter-spacing: .45pt;"> </span>et<span style="letter-spacing: .15pt;"> </span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: -.2pt;">r</span>aî<span style="letter-spacing: -.2pt;">n</span>er<span style="letter-spacing: 1.0pt;"> </span>u<span style="letter-spacing: -.2pt;">n</span>e<span style="letter-spacing: .2pt;"> </span>gê<span style="letter-spacing: -.2pt;">n</span>e<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.2pt;">f</span>o<span style="letter-spacing: -.2pt;">n</span>ct<span style="letter-spacing: -.2pt;">i</span>on<span style="letter-spacing: -.2pt;">n</span>ell<span style="letter-spacing: -.4pt;">e</span>,
<span style="letter-spacing: .9pt;"> </span>le<span style="letter-spacing: -.3pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span>emb<span style="letter-spacing: -.15pt;">r</span>e<span style="letter-spacing: .95pt;"> </span>attei<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .65pt;"> </span>éta<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .45pt;"> </span>lou<span style="letter-spacing: -.2pt;">r</span>d<span style="letter-spacing: .9pt;"> </span>et<span style="letter-spacing: .15pt;"> </span>pesa<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.2pt;">m</span>ais
très<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span>a<span style="letter-spacing: -.2pt;">r</span>e<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.2pt;">d</span>oulou<span style="letter-spacing: -.2pt;">r</span>eux.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 5.5pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 0cm; margin-top: .2pt; mso-line-height-rule: exactly;">
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<div class="MsoNormal" style="line-height: 108%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 62.35pt; margin-right: 59.0pt; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">Le</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s<span style="letter-spacing: .45pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">f</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">c</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">c</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">c</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">f</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">é</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">q</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">v</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">c</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">h</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">z<span style="letter-spacing: .2pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">person</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s<span style="letter-spacing: .15pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">tt</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.15pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e<span style="letter-spacing: .85pt;"> </span>lymphœdè<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: -.15pt;">s</span>.<span style="letter-spacing: 2.05pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">Ces<span style="letter-spacing: 1.3pt;"> </span>infect<span style="letter-spacing: -.2pt;">i</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">o<span style="letter-spacing: -.2pt;">n</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">so<span style="letter-spacing: -.2pt;">n</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">appelées<span style="letter-spacing: .35pt;"> </span>érysipèles<span style="letter-spacing: 1.35pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">et<span style="letter-spacing: .1pt;"> </span>so<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">d</span>ues<span style="letter-spacing: .45pt;"> </span>à<span style="letter-spacing: .65pt;"> </span>u<span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: 1.3pt;"> </span>bactér<span style="letter-spacing: -.15pt;">i</span><span style="letter-spacing: -.4pt;">e</span>,
<span style="letter-spacing: .9pt;"> </span>un
st<span style="letter-spacing: -.25pt; mso-font-width: 94%;">r</span>eptocoqu<span style="letter-spacing: -.45pt; mso-font-width: 83%;">e</span>,<span style="letter-spacing: -.35pt;"> </span>qui<span style="letter-spacing: -.35pt;"> </span>se<span style="letter-spacing: .35pt;"> </span>développe<span style="letter-spacing: -.35pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 85%;">d</span>a<span style="letter-spacing: -.2pt;">n</span>s<span style="letter-spacing: .25pt;"> </span>le<span style="letter-spacing: -.35pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>emb<span style="letter-spacing: -.2pt;">r</span>e<span style="letter-spacing: .15pt;"> </span>attei<span style="letter-spacing: -.25pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: -.35pt;"> </span>par<span style="letter-spacing: .25pt;"> </span>le<span style="letter-spacing: -.35pt;"> </span>lymphœdè<span style="letter-spacing: -.25pt; mso-font-width: 86%;">m</span><span style="letter-spacing: -.45pt; mso-font-width: 83%;">e</span>.<span style="letter-spacing: -.35pt;"> </span>Les<span style="letter-spacing: .5pt;"> </span>s<span style="letter-spacing: -.25pt; mso-font-width: 125%;">i</span>g<span style="letter-spacing: -.25pt; mso-font-width: 93%;">n</span>es<span style="letter-spacing: -.35pt;"> </span>so<span style="letter-spacing: -.25pt; mso-font-width: 93%;">n</span>t u<span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: .9pt;"> </span>fièv<span style="letter-spacing: -.15pt;">r</span>e<span style="letter-spacing: 1.6pt;"> </span>d’apparit<span style="letter-spacing: -.15pt;">i</span>on
<span style="letter-spacing: 1.7pt;"> </span>brutal<span style="letter-spacing: -.4pt;">e</span>, <span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: -.15pt;">d</span>es<span style="letter-spacing: -.1pt;"> </span>frisso<span style="letter-spacing: -.15pt;">ns</span>,<span style="letter-spacing: 2.1pt;"> </span><span style="letter-spacing: -.15pt;">d</span>es<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: -.15pt;">d</span>ouleur<span style="letter-spacing: -.15pt;">s</span>,<span style="letter-spacing: 2.2pt;"> </span><span style="letter-spacing: -.15pt;">d</span>es<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: -.15pt;">r</span>ou<span style="letter-spacing: -.15pt;">g</span>eurs<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: -.2pt;">d</span>u<span style="letter-spacing: -1.2pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span>emb<span style="letter-spacing: -.15pt;">r</span>e<span style="letter-spacing: .75pt;"> </span>et<span style="letter-spacing: -.05pt;"> </span>u<span style="letter-spacing: -.2pt;">n</span>e <span style="letter-spacing: .05pt;">a</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">ug</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span>n<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: -.15pt;">d</span>u<span style="letter-spacing: -.75pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 88%;">v</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">u</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span>e<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: -.15pt;">d</span>u<span style="letter-spacing: -.75pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 88%;">y</span><span style="letter-spacing: .05pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .05pt; mso-font-width: 93%;">h</span><span style="letter-spacing: .05pt; mso-font-width: 82%;">œ</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">è</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span><span style="letter-spacing: -.35pt; mso-font-width: 83%;">e</span>.<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 81%;">L</span>e<span style="letter-spacing: 1.35pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .05pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .05pt; mso-font-width: 86%;">q</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">u</span>e<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">é</span><span style="letter-spacing: .05pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">è</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 94%;">r</span>e<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 88%;">e</span>n<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 89%;">g</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">é</span><span style="letter-spacing: .05pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">é</span><span style="letter-spacing: -.15pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span>l<span style="letter-spacing: .7pt;"> </span>à<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 88%;">v</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 94%;">r</span>s u<span style="letter-spacing: -.2pt;">n</span>e lés<span style="letter-spacing: -.2pt;">i</span>on,<span style="letter-spacing: 1.35pt;"> </span>en<span style="letter-spacing: .05pt;"> </span>part<span style="letter-spacing: -.2pt;">i</span>cul<span style="letter-spacing: -.2pt;">i</span>er <span style="letter-spacing: .1pt;"> </span>pour<span style="letter-spacing: 1.15pt;"> </span>les<span style="letter-spacing: .3pt;"> </span><span style="letter-spacing: -.15pt;">m</span>emb<span style="letter-spacing: -.15pt;">r</span>es<span style="letter-spacing: -.6pt;"> </span>infér<span style="letter-spacing: -.15pt;">i</span>eur<span style="letter-spacing: -.15pt;">s</span>,
<span style="letter-spacing: 1.05pt;"> </span>celles<span style="letter-spacing: .75pt;"> </span>causées<span style="letter-spacing: .1pt;"> </span>par<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: -.15pt;">d</span>es<span style="letter-spacing: .35pt;"> </span>champ<span style="letter-spacing: -.2pt;">i</span>g<span style="letter-spacing: -.2pt;">n</span>o<span style="letter-spacing: -.2pt;">n</span>s (<span style="letter-spacing: -.2pt;">m</span>ycose)<span style="letter-spacing: .25pt;"> </span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: -.2pt;">r</span>e<span style="letter-spacing: 1.15pt;"> </span>les<span style="letter-spacing: -.1pt;"> </span>orteils<span style="letter-spacing: 2.15pt;">
</span>(i<span style="letter-spacing: -.2pt;">n</span>tertr<span style="letter-spacing: -.2pt;">ig</span>os<span style="letter-spacing: -1.15pt;"> </span>i<span style="letter-spacing: -.2pt;">n</span>ter-orteils)<span style="letter-spacing: -1.25pt;"> </span>ou<span style="letter-spacing: -1.25pt;"> </span>e<span style="letter-spacing: -.15pt;">n</span>co<span style="letter-spacing: -.15pt;">r</span>e<span style="letter-spacing: .8pt;"> </span>les<span style="letter-spacing: .5pt;"> </span>o<span style="letter-spacing: -.15pt;">n</span>gles<span style="letter-spacing: 1.15pt;"> </span>i<span style="letter-spacing: -.2pt;">n</span>carné<span style="letter-spacing: -.2pt;">s</span>.<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">C</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">o</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">m</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">m</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">e</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">n</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">t<span style="letter-spacing: 3.3pt;"> </span>e<span style="letter-spacing: -2.9pt;"> </span>x<span style="letter-spacing: -2.65pt;"> </span>p<span style="letter-spacing: -2.65pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>q<span style="letter-spacing: -2.65pt;"> </span>u<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>r<span style="letter-spacing: 2.25pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>s <span style="letter-spacing: .75pt;"> </span>s<span style="letter-spacing: -2.9pt;"> </span>y<span style="letter-spacing: -2.65pt;"> </span>m<span style="letter-spacing: -2.65pt;"> </span>p<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>ô<span style="letter-spacing: -2.65pt;"> </span>m<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>s<span style="letter-spacing: 3.15pt;"> </span>?</span></b><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 14.0pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">L</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e<span style="letter-spacing: 1.6pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">y</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">è</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.95pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">y</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">h</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">q</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.3pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">,</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.95pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s<span style="letter-spacing: 1.6pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">q</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.95pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">c</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">c</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.95pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.95pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">y</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">h</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.3pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">,</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.95pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.95pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">à<span style="letter-spacing: 1.5pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">’</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">g</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.95pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">’é</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">r </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">’</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">x</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">c</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">è</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.9pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e<span style="letter-spacing: 1.7pt;"> </span><span style="letter-spacing: .1pt;">g</span><span style="letter-spacing: -.1pt;">r</span><span style="letter-spacing: .1pt;">osse</span>s<span style="letter-spacing: 1.25pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">é</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.9pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">(</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">é</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.9pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e<span style="letter-spacing: 1.5pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">h</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.9pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">po</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.9pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">é</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">c</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">)</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.9pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.9pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">d’ea</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">u<span style="letter-spacing: 1.65pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">é</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.9pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.65pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">c</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">ll</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.65pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">(</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">ss</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.65pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">u<span style="letter-spacing: -.8pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 83%;">espac</span>e<span style="letter-spacing: 1.4pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.2pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 111%;">)</span>.<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 125%;">I</span>l<span style="letter-spacing: -.15pt;"> </span><span style="letter-spacing: .05pt;">j</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">ou</span>e<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 83%;">é</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">g</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt;">u</span>n<span style="letter-spacing: -.55pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">ô</span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span>e<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">d</span><span style="letter-spacing: .05pt; mso-font-width: 85%;">a</span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">n</span>s<span style="letter-spacing: 1.3pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">é</span><span style="letter-spacing: .05pt; mso-font-width: 113%;">f</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 89%;">d</span>e </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12pt;">l’o<span style="letter-spacing: -.2pt;">r</span>ganis<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: .9pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12pt;">(rôle<span style="letter-spacing: -1.0pt;"> </span>im<span style="letter-spacing: -.2pt;">m</span>unitai<span style="letter-spacing: -.2pt;">r</span>e).</span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">Da<span style="letter-spacing: -.15pt;">n</span>s<span style="letter-spacing: .5pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">le<span style="letter-spacing: -1.05pt;"> </span>lymphœdè<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: .5pt;"> </span>pri<span style="letter-spacing: -.15pt;">m</span>ai<span style="letter-spacing: -.15pt;">r</span><span style="letter-spacing: -.4pt;">e</span>,<span style="letter-spacing: 2.85pt;"> </span><span style="letter-spacing: -.15pt;">d</span>es<span style="letter-spacing: -.65pt;"> </span>a<span style="letter-spacing: -.15pt;">n</span>o<span style="letter-spacing: -.15pt;">m</span>al<span style="letter-spacing: -.15pt;">i</span>es<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: -.15pt;">d</span>u<span style="letter-spacing: .35pt;"> </span>systè<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: -.15pt;"> </span>lymphatique <span style="letter-spacing: .45pt;"> </span>(a<span style="letter-spacing: -.15pt;">n</span>o<span style="letter-spacing: -.15pt;">m</span>al<span style="letter-spacing: -.15pt;">i</span>es<span style="letter-spacing: 1.75pt;"> </span><span style="letter-spacing: -.15pt;">d</span>es<span style="letter-spacing: -.65pt;"> </span>gan-
gl<span style="letter-spacing: -.2pt; mso-font-width: 125%;">i</span>o<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span><span style="letter-spacing: -.2pt; mso-font-width: 77%;">s</span>,<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">m</span>anque<span style="letter-spacing: 1.75pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: 1.2pt;"> </span>vaisseaux<span style="letter-spacing: .6pt;"> </span>lymphatique<span style="letter-spacing: -.2pt; mso-font-width: 77%;">s</span>,<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.2pt;">n</span>on<span style="letter-spacing: -1.05pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 113%;">f</span>o<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>ct<span style="letter-spacing: -.2pt; mso-font-width: 125%;">i</span>on<span style="letter-spacing: -.2pt;">n</span>alité<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.2pt;">d</span>u<span style="letter-spacing: -.85pt;"> </span>réseau<span style="letter-spacing: 1.25pt;"> </span>lymphatique…) <span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt;">î</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span>t <span style="letter-spacing: .05pt; mso-font-width: 88%;">u</span><span style="letter-spacing: -.15pt; mso-font-width: 88%;">n</span>e<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">u</span><span style="letter-spacing: .05pt; mso-font-width: 88%;">v</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 77%;">s</span>e <span style="letter-spacing: .05pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">u</span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span>n <span style="letter-spacing: -.15pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span>a <span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 88%;">y</span><span style="letter-spacing: .05pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">p</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">h</span><span style="letter-spacing: -.35pt; mso-font-width: 83%;">e</span>. <span style="letter-spacing: .05pt; mso-font-width: 64%;">C</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 116%;">ll</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 105%;">-</span><span style="letter-spacing: .05pt; mso-font-width: 85%;">c</span>i <span style="letter-spacing: .05pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">’a</span><span style="letter-spacing: .05pt; mso-font-width: 85%;">cc</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">u</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">u</span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span>e <span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 94%;">r</span>e <span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span>s <span style="letter-spacing: .05pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 116%;">ll</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">u</span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 77%;">s</span>, surtout<span style="letter-spacing: 2.75pt;"> </span>sous<span style="letter-spacing: -.7pt;"> </span>la<span style="letter-spacing: -.55pt;">
</span>peau<span style="letter-spacing: .65pt;">
</span>(tissu<span style="letter-spacing: -1.25pt;"> </span>sous-cutané),<span style="letter-spacing: .5pt;"> </span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: -.2pt;">r</span>aî<span style="letter-spacing: -.2pt;">n</span>a<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .2pt;"> </span>alors l’apparit<span style="letter-spacing: -.2pt;">i</span>on
<span style="letter-spacing: .3pt;"> </span>d’un<span style="letter-spacing: .55pt;"> </span>œdè<span style="letter-spacing: -.2pt;">m</span><span style="letter-spacing: -.45pt; mso-font-width: 83%;">e</span>.<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">Q</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">u</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">e</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">l</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">l</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">e<span style="letter-spacing: 1.95pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: 3.3pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: 1.7pt;"> </span>é<span style="letter-spacing: -2.65pt;"> </span>v<span style="letter-spacing: -2.9pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span>u<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: 1.7pt;"> </span>?</span></b><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 14.0pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.95pt; line-height: 108%;">L</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">’œdè<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: -.7pt;"> </span>lymphatique appa<span style="letter-spacing: -.15pt;">r</span>aît<span style="letter-spacing: 2.45pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">p<span style="letter-spacing: -.2pt;">r</span>og<span style="letter-spacing: -.2pt;">r</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">essive<span style="letter-spacing: -.2pt;">m</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e<span style="letter-spacing: -.2pt;">n</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.6pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">et<span style="letter-spacing: .3pt;"> </span>son<span style="letter-spacing: .8pt;"> </span>aug<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: -.15pt;">n</span>tat<span style="letter-spacing: -.15pt;">i</span>on <span style="letter-spacing: 1.3pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .7pt;"> </span>volu<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: 1.3pt;"> </span>est<span style="letter-spacing: -1.0pt;"> </span>difficile<span style="letter-spacing: -.7pt;"> </span>à<span style="letter-spacing: .25pt;"> </span>prévoi<span style="letter-spacing: -.8pt;">r</span>.<span style="letter-spacing: 2.55pt;"> </span><span style="letter-spacing: -.15pt;">A</span>u<span style="letter-spacing: .25pt;"> </span>début,<span style="letter-spacing: 2.25pt;"> </span>il<span style="letter-spacing: 1.25pt;"> </span>peut<span style="letter-spacing: 2.05pt;"> </span>passer<span style="letter-spacing: -.8pt;"> </span>i<span style="letter-spacing: -.15pt;">n</span>aperçu.<span style="letter-spacing: 2.4pt;">
</span>Son<span style="letter-spacing: -.2pt;"> </span>évolut<span style="letter-spacing: -.15pt;">i</span>on <span style="letter-spacing: 1.35pt;"> </span>est<span style="letter-spacing: 1.1pt;"> </span>var<span style="letter-spacing: -.15pt;">i</span>abl<span style="letter-spacing: -.4pt;">e</span>,<span style="letter-spacing: 2.8pt;"> </span>elle<span style="letter-spacing: -1.3pt;"> </span>peut<span style="letter-spacing: .45pt;"> </span>êt<span style="letter-spacing: -.2pt;">r</span>e lo<span style="letter-spacing: -.25pt; mso-font-width: 93%;">n</span>gtemps<span style="letter-spacing: -.35pt;"> </span>stat<span style="letter-spacing: -.25pt; mso-font-width: 125%;">i</span>on<span style="letter-spacing: -.25pt;">n</span>ai<span style="letter-spacing: -.25pt; mso-font-width: 94%;">r</span><span style="letter-spacing: -.45pt; mso-font-width: 83%;">e</span>,<span style="letter-spacing: -.35pt;"> </span>et<span style="letter-spacing: -.35pt;"> </span>se<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 113%;">f</span>ait<span style="letter-spacing: -.35pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 86%;">m</span>aniè<span style="letter-spacing: -.25pt; mso-font-width: 94%;">r</span>e<span style="letter-spacing: -.35pt;"> </span>très<span style="letter-spacing: -.35pt;"> </span>le<span style="letter-spacing: -.25pt; mso-font-width: 93%;">n</span>te<span style="letter-spacing: -.25pt; mso-font-width: 86%;">m</span>e<span style="letter-spacing: -.25pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: -.35pt;"> </span>p<span style="letter-spacing: -.25pt; mso-font-width: 94%;">r</span>og<span style="letter-spacing: -.25pt; mso-font-width: 94%;">r</span>essive<span style="letter-spacing: -.35pt;"> </span>vers<span style="letter-spacing: .35pt;"> </span>l’agg<span style="letter-spacing: -.25pt; mso-font-width: 94%;">r</span>avat<span style="letter-spacing: -.25pt; mso-font-width: 125%;">i</span>on, par<span style="letter-spacing: -.2pt;">f</span>ois<span style="letter-spacing: 1.1pt;"> </span>compliquée<span style="letter-spacing: -.1pt;"> </span>d’érysipèle<span style="letter-spacing: -.2pt;">s</span>.<o:p></o:p></span></div>
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<span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 23.0pt;">Le<span style="letter-spacing: 1.6pt;"> </span></span><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 23.0pt;">d<span style="letter-spacing: -.4pt;">i</span>ag<span style="letter-spacing: -.4pt;">n</span>ost<span style="letter-spacing: -.4pt;">i</span>c</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 23.0pt;"><o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">C</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">o</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">m</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">m</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">e</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">n</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">t<span style="letter-spacing: 3.3pt;"> </span>f<span style="letter-spacing: -2.9pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>-<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: 1.7pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: 1.95pt;"> </span>d<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>g<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>c <span style="letter-spacing: .75pt;"> </span>d<span style="letter-spacing: -2.65pt;"> </span>u<span style="letter-spacing: 1.7pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span>y<span style="letter-spacing: -2.65pt;"> </span>m<span style="letter-spacing: -2.65pt;"> </span>p<span style="letter-spacing: -2.65pt;"> </span>h<span style="letter-spacing: -2.65pt;"> </span>œ<span style="letter-spacing: -2.65pt;"> </span>d<span style="letter-spacing: -2.65pt;"> </span>è<span style="letter-spacing: -2.65pt;"> </span>m<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: 1.95pt;"> </span>p<span style="letter-spacing: -2.65pt;"> </span>r<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>m<span style="letter-spacing: -2.65pt;"> </span>air<span style="letter-spacing: -2.9pt;"> </span>e<span style="letter-spacing: 1.95pt;"> </span>?</span></b><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 14.0pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">Les<span style="letter-spacing: 1.45pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">é</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">c</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.6pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">f</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.6pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.6pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">g</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">c</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.6pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">h</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">b</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">ll</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.6pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">par<span style="letter-spacing: 1.2pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">’<span style="letter-spacing: -.2pt;">e</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">x</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.6pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">u<span style="letter-spacing: -.85pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>ala<span style="letter-spacing: -.2pt; mso-font-width: 89%;">d</span><span style="letter-spacing: -.4pt; mso-font-width: 83%;">e</span>.<span style="letter-spacing: .6pt;"> </span>Le<span style="letter-spacing: 1.25pt;"> </span>lymphœdè<span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>e est<span style="letter-spacing: .4pt;"> </span>év<span style="letter-spacing: -.2pt;">i</span><span style="letter-spacing: -.2pt; mso-font-width: 89%;">d</span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .05pt;"> </span>au<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.15pt;">m</span>emb<span style="letter-spacing: -.15pt;">r</span>e<span style="letter-spacing: .55pt;"> </span>supér<span style="letter-spacing: -.15pt;">i</span>eur<span style="letter-spacing: 1.8pt;"> </span>et<span style="letter-spacing: -.25pt;">
</span>se<span style="letter-spacing: -.15pt;">r</span>a<span style="letter-spacing: -.3pt;"> </span>confirmé<span style="letter-spacing: 2.0pt;">
</span>par<span style="letter-spacing: .65pt;"> </span>le<span style="letter-spacing: -.7pt;"> </span>s<span style="letter-spacing: -.15pt;">i</span>g<span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: 1.15pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .3pt;"> </span>Stem<span style="letter-spacing: -.15pt;">m</span>er<span style="letter-spacing: -.3pt;"> </span>pour<span style="letter-spacing: 1.2pt;"> </span>le<span style="letter-spacing: -.7pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>emb<span style="letter-spacing: -.2pt;">r</span>e infér<span style="letter-spacing: -.2pt; mso-font-width: 125%;">i</span>eu<span style="letter-spacing: -.85pt; mso-font-width: 94%;">r</span>.<span style="letter-spacing: .6pt;"> </span>Celui-ci<span style="letter-spacing: .6pt;"> </span>co<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>siste<span style="letter-spacing: .6pt;"> </span>à<span style="letter-spacing: 1.15pt;"> </span>pi<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>cer<span style="letter-spacing: .6pt;"> </span>le<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">d</span>os<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: -.2pt;">d</span>u<span style="letter-spacing: -.85pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 89%;">d</span>euxiè<span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>e<span style="letter-spacing: .6pt;"> </span>orteil.<span style="letter-spacing: .6pt;"> </span>En<span style="letter-spacing: 1.05pt;"> </span>cas<span style="letter-spacing: 1.35pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: 1.85pt;"> </span>lymphœdè<span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span><span style="letter-spacing: -.4pt; mso-font-width: 83%;">e</span>,<span style="letter-spacing: .6pt;"> </span>il est<span style="letter-spacing: .6pt;"> </span>impossible<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">d</span>e<span style="letter-spacing: 1.05pt;"> </span><span style="letter-spacing: -.15pt;">r</span>app<span style="letter-spacing: -.15pt;">r</span>oc<span style="letter-spacing: -.15pt;">h</span>er<span style="letter-spacing: 2.55pt;"> </span>les<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 87%;">d</span>eux<span style="letter-spacing: 1.05pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 89%;">d</span>o<span style="letter-spacing: -.2pt; mso-font-width: 125%;">i</span>gts<span style="letter-spacing: .6pt;"> </span>qui<span style="letter-spacing: -.4pt;"> </span>pi<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>ce<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: .6pt;"> </span>l’orteil.<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.4pt; mso-font-width: 72%;">T</span><span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span>ois<span style="letter-spacing: .6pt;"> </span>sta<span style="letter-spacing: -.2pt; mso-font-width: 89%;">d</span>es<span style="letter-spacing: .6pt;"> </span>so<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: .6pt;"> </span>classi- que<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .2pt;"> </span>décrits<span style="letter-spacing: .45pt;"> </span>:<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;"><b>Sta<span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: 1.05pt;"> </span></b></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;"><b>I</b><span style="letter-spacing: -.9pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">:<span style="letter-spacing: .65pt;"> </span>ce<span style="letter-spacing: .8pt;"> </span>sta<span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: 1.9pt;"> </span>cor<span style="letter-spacing: -.15pt;">r</span>espo<span style="letter-spacing: -.15pt;">n</span>d à<span style="letter-spacing: .8pt;"> </span>un<span style="letter-spacing: -.75pt;"> </span>œdè<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: 1.25pt;"> </span>qui<span style="letter-spacing: -.5pt;"> </span>rég<span style="letter-spacing: -.15pt;">r</span>esse<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span>ap<span style="letter-spacing: -.2pt;">i</span><span style="letter-spacing: -.2pt; mso-font-width: 89%;">d</span>e<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .45pt;"> </span>en<span style="letter-spacing: -1.15pt;"> </span>suréleva<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .45pt;"> </span>le <span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span><span style="letter-spacing: -.05pt; mso-font-width: 86%;">emb</span><span style="letter-spacing: -.2pt; mso-font-width: 86%;">r</span>e<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.05pt; mso-font-width: 126%;">tt</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.25pt; mso-font-width: 93%;">n</span><span style="letter-spacing: -.05pt; mso-font-width: 126%;">t</span>.<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 84%;">Lorsqu‘o</span>n<span style="letter-spacing: 1.4pt;"> </span><span style="letter-spacing: -.05pt;">p</span><span style="letter-spacing: -.2pt;">r</span><span style="letter-spacing: -.05pt;">ess</span>e<span style="letter-spacing: -.2pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.05pt; mso-font-width: 82%;">œ</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">d</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">è</span><span style="letter-spacing: -.25pt; mso-font-width: 86%;">m</span>e<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 84%;">ave</span>c<span style="letter-spacing: .3pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 116%;">l</span>e<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 89%;">d</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: -.25pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">g</span><span style="letter-spacing: -.05pt; mso-font-width: 126%;">t</span>,<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">’e</span><span style="letter-spacing: -.05pt; mso-font-width: 86%;">m</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">p</span><span style="letter-spacing: -.25pt; mso-font-width: 94%;">r</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.25pt; mso-font-width: 93%;">n</span><span style="letter-spacing: -.05pt; mso-font-width: 126%;">t</span>e<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 88%;">d</span>u<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 89%;">d</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: -.25pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">g</span>t<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 94%;">r</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.05pt; mso-font-width: 77%;">s</span><span style="letter-spacing: -.05pt; mso-font-width: 126%;">t</span>e<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 90%;">u</span>n<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 85%;">c</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">ou</span><span style="letter-spacing: -.05pt; mso-font-width: 94%;">r</span>t <span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>o<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .2pt;"> </span>après<span style="letter-spacing: -.3pt;"> </span>avoir<span style="letter-spacing: 1.65pt;"> </span><span style="letter-spacing: -.2pt;">r</span>etiré<span style="letter-spacing: -.95pt;"> </span>celui-ci<span style="letter-spacing: 1.2pt;"> </span>(s<span style="letter-spacing: -.2pt;">i</span>g<span style="letter-spacing: -.2pt;">n</span>e<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.2pt;">d</span>u<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.2pt;">g</span>o<span style="letter-spacing: -.2pt;">d</span>et).<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.25pt; line-height: 108%;">S</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.25pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.25pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span></b><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;"><b> <span style="letter-spacing: -1.3pt;"> </span><span style="letter-spacing: .35pt; mso-font-width: 131%;">I</span>I</b><span style="letter-spacing: -.55pt;"> </span>:<span style="letter-spacing: 2.25pt;">
</span><span style="letter-spacing: .25pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .25pt; mso-font-width: 83%;">’</span><span style="letter-spacing: .25pt; mso-font-width: 82%;">œ</span><span style="letter-spacing: .25pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .25pt; mso-font-width: 83%;">è</span><span style="letter-spacing: .05pt; mso-font-width: 86%;">m</span>e <span style="letter-spacing: -1.3pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 84%;">rég</span><span style="letter-spacing: .05pt; mso-font-width: 84%;">r</span><span style="letter-spacing: .2pt; mso-font-width: 84%;">ess</span>e <span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .25pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .25pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .25pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .25pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 93%;">n</span>t <span style="letter-spacing: -1.3pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .25pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .25pt; mso-font-width: 125%;">i</span>s <span style="letter-spacing: -1.3pt;"> </span><span style="letter-spacing: .25pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .25pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .25pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .25pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .25pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .25pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .25pt; mso-font-width: 83%;">è</span><span style="letter-spacing: .25pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .25pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .25pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 93%;">n</span>t <span style="letter-spacing: -1.3pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 88%;">e</span>n<span style="letter-spacing: 2.45pt;"> </span><span style="letter-spacing: .25pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .25pt; mso-font-width: 89%;">u</span><span style="letter-spacing: .25pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .25pt; mso-font-width: 83%;">é</span><span style="letter-spacing: .25pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .25pt; mso-font-width: 83%;">é</span><span style="letter-spacing: .25pt; mso-font-width: 88%;">v</span><span style="letter-spacing: .25pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .25pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .25pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .25pt; mso-font-width: 93%;">n</span>. <span style="letter-spacing: -.95pt; mso-font-width: 86%;">L</span>’œdè<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: -.55pt;"> </span><span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: .9pt;"> </span>ga<span style="letter-spacing: -.15pt;">rd</span>e<span style="letter-spacing: .95pt;"> </span>plus<span style="letter-spacing: 1.35pt;"> </span>l’emp<span style="letter-spacing: -.15pt;">r</span>ei<span style="letter-spacing: -.15pt;">n</span>te
<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: -.2pt;">d</span>u<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.2pt;">d</span>o<span style="letter-spacing: -.2pt;">i</span>gt<span style="letter-spacing: -.35pt;"> </span>(s<span style="letter-spacing: -.2pt;">i</span>g<span style="letter-spacing: -.2pt;">n</span>e<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: -.2pt;">d</span>u<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 91%;">g</span>o<span style="letter-spacing: -.2pt;">d</span>et<span style="letter-spacing: .65pt;"> </span>négatif).<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">Sta<span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .3pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">III<span style="letter-spacing: -.9pt;"> </span></span></b><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">:<span style="letter-spacing: -.1pt;"> </span>l’œdè<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: -.65pt;"> </span>est<span style="letter-spacing: .4pt;"> </span>per<span style="letter-spacing: -.2pt;">m</span>a<span style="letter-spacing: -.2pt;">n</span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: -.3pt;"> </span>et<span style="letter-spacing: -.6pt;"> </span>irréversibl<span style="letter-spacing: -.4pt;">e</span>.
<span style="letter-spacing: .15pt;"> </span>La<span style="letter-spacing: -.65pt;"> </span>peau<span style="letter-spacing: -.15pt;">
d</span>u<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.15pt;">m</span>emb<span style="letter-spacing: -.15pt;">r</span>e<span style="letter-spacing: -.3pt;"> </span>est<span style="letter-spacing: .6pt;"> </span>fer<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: .55pt;"> </span>voi<span style="letter-spacing: -.2pt;">r</span>e <span style="letter-spacing: -.15pt; mso-font-width: 87%;">d</span>u<span style="letter-spacing: -.15pt;">r</span>e<span style="letter-spacing: 1.25pt;"> </span>(fib<span style="letter-spacing: -.15pt;">r</span>ose). <span style="letter-spacing: 1.45pt;"> </span>Des<span style="letter-spacing: -.65pt;">
</span>a<span style="letter-spacing: -.15pt;">n</span>o<span style="letter-spacing: -.15pt;">m</span>al<span style="letter-spacing: -.15pt;">i</span>es<span style="letter-spacing: 1.75pt;"> </span>cutanées<span style="letter-spacing: 1.5pt;">
</span>peuve<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .6pt;"> </span>se<span style="letter-spacing: 1.25pt;"> </span>voir<span style="letter-spacing: -.35pt;"> </span>com<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.1pt;"> </span>l’apparit<span style="letter-spacing: -.2pt;">i</span>on <span style="letter-spacing: 1.35pt;"> </span><span style="letter-spacing: -.2pt;">d</span>e<span style="letter-spacing: .55pt;"> </span>petites<span style="letter-spacing: 2.75pt;">
</span><span style="letter-spacing: -.2pt; mso-font-width: 83%;">e</span>xc<span style="letter-spacing: -.15pt;">r</span>oissa<span style="letter-spacing: -.15pt;">n</span>ces<span style="letter-spacing: 1.05pt;"> </span>(papillo<span style="letter-spacing: -.2pt;">m</span>atose).<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">Le<span style="letter-spacing: 1.25pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">y</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">h</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">œ</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">è</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.6pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.6pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.6pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">ê</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.6pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">un<span style="letter-spacing: -.6pt;"> </span>élé<span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>e<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: .6pt;"> </span>clinique<span style="letter-spacing: .6pt;"> </span>d’un<span style="letter-spacing: 1.6pt;"> </span>sy<span style="letter-spacing: -.15pt;">ndr</span>o<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: .95pt;"> </span>compl<span style="letter-spacing: -.2pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.2pt; mso-font-width: 88%;">x</span><span style="letter-spacing: -.4pt; mso-font-width: 83%;">e</span>.<span style="letter-spacing: .6pt;"> </span>Le<span style="letter-spacing: 1.25pt;"> </span>mé<span style="letter-spacing: -.05pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .15pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .15pt; mso-font-width: 125%;">i</span>n<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 88%;">r</span><span style="letter-spacing: .15pt; mso-font-width: 88%;">ec</span><span style="letter-spacing: -.05pt; mso-font-width: 88%;">h</span><span style="letter-spacing: .15pt; mso-font-width: 88%;">e</span><span style="letter-spacing: -.05pt; mso-font-width: 88%;">r</span><span style="letter-spacing: .15pt; mso-font-width: 88%;">c</span><span style="letter-spacing: -.05pt; mso-font-width: 88%;">h</span><span style="letter-spacing: .15pt; mso-font-width: 88%;">e</span><span style="letter-spacing: -.05pt; mso-font-width: 88%;">r</span>a<span style="letter-spacing: 1.4pt;"> </span><span style="letter-spacing: -.05pt;">d</span><span style="letter-spacing: .15pt;">o</span><span style="letter-spacing: -.05pt;">n</span>c<span style="letter-spacing: 1.95pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">’a</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">u</span><span style="letter-spacing: .15pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.05pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.05pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">o</span><span style="letter-spacing: -.05pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .15pt; mso-font-width: 116%;">l</span><span style="letter-spacing: -.05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 89%;">a</span>f<span style="letter-spacing: .15pt;">i</span>n<span style="letter-spacing: 2.6pt;"> </span><span style="letter-spacing: -.05pt;">d</span>e<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: .15pt;">d</span><span style="letter-spacing: -.05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">g</span><span style="letter-spacing: -.05pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .15pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .15pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .15pt; mso-font-width: 86%;">q</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">u</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">e</span>r<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: .15pt;">o</span>u<span style="letter-spacing: -.2pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.05pt; mso-font-width: 88%;">x</span><span style="letter-spacing: .15pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .15pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">u</span><span style="letter-spacing: -.05pt; mso-font-width: 94%;">r</span>e<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: .15pt;">u</span>n<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">u</span><span style="letter-spacing: .15pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.05pt; mso-font-width: 94%;">r</span>e sy<span style="letter-spacing: -.15pt;">ndr</span>o<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: 1.05pt;"> </span>comp<span style="letter-spacing: -.2pt;">r</span>e<span style="letter-spacing: -.2pt;">n</span>a<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .2pt;"> </span>un<span style="letter-spacing: -1.0pt;"> </span>lymphœdè<span style="letter-spacing: -.2pt;">m</span><span style="letter-spacing: -.45pt; mso-font-width: 83%;">e</span>.<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; line-height: 94%;">E</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt; line-height: 94%;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; line-height: 94%;">n<span style="letter-spacing: 1.7pt;">
</span>q<span style="letter-spacing: -2.65pt;"> </span>u<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: 3.3pt;"> </span>c<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: 3.3pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>s <span style="letter-spacing: .75pt;"> </span>e<span style="letter-spacing: -2.9pt;"> </span>x<span style="letter-spacing: -2.9pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>m<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>s <span style="letter-spacing: .75pt;"> </span></span></b><br />
<b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; line-height: 94%;">c<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>m<span style="letter-spacing: -2.65pt;"> </span>p<span style="letter-spacing: -2.65pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span>é<span style="letter-spacing: -2.65pt;"> </span>m<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>tai<span style="letter-spacing: -2.65pt;"> </span>r<span style="letter-spacing: -2.9pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>s <span style="letter-spacing: .3pt;"> </span>? <span style="letter-spacing: .7pt;"> </span>A <span style="letter-spacing: .85pt;"> </span>q<span style="letter-spacing: -2.65pt;"> </span>u<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: 1.0pt;"> </span>v<span style="letter-spacing: -2.9pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>-<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span>s <span style="letter-spacing: .75pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>r<span style="letter-spacing: -2.65pt;"> </span>v<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>r<span style="letter-spacing: 2.25pt;"> </span>?</span></b><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 14.0pt; line-height: 94%;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">Les<span style="letter-spacing: .55pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">an</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">ifestat<span style="letter-spacing: -.2pt;">i</span>o<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>s<span style="letter-spacing: -.3pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 87%;">d</span>u<span style="letter-spacing: .35pt;"> </span>lymphœdè<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: .35pt;"> </span>et<span style="letter-spacing: -.65pt;">
</span>l’<span style="letter-spacing: -.2pt;">ex</span>a<span style="letter-spacing: -.2pt;">m</span>en<span style="letter-spacing: -.75pt;"> </span>clinique<span style="letter-spacing: 2.15pt;"> </span>per<span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>ette<span style="letter-spacing: -.25pt;">n</span>t<span style="letter-spacing: -.3pt;"> </span>habituelle<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: -.3pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: .3pt;"> </span>poser<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 113%;">f</span>acile<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: -.05pt;"> </span>le<span style="letter-spacing: -.8pt;"> </span>d<span style="letter-spacing: -.15pt;">i</span>ag<span style="letter-spacing: -.15pt;">n</span>ost<span style="letter-spacing: -.15pt;">ic</span>. <span style="letter-spacing: 1.15pt;"> </span>Certai<span style="letter-spacing: -.15pt;">n</span>s<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.15pt;">ex</span>a<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: -.15pt;">n</span>s<span style="letter-spacing: -.75pt;"> </span>complé<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: -.15pt;">n</span>tai<span style="letter-spacing: -.15pt;">r</span>es<span style="letter-spacing: 2.35pt;"> </span>so<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: -.05pt;"> </span>utiles<span style="letter-spacing: -1.15pt;"> </span>pour<span style="letter-spacing: .3pt;"> </span>le<span style="letter-spacing: -.8pt;">
</span>con<span style="letter-spacing: -.2pt;">f</span>orter<span style="letter-spacing: -.35pt;"> </span>ou<span style="letter-spacing: -1.25pt;"> </span>pour<span style="letter-spacing: 1.1pt;"> </span>élimi<span style="letter-spacing: -.15pt;">n</span>er <span style="letter-spacing: .05pt;"> </span>d’aut<span style="letter-spacing: -.15pt;">r</span>es<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.15pt;">m</span>alad<span style="letter-spacing: -.15pt;">i</span>es<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.15pt;">r</span>espo<span style="letter-spacing: -.15pt;">n</span>sables<span style="letter-spacing: -.6pt;"> </span>d’œdè<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">s</span>.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">La<span style="letter-spacing: 1.15pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">lymp<span style="letter-spacing: -.2pt;">h</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">osci<span style="letter-spacing: -.2pt;">n</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t<span style="letter-spacing: -.2pt;">i</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">g<span style="letter-spacing: -.2pt;">r</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">aph<span style="letter-spacing: -.2pt;">i</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.5pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">per<span style="letter-spacing: -.2pt;">m</span>et<span style="letter-spacing: 1.1pt;"> </span>d’<span style="letter-spacing: -.2pt;">e</span>xplo<span style="letter-spacing: -.2pt;">r</span>er<span style="letter-spacing: 1.15pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">le<span style="letter-spacing: -.25pt;"> </span>systè<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.3pt;"> </span>lymphatique<span style="letter-spacing: 2.8pt;"> </span>et<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.2pt;">m</span>et<span style="letter-spacing: -1.2pt;"> </span>en<span style="letter-spacing: -1.1pt;"> </span>év<span style="letter-spacing: -.15pt;">id</span>e<span style="letter-spacing: -.15pt;">n</span>ce<span style="letter-spacing: 1.0pt;"> </span>son
<span style="letter-spacing: -.2pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .05pt; mso-font-width: 88%;">y</span><span style="letter-spacing: .05pt; mso-font-width: 77%;">s</span><span style="letter-spacing: -.2pt; mso-font-width: 113%;">f</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.2pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .05pt; mso-font-width: 93%;">n</span><span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span>. <span style="letter-spacing: .05pt; mso-font-width: 64%;">C</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">tt</span>e <span style="letter-spacing: .05pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">é</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.2pt; mso-font-width: 93%;">h</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: -.2pt; mso-font-width: 89%;">d</span>e <span style="letter-spacing: .05pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span>e <span style="letter-spacing: .05pt; mso-font-width: 88%;">e</span>n<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">’</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">j</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.2pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span>n <span style="letter-spacing: .05pt; mso-font-width: 89%;">d’u</span>n<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: .05pt;">p</span><span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: -.2pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">u</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span>t <span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">d</span><span style="letter-spacing: -.2pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span>f <span style="letter-spacing: -.15pt; mso-font-width: 85%;">d</span><span style="letter-spacing: .05pt; mso-font-width: 85%;">a</span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">n</span>s<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span>e tissu<span style="letter-spacing: 1.1pt;"> </span>sous<span style="letter-spacing: -.9pt;"> </span>la<span style="letter-spacing: -1.05pt;"> </span>peau<span style="letter-spacing: .45pt;"> </span>au<span style="letter-spacing: .35pt;"> </span>niveau<span style="letter-spacing: 1.95pt;"> </span><span style="letter-spacing: -.15pt;">d</span>es<span style="letter-spacing: -.2pt;"> </span>p<span style="letter-spacing: -.15pt;">i</span>ed<span style="letter-spacing: -.15pt;">s</span>.<span style="letter-spacing: 1.85pt;"> </span>Le<span style="letter-spacing: -.35pt;"> </span>t<span style="letter-spacing: -.2pt;">r</span>ajet<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 88%;">d</span>e<span style="letter-spacing: -.2pt;"> </span>celui-ci<span style="letter-spacing: 2.7pt;">
</span><span style="letter-spacing: -.15pt;">d</span>a<span style="letter-spacing: -.15pt;">n</span>s<span style="letter-spacing: -.55pt;"> </span>les<span style="letter-spacing: -.2pt;"> </span>vo<span style="letter-spacing: -.15pt;">i</span>es<span style="letter-spacing: .15pt;"> </span>lymphatiques<span style="letter-spacing: 2.2pt;"> </span>est <span style="letter-spacing: -.05pt; mso-font-width: 77%;">s</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">u</span><span style="letter-spacing: -.05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.05pt; mso-font-width: 88%;">v</span>i<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 85%;">grâc</span>e<span style="letter-spacing: .45pt;"> </span>à<span style="letter-spacing: -.05pt;"> u</span><span style="letter-spacing: -.2pt;">n</span>e<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: -.05pt;">camé</span><span style="letter-spacing: -.2pt;">r</span>a<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 77%;">s</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">p</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">é</span><span style="letter-spacing: -.05pt; mso-font-width: 85%;">c</span><span style="letter-spacing: -.05pt; mso-font-width: 125%;">i</span>f<span style="letter-spacing: -.05pt;">i</span><span style="letter-spacing: -.05pt; mso-font-width: 86%;">q</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">u</span><span style="letter-spacing: -.45pt; mso-font-width: 83%;">e</span>.<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 80%;">L</span>a<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 88%;">v</span><span style="letter-spacing: -.05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.05pt; mso-font-width: 77%;">ss</span>e<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.05pt;">c</span><span style="letter-spacing: -.05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.25pt; mso-font-width: 94%;">r</span><span style="letter-spacing: -.05pt; mso-font-width: 85%;">c</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">u</span><span style="letter-spacing: -.05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.25pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">o</span>n<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 88%;">o</span>u<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">’a</span><span style="letter-spacing: -.05pt; mso-font-width: 94%;">rr</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">ê</span>t<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 88%;">d</span>u<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">p</span><span style="letter-spacing: -.25pt; mso-font-width: 94%;">r</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: -.25pt; mso-font-width: 89%;">d</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">u</span><span style="letter-spacing: -.05pt; mso-font-width: 125%;">i</span>t<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 94%;">r</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">d</span><span style="letter-spacing: -.25pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.05pt; mso-font-width: 85%;">c</span><span style="letter-spacing: -.05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.05pt; mso-font-width: 125%;">i</span>f à<span style="letter-spacing: .2pt;"> </span>un<span style="letter-spacing: -1.0pt;"> </span>e<span style="letter-spacing: -.2pt;">ndr</span>oit<span style="letter-spacing: 2.45pt;"> </span>part<span style="letter-spacing: -.2pt;">i</span>cul<span style="letter-spacing: -.2pt;">i</span>er <span style="letter-spacing: -.2pt;">r</span>e<span style="letter-spacing: -.2pt;">n</span>se<span style="letter-spacing: -.2pt;">i</span>g<span style="letter-spacing: -.2pt;">n</span>e<span style="letter-spacing: -.2pt;">r</span>a<span style="letter-spacing: -.65pt;"> </span>sur<span style="letter-spacing: -.15pt;"> </span>la<span style="letter-spacing: -.55pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 96%;">f</span>o<span style="letter-spacing: -.2pt;">n</span>ct<span style="letter-spacing: -.2pt;">i</span>on<span style="letter-spacing: -.2pt;">n</span>alité<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: -.2pt;">d</span>u<span style="letter-spacing: -1.25pt;"> </span>réseau<span style="letter-spacing: .75pt;"> </span>lymphatiqu<span style="letter-spacing: -.45pt;">e</span>.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">Les<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.15pt;">ex</span>a<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: -.15pt;">n</span>s </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">c</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">é</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.35pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">v</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.35pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">ou</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.35pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">à<span style="letter-spacing: .9pt;"> </span>é</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.35pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">’a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.35pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.35pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">é</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.35pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">un œdè<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: 1.05pt;"> </span>et<span style="letter-spacing: -.05pt;"> </span>pouva<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .25pt;"> </span>êt<span style="letter-spacing: -.15pt;">r</span>e<span style="letter-spacing: 1.4pt;"> </span>con<span style="letter-spacing: -.15pt;">f</span>o<span style="letter-spacing: -.15pt;">nd</span>ues<span style="letter-spacing: 1.2pt;"> </span>avec<span style="letter-spacing: -.1pt;"> </span>le<span style="letter-spacing: -.5pt;"> </span>lymphœdè<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: 1.05pt;"> </span>primitif<span style="letter-spacing: 1.3pt;"> </span>par<span style="letter-spacing: .65pt;"> </span>la<span style="letter-spacing: -.5pt;">
</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">r</span>ec<span style="letter-spacing: -.15pt;">h</span>e<span style="letter-spacing: -.15pt;">r</span>c<span style="letter-spacing: -.15pt;">h</span>e<span style="letter-spacing: 1.4pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .7pt;"> </span>p<span style="letter-spacing: -.2pt;">r</span>o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12pt; line-height: 108%;">téi<span style="letter-spacing: -.15pt;">n</span>es<span style="letter-spacing: 1.65pt;"> </span><span style="letter-spacing: -.15pt;">d</span>a<span style="letter-spacing: -.15pt;">n</span>s<span style="letter-spacing: -.3pt;"> </span>les<span style="letter-spacing: .05pt;"> </span>uri<span style="letter-spacing: -.15pt;">n</span>es<span style="letter-spacing: .9pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12pt; line-height: 108%;">(p<span style="letter-spacing: -.2pt;">r</span>otéi<span style="letter-spacing: -.2pt;">n</span>ur<span style="letter-spacing: -.2pt;">i</span>e),<span style="letter-spacing: .6pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12pt; line-height: 108%;">d’u<span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: .45pt;"> </span>i<span style="letter-spacing: -.15pt;">n</span>suffisa<span style="letter-spacing: -.15pt;">n</span>ce<span style="letter-spacing: 1.85pt;"> </span>ca<span style="letter-spacing: -.15pt;">r</span>d<span style="letter-spacing: -.15pt;">i</span>aque<span style="letter-spacing: .3pt;"> </span>ou<span style="letter-spacing: .5pt;"> </span>d’u<span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.15pt;">m</span>alad<span style="letter-spacing: -.15pt;">i</span>e<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: -.15pt;">d</span>u<span style="letter-spacing: .45pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12pt; letter-spacing: -0.2pt; line-height: 108%;">f</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12pt; line-height: 108%;">o<span style="letter-spacing: -.2pt;">i</span><span style="letter-spacing: -.45pt; mso-font-width: 83%;">e</span>. La<span style="letter-spacing: -.05pt;"> </span>prése<span style="letter-spacing: -.2pt;">n</span>ce<span style="letter-spacing: 1.45pt;"> </span>d’u<span style="letter-spacing: -.2pt;">n</span>e<span style="letter-spacing: 1.65pt;"> </span><span style="letter-spacing: -.2pt;">m</span>asse<span style="letter-spacing: -.25pt;"> </span><span style="letter-spacing: -.2pt;">d</span>a<span style="letter-spacing: -.2pt;">n</span>s<span style="letter-spacing: .85pt;"> </span>l’ab<span style="letter-spacing: -.25pt;">d</span>o<span style="letter-spacing: -.25pt; mso-font-width: 86%;">m</span>en<span style="letter-spacing: -.35pt;"> </span>se<span style="letter-spacing: -.2pt;">r</span>a<span style="letter-spacing: -.55pt;"> </span><span style="letter-spacing: -.2pt;">r</span>ec<span style="letter-spacing: -.2pt;">h</span>e<span style="letter-spacing: -.2pt;">r</span>chée<span style="letter-spacing: .65pt;"> </span>par<span style="letter-spacing: .45pt;"> </span>un<span style="letter-spacing: .8pt;"> </span>scan<span style="letter-spacing: -.2pt;">n</span>er<span style="letter-spacing: .35pt;"> </span>ab<span style="letter-spacing: -.25pt;">d</span>omi<span style="letter-spacing: -.25pt; mso-font-width: 93%;">n</span>o-pelv<span style="letter-spacing: -.25pt; mso-font-width: 125%;">i</span>en. <span style="letter-spacing: -.2pt; mso-font-width: 86%;">U</span>n<span style="letter-spacing: .2pt;"> </span>éc<span style="letter-spacing: -.2pt;">h</span>o<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 89%;">d</span>oppler<span style="letter-spacing: -.35pt;"> </span>vei<span style="letter-spacing: -.25pt; mso-font-width: 93%;">n</span>eux<span style="letter-spacing: -.35pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 83%;">d</span>es<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.2pt;">m</span>emb<span style="letter-spacing: -.2pt;">r</span>es<span style="letter-spacing: 1.2pt;"> </span>infér<span style="letter-spacing: -.25pt; mso-font-width: 125%;">i</span>eurs<span style="letter-spacing: -.35pt;"> </span>est<span style="letter-spacing: -.35pt;"> </span>i<span style="letter-spacing: -.25pt; mso-font-width: 93%;">n</span>dispe<span style="letter-spacing: -.25pt; mso-font-width: 93%;">n</span>sable<span style="letter-spacing: -.35pt;"> </span>et<span style="letter-spacing: -.35pt;"> </span>per<span style="letter-spacing: -.25pt; mso-font-width: 86%;">m</span>et<span style="letter-spacing: -.35pt;"> </span>d’élimi<span style="letter-spacing: -.25pt; mso-font-width: 93%;">n</span>er<span style="letter-spacing: -.35pt;"> </span>u<span style="letter-spacing: -.25pt; mso-font-width: 93%;">n</span>e pat<span style="letter-spacing: -.2pt; mso-font-width: 93%;">h</span>olog<span style="letter-spacing: -.2pt; mso-font-width: 125%;">i</span>e<span style="letter-spacing: .6pt;"> </span>vei<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>euse<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span>espo<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>sable<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: 1.2pt;"> </span>l’œdè<span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>e<span style="letter-spacing: .6pt;"> </span>ou<span style="letter-spacing: -.85pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: 1.2pt;"> </span>son<span style="letter-spacing: 1.4pt;"> </span>agg<span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span>avat<span style="letter-spacing: -.2pt; mso-font-width: 125%;">i</span>on.<span style="letter-spacing: .6pt;"> </span>Il<span style="letter-spacing: -.2pt;"> </span>s’agit<span style="letter-spacing: .6pt;"> </span>d’u<span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: 1.3pt;"> </span>éc<span style="letter-spacing: -.2pt; mso-font-width: 93%;">h</span>og<span style="letter-spacing: -.2pt;">r</span>aph<span style="letter-spacing: -.2pt;">i</span>e<span style="letter-spacing: .8pt;"> </span>per<span style="letter-spacing: -.2pt;">m</span>etta<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 87%;">d</span>e<span style="letter-spacing: .45pt;"> </span>vis<span style="letter-spacing: -.15pt;">u</span>aliser<span style="letter-spacing: 2.1pt;">
</span>les<span style="letter-spacing: .5pt;"> </span>vaisseaux<span style="letter-spacing: .1pt;"> </span>sa<span style="letter-spacing: -.15pt;">n</span>gui<span style="letter-spacing: -.15pt;">n</span>s<span style="letter-spacing: 1.4pt;"> </span>(artè<span style="letter-spacing: -.15pt;">r</span>es<span style="letter-spacing: 2.0pt;"> </span>et<span style="letter-spacing: -.1pt;"> </span>vei<span style="letter-spacing: -.2pt;">n</span>es).</span></div>
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<b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: 0.75pt;">P</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">e</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">u</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">t</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">-</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">o</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">n<span style="letter-spacing: 1.7pt;"> </span>c<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>f<span style="letter-spacing: -2.9pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>d<span style="letter-spacing: -2.65pt;"> </span>r<span style="letter-spacing: -2.9pt;"> </span>e<span style="letter-spacing: 1.95pt;"> </span>c<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: 1.95pt;"> </span>m<span style="letter-spacing: -2.65pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>d<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: 1.95pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>v<span style="letter-spacing: -2.9pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>c <span style="letter-spacing: .75pt;"> </span>d<span style="letter-spacing: -2.65pt;"> </span>’<span style="letter-spacing: -2.65pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>u<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>r<span style="letter-spacing: -2.9pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>s <span style="letter-spacing: .45pt;"> </span>? <span style="letter-spacing: .85pt;"> </span></span></b><br />
<b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;"><span style="letter-spacing: 1.13333px;"> </span>L<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>q<span style="letter-spacing: -2.65pt;"> </span>u<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>s<span style="letter-spacing: 3.15pt;"> ? </span></span></b><b style="text-align: justify;"><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 14.0pt;">C</span></b><b style="text-align: justify;"><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 14.0pt; letter-spacing: -2.65pt;"> </span></b><b style="text-align: justify;"><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 14.0pt;">o</span></b><b style="text-align: justify;"><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 14.0pt; letter-spacing: -2.65pt;"> </span></b><b style="text-align: justify;"><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 14.0pt;">m</span></b><b style="text-align: justify;"><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 14.0pt; letter-spacing: -2.65pt;"> </span></b><b style="text-align: justify;"><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 14.0pt;">m</span></b><b style="text-align: justify;"><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 14.0pt; letter-spacing: -2.65pt;"> </span></b><b style="text-align: justify;"><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 14.0pt;">e</span></b><b style="text-align: justify;"><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 14.0pt; letter-spacing: -2.65pt;"> </span></b><b style="text-align: justify;"><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 14.0pt;">n</span></b><b style="text-align: justify;"><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 14.0pt; letter-spacing: -2.65pt;"> </span></b><b style="text-align: justify;"><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 14.0pt;">t<span style="letter-spacing: 3.3pt;"> </span>f<span style="letter-spacing: -2.9pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>r<span style="letter-spacing: -2.9pt;"> </span>e<span style="letter-spacing: 1.95pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span>a<span style="letter-spacing: 1.7pt;"> </span>d<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>f<span style="letter-spacing: -2.65pt;"> </span>f<span style="letter-spacing: -2.65pt;"> </span>é<span style="letter-spacing: -2.65pt;"> </span>r<span style="letter-spacing: -2.9pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>c<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: 1.95pt;"> </span>?</span></b></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">Le<span style="letter-spacing: .65pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">œ</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">è</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;"> est la pri<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>cipale <span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>alad<span style="letter-spacing: -.2pt; mso-font-width: 125%;">i</span>e avec<span style="letter-spacing: .7pt;"> </span>laquelle le lymphœdè<span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>e peut êt<span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span>e con<span style="letter-spacing: -.2pt;">f</span>o<span style="letter-spacing: -.2pt;">nd</span>u. Le<span style="letter-spacing: .65pt;"> </span>lipœdè<span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>e to<span style="letter-spacing: -.2pt;">u</span>c<span style="letter-spacing: -.2pt; mso-font-width: 93%;">h</span>e <span style="letter-spacing: -.2pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.2pt; mso-font-width: 88%;">x</span>clusive<span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>e<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>t les fem<span style="letter-spacing: -.2pt;">m</span>es obèse<span style="letter-spacing: -.2pt; mso-font-width: 77%;">s</span>, et attei<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>t les <span style="letter-spacing: -.15pt; mso-font-width: 86%;">d</span>eux<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.15pt;">m</span>emb<span style="letter-spacing: -.15pt;">r</span>es
infér<span style="letter-spacing: -.15pt;">i</span>eurs<span style="letter-spacing: .9pt;"> </span>en<span style="letter-spacing: .4pt;"> </span>épa<span style="letter-spacing: -.2pt;">r</span>g<span style="letter-spacing: -.2pt;">n</span>a<span style="letter-spacing: -.2pt;">n</span>t les<span style="letter-spacing: .1pt;"> </span>p<span style="letter-spacing: -.15pt;">i</span>ed<span style="letter-spacing: -.15pt;">s</span>.<span style="letter-spacing: 1.1pt;"> </span>Il<span style="letter-spacing: 1.5pt;"> </span>s’agit<span style="letter-spacing: .25pt;"> </span>d’u<span style="letter-spacing: -.2pt;">n</span>e<span style="letter-spacing: -.8pt;"> </span>répartit<span style="letter-spacing: -.2pt;">i</span>on<span style="letter-spacing: 2.9pt;"> </span>a<span style="letter-spacing: -.15pt;">n</span>or<span style="letter-spacing: -.15pt;">m</span>ale<span style="letter-spacing: 2.7pt;"> </span><span style="letter-spacing: -.15pt;">d</span>es<span style="letter-spacing: .35pt;"> </span>g<span style="letter-spacing: -.15pt;">r</span>aisses<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: -.15pt;">d</span>es<span style="letter-spacing: .35pt;"> </span>ha<span style="letter-spacing: -.2pt;">n</span>c<span style="letter-spacing: -.2pt;">h</span>es jusqu’aux<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.15pt;">g</span>e<span style="letter-spacing: -.15pt;">n</span>oux<span style="letter-spacing: .8pt;"> </span>voi<span style="letter-spacing: -.15pt;">r</span>e<span style="letter-spacing: 1.6pt;"> </span>aux<span style="letter-spacing: .4pt;"> </span>c<span style="letter-spacing: -.2pt;">h</span>eville<span style="letter-spacing: -.2pt;">s</span>.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">Le</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s<span style="letter-spacing: 1.95pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 1.05pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">cause</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: .1pt;">d’œdè</span><span style="letter-spacing: -.1pt;">m</span><span style="letter-spacing: .1pt;">e</span>s<span style="letter-spacing: 2.35pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">v</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 1.05pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">é</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">g</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 1.05pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">ê</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 1.05pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">é</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">ée</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.35pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">:<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.1pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">u</span><span style="letter-spacing: .1pt; mso-font-width: 113%;">f</span>f<span style="letter-spacing: .1pt;">i</span><span style="letter-spacing: .1pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.1pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 85%;">c</span>e<span style="letter-spacing: 1.05pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.1pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">d</span><span style="letter-spacing: -.1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 86%;">q</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">u</span><span style="letter-spacing: -.3pt; mso-font-width: 83%;">e</span>, ré<span style="letter-spacing: -.15pt;">n</span>ale<span style="letter-spacing: 1.3pt;"> </span>ou<span style="letter-spacing: .85pt;"> </span>hépatique <span style="letter-spacing: .25pt;"> </span>ai<span style="letter-spacing: -.15pt;">n</span>si<span style="letter-spacing: 2.25pt;"> </span>que<span style="letter-spacing: .45pt;"> </span>les<span style="letter-spacing: .45pt;"> </span>causes<span style="letter-spacing: -.65pt;"> </span>d’i<span style="letter-spacing: -.15pt;">n</span>suffisa<span style="letter-spacing: -.15pt;">n</span>ce <span style="letter-spacing: .55pt;"> </span>vei<span style="letter-spacing: -.15pt;">n</span>eus<span style="letter-spacing: -.4pt;">e</span>.<span style="letter-spacing: 1.6pt;"> </span>Le<span style="letter-spacing: -.2pt;"> </span>lymphœdè<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: 1.55pt;"> </span>pri<span style="letter-spacing: -.2pt;">m</span>ai<span style="letter-spacing: -.2pt;">r</span>e
<span style="letter-spacing: -.2pt; mso-font-width: 89%;">d</span>oit<span style="letter-spacing: .6pt;"> </span>égale<span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>e<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: .6pt;"> </span>êt<span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span>e<span style="letter-spacing: .6pt;"> </span>disti<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>gué<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.2pt;">d</span>u<span style="letter-spacing: -.85pt;"> </span>lymphœdè<span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>e<span style="letter-spacing: .6pt;"> </span>seco<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span><span style="letter-spacing: -.2pt; mso-font-width: 89%;">d</span>ai<span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span><span style="letter-spacing: -.4pt; mso-font-width: 83%;">e</span>.<span style="letter-spacing: .6pt;"> </span>Ce<span style="letter-spacing: 1.55pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 89%;">d</span>ern<span style="letter-spacing: -.2pt; mso-font-width: 125%;">i</span>er<span style="letter-spacing: .6pt;"> </span>est<span style="letter-spacing: .6pt;"> </span>seco<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span><span style="letter-spacing: -.2pt; mso-font-width: 89%;">d</span>ai<span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span>e<span style="letter-spacing: .6pt;"> </span>aux <span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span>s<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: 1.45pt;"> </span><span style="letter-spacing: .1pt;">c</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span>s<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 85%;">ca</span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 85%;">cer</span>s<span style="letter-spacing: 1.55pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 111%;">(</span><span style="letter-spacing: .1pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .1pt; mso-font-width: 93%;">h</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">u</span><span style="letter-spacing: -.15pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">g</span><span style="letter-spacing: -.15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.35pt; mso-font-width: 83%;">e</span>,<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">d</span><span style="letter-spacing: -.15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 93%;">h</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">é</span><span style="letter-spacing: -.15pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">p</span><span style="letter-spacing: -.15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 111%;">)</span>,<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 86%;">m</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span>e<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 86%;">ca</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 86%;">ce</span>r<span style="letter-spacing: 1.6pt;"> </span><span style="letter-spacing: -.15pt;">d</span>u<span style="letter-spacing: -.6pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span>n <span style="letter-spacing: .1pt; mso-font-width: 89%;">pou</span>r<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span>e<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 86%;">emb</span><span style="letter-spacing: -.1pt; mso-font-width: 86%;">r</span>e<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">up</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">é</span><span style="letter-spacing: .1pt; mso-font-width: 94%;">r</span><span style="letter-spacing: -.1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">u</span><span style="letter-spacing: -.1pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span>t<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 84%;">ca</span><span style="letter-spacing: -.1pt; mso-font-width: 84%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 84%;">cer</span>s<span style="letter-spacing: 2.05pt;"> </span><span style="letter-spacing: -.1pt;">d</span><span style="letter-spacing: .1pt;">e</span>s<span style="letter-spacing: 1.3pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .1pt; mso-font-width: 88%;">v</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.1pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.1pt; mso-font-width: 77%;">s</span>,<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span>a<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 89%;">p</span><span style="letter-spacing: -.1pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .1pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span>e<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span>t<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: -.1pt;">d</span>u<span style="letter-spacing: -.55pt;"> </span><span style="letter-spacing: .1pt;">co</span>l<span style="letter-spacing: -.3pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">’</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">u</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">é</span><span style="letter-spacing: .1pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">u</span>s pour<span style="letter-spacing: 1.25pt;"> </span>les<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.15pt;">m</span>emb<span style="letter-spacing: -.15pt;">r</span>es<span style="letter-spacing: -.8pt;"> </span>infér<span style="letter-spacing: -.15pt;">i</span>eur<span style="letter-spacing: -.15pt;">s</span>. <span style="letter-spacing: .8pt;"> </span>Il<span style="letter-spacing: 1.85pt;"> </span>peut<span style="letter-spacing: -1.3pt;"> </span>égale<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .35pt;"> </span>êt<span style="letter-spacing: -.2pt;">r</span>e<span style="letter-spacing: .8pt;"> </span>dû<span style="letter-spacing: -1.1pt;">
</span>à<span style="letter-spacing: .7pt;"> </span>u<span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: 1.5pt;"> </span>infect<span style="letter-spacing: -.2pt;">i</span>on<span style="letter-spacing: -.85pt;"> </span>par<span style="letter-spacing: .75pt;"> </span>un<span style="letter-spacing: -.85pt;"> </span>pa<span style="letter-spacing: -.2pt;">r</span>asit<span style="letter-spacing: -.4pt;">e</span>,<span style="letter-spacing: .8pt;"> </span>la filar<span style="letter-spacing: -.2pt;">i</span>os<span style="letter-spacing: -.45pt;">e</span>.<o:p></o:p></span></div>
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<span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 23.0pt;">Les<span style="letter-spacing: .35pt;"> </span>aspects<span style="letter-spacing: 3.85pt;"> </span></span><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 23.0pt;">génétiques</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 23.0pt;"><o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">Q</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">u</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">e</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">l</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">s <span style="letter-spacing: .75pt;"> </span>s</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">o</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">n</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">t<span style="letter-spacing: 3.3pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>s <span style="letter-spacing: .75pt;"> </span>r<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>q<span style="letter-spacing: -2.65pt;"> </span>u<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>s <span style="letter-spacing: .75pt;"> </span>d<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: 1.95pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>r<span style="letter-spacing: -2.9pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>m<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: 1.7pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>u<span style="letter-spacing: -2.65pt;"> </span>x <span style="letter-spacing: .2pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>f<span style="letter-spacing: -2.9pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>s<span style="letter-spacing: 3.15pt;"> </span>?</span></b><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 14.0pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">Da</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s<span style="letter-spacing: 1.9pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 1.2pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">f</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 1.2pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">po</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">q</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 1.2pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">(</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">n<span style="letter-spacing: -.05pt;"> f</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .15pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .15pt; mso-font-width: 116%;">l</span><span style="letter-spacing: -.05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .15pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .15pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .15pt; mso-font-width: 111%;">)</span>,<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 116%;">l</span>a<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 87%;">person</span><span style="letter-spacing: -.05pt; mso-font-width: 87%;">n</span>e<span style="letter-spacing: 1.95pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .15pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">é</span><span style="letter-spacing: .15pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.05pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .15pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.05pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: .15pt;">u</span>n <span style="letter-spacing: .15pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .15pt; mso-font-width: 88%;">y</span><span style="letter-spacing: .15pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .15pt; mso-font-width: 93%;">h</span><span style="letter-spacing: .15pt; mso-font-width: 82%;">œ</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">è</span><span style="letter-spacing: -.05pt; mso-font-width: 86%;">m</span>e pri<span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>ai<span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span>e<span style="letter-spacing: .6pt;"> </span>n’a<span style="letter-spacing: 1.45pt;"> </span>pas<span style="letter-spacing: .75pt;"> </span>plus<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: 1.2pt;"> </span>risque<span style="letter-spacing: .6pt;"> </span>que<span style="letter-spacing: 1.05pt;"> </span>la<span style="letter-spacing: .6pt;"> </span>populat<span style="letter-spacing: -.2pt; mso-font-width: 125%;">i</span>on<span style="letter-spacing: .6pt;"> </span>géné<span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span>ale<span style="letter-spacing: .6pt;"> </span>d’avoir<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 83%;">d</span>es<span style="letter-spacing: 1.15pt;"> </span>en<span style="letter-spacing: -.2pt; mso-font-width: 113%;">f</span>a<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>ts<span style="letter-spacing: .6pt;"> </span>prése<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>ta<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>t égale<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .2pt;"> </span>cette<span style="letter-spacing: .4pt;"> </span>a<span style="letter-spacing: -.2pt;">n</span>o<span style="letter-spacing: -.2pt;">m</span>al<span style="letter-spacing: -.2pt;">i</span><span style="letter-spacing: -.45pt; mso-font-width: 83%;">e</span>.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">Da<span style="letter-spacing: -.15pt;">n</span>s<span style="letter-spacing: .5pt;"> </span>les<span style="letter-spacing: 1.4pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">f</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">or<span style="letter-spacing: -.2pt;">m</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">es</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.35pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">f</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">amil<span style="letter-spacing: -.2pt;">i</span>ale<span style="letter-spacing: -.2pt;">s</span>,<span style="letter-spacing: .85pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">sy<span style="letter-spacing: -.15pt;">ndr</span>o<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .6pt;"> </span>Mil<span style="letter-spacing: -.15pt;">r</span>oy<span style="letter-spacing: 2.35pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">et<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 87%;">m</span>alad<span style="letter-spacing: -.15pt;">i</span>e<span style="letter-spacing: 1.65pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.15pt;">M</span>e<span style="letter-spacing: -.15pt;">ig</span><span style="letter-spacing: -.4pt;">e</span>,<span style="letter-spacing: 1.2pt;"> </span>il<span style="letter-spacing: 1.4pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 90%;">e</span>xiste<span style="letter-spacing: .95pt;"> </span>un<span style="letter-spacing: -.85pt;">
</span>risque<span style="letter-spacing: .7pt;">
</span><span style="letter-spacing: -.2pt;">d</span>e t<span style="letter-spacing: -.25pt; mso-font-width: 94%;">r</span>a<span style="letter-spacing: -.25pt; mso-font-width: 93%;">n</span>smiss<span style="letter-spacing: -.25pt; mso-font-width: 125%;">i</span>on<span style="letter-spacing: -.35pt;"> </span>aux<span style="letter-spacing: .25pt;"> </span>en<span style="letter-spacing: -.25pt; mso-font-width: 113%;">f</span>a<span style="letter-spacing: -.25pt; mso-font-width: 93%;">n</span>ts<span style="letter-spacing: -.35pt;"> </span>qui<span style="letter-spacing: -.35pt;"> </span>dépe<span style="letter-spacing: -.2pt;">n</span>d<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.2pt;">d</span>u<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.2pt;">m</span>o<span style="letter-spacing: -.2pt;">d</span>e<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.2pt;">d</span>e<span style="letter-spacing: .1pt;"> </span>t<span style="letter-spacing: -.25pt; mso-font-width: 94%;">r</span>a<span style="letter-spacing: -.25pt; mso-font-width: 93%;">n</span>smiss<span style="letter-spacing: -.25pt; mso-font-width: 125%;">i</span>on<span style="letter-spacing: -.35pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: .25pt;"> </span>chacu<span style="letter-spacing: -.2pt;">n</span>e<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: -.2pt;">d</span>es<span style="letter-spacing: -.25pt;"> </span><span style="letter-spacing: -.2pt;">d</span>eux<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 113%;">f</span>or<span style="letter-spacing: -.25pt; mso-font-width: 86%;">m</span>e<span style="letter-spacing: -.25pt; mso-font-width: 77%;">s</span>. La<span style="letter-spacing: -.6pt;"> </span><span style="letter-spacing: -.15pt;">m</span>alad<span style="letter-spacing: -.15pt;">i</span>e<span style="letter-spacing: 1.05pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e Mil<span style="letter-spacing: -.15pt;">r</span>oy<span style="letter-spacing: 1.75pt;"> </span>est<span style="letter-spacing: .65pt;"> </span>autosomique<span style="letter-spacing: 1.55pt;"> </span><span style="letter-spacing: -.15pt;">d</span>omi<span style="letter-spacing: -.15pt;">n</span>a<span style="letter-spacing: -.15pt;">n</span>te
<span style="letter-spacing: .05pt;"> </span>ce<span style="letter-spacing: -.2pt;"> </span>qui<span style="letter-spacing: -1.2pt;"> </span>s<span style="letter-spacing: -.15pt;">i</span>gnifie<span style="letter-spacing: 2.8pt;"> </span>qu’elle<span style="letter-spacing: .85pt;"> </span>peut<span style="letter-spacing: 1.3pt;"> </span>se<span style="letter-spacing: -.85pt;"> </span>t<span style="letter-spacing: -.2pt;">r</span>a<span style="letter-spacing: -.2pt;">n</span>s<span style="letter-spacing: -.2pt;">m</span>ett<span style="letter-spacing: -.2pt;">r</span>e <span style="letter-spacing: -.15pt; mso-font-width: 88%;">d</span>e<span style="letter-spacing: .5pt;"> </span>géné<span style="letter-spacing: -.15pt;">r</span>at<span style="letter-spacing: -.15pt;">i</span>on
<span style="letter-spacing: .1pt;"> </span>en<span style="letter-spacing: -1.2pt;"> </span>géné<span style="letter-spacing: -.15pt;">r</span>at<span style="letter-spacing: -.15pt;">i</span>on.
<span style="letter-spacing: 1.4pt;"> </span><span style="letter-spacing: -.15pt;">U</span>n<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.15pt;">m</span>ala<span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .85pt;"> </span>a<span style="letter-spacing: .55pt;"> </span>un<span style="letter-spacing: -.8pt;"> </span>risque<span style="letter-spacing: 1.15pt;"> </span>sur<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.15pt;">d</span>eux<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .5pt;"> </span>t<span style="letter-spacing: -.15pt;">r</span>a<span style="letter-spacing: -.15pt;">n</span>s<span style="letter-spacing: -.15pt;">m</span>ett<span style="letter-spacing: -.15pt;">r</span>e
<span style="letter-spacing: .6pt;"> </span>la<span style="letter-spacing: -.35pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span>alad<span style="letter-spacing: -.15pt;">i</span>e<span style="letter-spacing: 2.15pt;"> </span>à
ses<span style="letter-spacing: -.2pt;"> </span>en<span style="letter-spacing: -.15pt;">f</span>a<span style="letter-spacing: -.15pt;">n</span>ts
<span style="letter-spacing: .95pt;"> </span>à<span style="letter-spacing: .65pt;"> </span>chaque<span style="letter-spacing: 1.5pt;"> </span>g<span style="letter-spacing: -.2pt;">r</span>ossess<span style="letter-spacing: -.45pt;">e</span>,<span style="letter-spacing: .2pt;"> </span>quel<span style="letter-spacing: 1.05pt;"> </span>que<span style="letter-spacing: .2pt;"> </span>soit<span style="letter-spacing: -.35pt;"> </span>leur<span style="letter-spacing: .45pt;"> </span>s<span style="letter-spacing: -.2pt;">e</span><span style="letter-spacing: -.2pt; mso-font-width: 88%;">x</span><span style="letter-spacing: -.45pt; mso-font-width: 83%;">e</span>.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">La<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: -.15pt;">m</span>alad<span style="letter-spacing: -.15pt;">i</span>e<span style="letter-spacing: 1.85pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: -.15pt;">M</span>e<span style="letter-spacing: -.15pt;">ig</span>e<span style="letter-spacing: .7pt;"> </span>est<span style="letter-spacing: 1.2pt;"> </span>autosomique<span style="letter-spacing: 2.65pt;"> </span>récessiv<span style="letter-spacing: -.4pt;">e</span>,<span style="letter-spacing: .65pt;"> </span>ce<span style="letter-spacing: .3pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">qui<span style="letter-spacing: -.85pt;"> </span>s<span style="letter-spacing: -.15pt;">i</span>gnifie <span style="letter-spacing: .2pt;"> </span>que<span style="letter-spacing: .1pt;"> </span>seuls<span style="letter-spacing: -.35pt;"> </span>les<span style="letter-spacing: .2pt;"> </span>en<span style="letter-spacing: -.15pt;">f</span>a<span style="letter-spacing: -.15pt;">n</span>ts<span style="letter-spacing: 1.95pt;"> </span>aya<span style="letter-spacing: -.2pt;">n</span>t <span style="letter-spacing: -.15pt; mso-font-width: 87%;">r</span>eçu<span style="letter-spacing: .45pt;"> </span>le<span style="letter-spacing: -.8pt;">
</span>gè<span style="letter-spacing: -.2pt;">n</span>e<span style="letter-spacing: -.3pt;"> </span>altéré<span style="letter-spacing: 1.2pt;"> </span>(gè<span style="letter-spacing: -.2pt;">n</span>e<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.2pt;">m</span>uté),<span style="letter-spacing: 2.4pt;"> </span>à<span style="letter-spacing: -.1pt;"> </span>la<span style="letter-spacing: -.8pt;">
</span><span style="letter-spacing: -.2pt;">f</span>ois<span style="letter-spacing: -1.0pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 87%;">d</span>e<span style="letter-spacing: .2pt;"> </span>leur<span style="letter-spacing: 1.4pt;"> </span>pè<span style="letter-spacing: -.15pt;">r</span>e<span style="letter-spacing: .25pt;"> </span>et<span style="letter-spacing: -.35pt;">
</span><span style="letter-spacing: -.15pt; mso-font-width: 88%;">d</span>e<span style="letter-spacing: .05pt;"> </span>leur<span style="letter-spacing: 1.15pt;"> </span>mè<span style="letter-spacing: -.15pt;">r</span><span style="letter-spacing: -.4pt;">e</span>,<span style="letter-spacing: .35pt;"> </span>so<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: -.05pt;"> </span>attei<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: -.2pt;">s</span>.<span style="letter-spacing: -.6pt;"> </span>Ai<span style="letter-spacing: -.2pt;">n</span>si,
les<span style="letter-spacing: .05pt;"> </span>person<span style="letter-spacing: -.15pt;">n</span>es<span style="letter-spacing: -.7pt;"> </span>attei<span style="letter-spacing: -.15pt;">n</span>tes <span style="letter-spacing: .95pt;"> </span>so<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: -.05pt;"> </span>porteuses<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.15pt;">d</span>u<span style="letter-spacing: .45pt;"> </span>gè<span style="letter-spacing: -.15pt;">n</span>e <span style="letter-spacing: -.15pt;">m</span>uté<span style="letter-spacing: 1.15pt;"> </span>en<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.15pt;">d</span>eux<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.15pt;">ex</span>emplai<span style="letter-spacing: -.15pt;">r</span>es<span style="letter-spacing: .1pt;"> </span>(elles<span style="letter-spacing: 1.5pt;"> </span>so<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: -.05pt;"> </span>dites
<span style="letter-spacing: -.15pt; mso-font-width: 87%;">h</span>o<span style="letter-spacing: -.15pt;">m</span>ozy<span style="letter-spacing: -.15pt;">g</span>otes)<span style="letter-spacing: 2.05pt;">
</span>alors<span style="letter-spacing: .4pt;"> </span>que<span style="letter-spacing: -.05pt;"> </span>chacun<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.15pt;">d</span>es<span style="letter-spacing: -.65pt;"> </span>pa<span style="letter-spacing: -.15pt;">r</span>e<span style="letter-spacing: -.15pt;">n</span>ts<span style="letter-spacing: 1.15pt;"> </span>n’est<span style="letter-spacing: .9pt;"> </span>porteur<span style="letter-spacing: 2.05pt;"> </span>que<span style="letter-spacing: -.05pt;"> </span>d’un<span style="letter-spacing: .8pt;"> </span>seul<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.15pt;">ex</span>emplai<span style="letter-spacing: -.15pt;">r</span>e<span style="letter-spacing: 1.15pt;"> </span>(ils<span style="letter-spacing: -.15pt;"> </span>so<span style="letter-spacing: -.2pt;">n</span>t dits<span style="letter-spacing: -.5pt;"> </span>hété<span style="letter-spacing: -.2pt;">r</span>ozy<span style="letter-spacing: -.2pt;">g</span>otes),<span style="letter-spacing: .45pt;"> </span>et<span style="letter-spacing: -.25pt;">
</span><span style="letter-spacing: -.15pt; mso-font-width: 87%;">n</span>e<span style="letter-spacing: .6pt;"> </span>so<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .05pt;"> </span>pas<span style="letter-spacing: .6pt;"> </span>attei<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: -.2pt;">s</span>.<span style="letter-spacing: -.5pt;"> </span>Cette<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.15pt;">m</span>alad<span style="letter-spacing: -.15pt;">i</span>e<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: .45pt;"> </span>to<span style="letter-spacing: -.15pt;">u</span>c<span style="letter-spacing: -.15pt;">h</span>e<span style="letter-spacing: 1.7pt;"> </span><span style="letter-spacing: -.15pt;">d</span>o<span style="letter-spacing: -.15pt;">n</span>c<span style="letter-spacing: .7pt;"> </span>habituelle<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>t que<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: -.15pt;">d</span>es<span style="letter-spacing: .5pt;"> </span>frè<span style="letter-spacing: -.15pt;">r</span>es<span style="letter-spacing: 1.7pt;"> </span>et<span style="letter-spacing: .1pt;">
</span>sœurs<span style="letter-spacing: .2pt;">
</span><span style="letter-spacing: -.15pt;">d</span>a<span style="letter-spacing: -.15pt;">n</span>s<span style="letter-spacing: 1.05pt;"> </span>u<span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: 1.55pt;"> </span>mê<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.2pt;">f</span>amill<span style="letter-spacing: -.45pt;">e</span>.<span style="letter-spacing: -1.15pt;"> </span>La<span style="letter-spacing: -.3pt;"> </span>p<span style="letter-spacing: -.2pt;">r</span>obabilité
<span style="letter-spacing: 1.1pt;"> </span>d’avoir<span style="letter-spacing: 1.45pt;"> </span>un<span style="letter-spacing: -.8pt;"> </span>aut<span style="letter-spacing: -.2pt;">r</span>e<span style="letter-spacing: .75pt;"> </span>en<span style="letter-spacing: -.2pt;">f</span>a<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .4pt;"> </span>at-
tei<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .3pt;"> </span>est<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .45pt;"> </span>1<span style="letter-spacing: -.55pt;">
</span>sur<span style="letter-spacing: .65pt;"> </span>4<span style="letter-spacing: -.55pt;"> </span>pour<span style="letter-spacing: .55pt;"> </span>un<span style="letter-spacing: -1.0pt;">
</span>couple<span style="letter-spacing: .55pt;">
</span>aya<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .2pt;"> </span>déjà<span style="letter-spacing: 1.55pt;"> </span><span style="letter-spacing: -.15pt;">d</span>onné<span style="letter-spacing: 1.65pt;"> </span><span style="letter-spacing: -.15pt;">n</span>aissa<span style="letter-spacing: -.15pt;">n</span>ce<span style="letter-spacing: .8pt;"> </span>à<span style="letter-spacing: .45pt;"> </span>un<span style="letter-spacing: -1.0pt;">
</span>en<span style="letter-spacing: -.2pt;">f</span>a<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .2pt;"> </span>attei<span style="letter-spacing: -.2pt;">n</span>t.<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: 0.75pt;"><br /></span></b>
<b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: 0.75pt;">P</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">e</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">u</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">t</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">-</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">o</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">n<span style="letter-spacing: 1.7pt;"> </span>f<span style="letter-spacing: -2.9pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>r<span style="letter-spacing: -2.9pt;"> </span>e<span style="letter-spacing: 1.95pt;"> </span>u<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: 1.7pt;"> </span>d<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>g<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>c <span style="letter-spacing: .75pt;"> </span>p<span style="letter-spacing: -2.65pt;"> </span>r<span style="letter-spacing: -2.65pt;"> </span>é<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>l<span style="letter-spacing: 3.05pt;"> </span>?</span></b><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 14.0pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -1.0pt; line-height: 108%;">L</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">’éc<span style="letter-spacing: -.2pt;">h</span>og<span style="letter-spacing: -.2pt;">r</span>aph<span style="letter-spacing: -.2pt;">i</span>e<span style="letter-spacing: -.85pt;"> </span>fœtale<span style="letter-spacing: 1.2pt;">
</span>peut<span style="letter-spacing: 1.25pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">éve<span style="letter-spacing: -.2pt;">n</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">tuelle<span style="letter-spacing: -.2pt;">m</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e<span style="letter-spacing: -.2pt;">n</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.2pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">o<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: -.2pt;">r</span>er<span style="letter-spacing: 1.7pt;"> </span>en<span style="letter-spacing: .45pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">fin<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: .8pt;"> </span>g<span style="letter-spacing: -.2pt;">r</span>ossess<span style="letter-spacing: -.45pt;">e</span>,<span style="letter-spacing: .2pt;"> </span>un<span style="letter-spacing: -1.0pt;"> </span>œdè<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: -.35pt;"> </span>d’un<span style="letter-spacing: 1.3pt;"> </span>ou
<span style="letter-spacing: -.15pt; mso-font-width: 86%;">d</span>es<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.15pt;">d</span>eux<span style="letter-spacing: 1.05pt;"> </span>p<span style="letter-spacing: -.15pt;">i</span>eds<span style="letter-spacing: 1.35pt;"> </span>évocateur<span style="letter-spacing: 2.25pt;"> </span><span style="letter-spacing: -.2pt;">d</span>u<span style="letter-spacing: -1.25pt;"> </span>d<span style="letter-spacing: -.2pt;">i</span>ag<span style="letter-spacing: -.2pt;">n</span>ost<span style="letter-spacing: -.2pt;">ic</span>.<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">E</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">x</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">i</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">s</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">t</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">e</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">-</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">t</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">-</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">i</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">l<span style="letter-spacing: 3.05pt;"> </span>u<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: 1.7pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>r<span style="letter-spacing: -2.9pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>m<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: 3.3pt;"> </span>p<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>u<span style="letter-spacing: -2.65pt;"> </span>r<span style="letter-spacing: 2.25pt;"> </span>c<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: 1.95pt;"> </span>p<span style="letter-spacing: -2.65pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>h<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>g<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: 1.95pt;"> </span>?</span></b><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 14.0pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">Le<span style="letter-spacing: .4pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t<span style="letter-spacing: -.2pt;">r</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">aite<span style="letter-spacing: -.2pt;">m</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e<span style="letter-spacing: -.2pt;">n</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">est<span style="letter-spacing: .1pt;"> </span>sympto<span style="letter-spacing: -.2pt;">m</span>atiqu<span style="letter-spacing: -.4pt;">e</span>,<span style="letter-spacing: 1.05pt;"> </span>c’est-à-di<span style="letter-spacing: -.2pt;">r</span>e<span style="letter-spacing: .65pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">qu’il<span style="letter-spacing: -1.3pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 87%;">n</span>e<span style="letter-spacing: .3pt;"> </span>t<span style="letter-spacing: -.2pt;">r</span>aite<span style="letter-spacing: -.35pt;"> </span>par<span style="letter-spacing: .15pt;"> </span>la<span style="letter-spacing: -1.0pt;"> </span>cause<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.15pt;">m</span>ais<span style="letter-spacing: .8pt;"> </span>seule<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: -.25pt;"> </span>le lymphœdè<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: .95pt;"> </span>et<span style="letter-spacing: -.15pt;"> </span>ses<span style="letter-spacing: .85pt;"> </span>compl<span style="letter-spacing: -.2pt;">i</span>cat<span style="letter-spacing: -.2pt;">i</span>o<span style="letter-spacing: -.2pt;">ns</span>.<span style="letter-spacing: .7pt;"> </span>Il<span style="letter-spacing: 1.65pt;"> </span>a<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.15pt;">d</span>eux<span style="letter-spacing: .4pt;"> </span>objectifs: <span style="letter-spacing: 1.4pt;"> </span>d’u<span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: .65pt;"> </span>part<span style="letter-spacing: -1.1pt;"> </span>dimi<span style="letter-spacing: -.2pt;">n</span>uer<span style="letter-spacing: .85pt;"> </span>et<span style="letter-spacing: -.15pt;"> </span>stabiliser<span style="letter-spacing: .4pt;"> </span>le volu<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: 1.05pt;"> </span><span style="letter-spacing: -.15pt;">d</span>u<span style="letter-spacing: .6pt;"> </span>lymphœdè<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: .75pt;"> </span>et<span style="letter-spacing: -.35pt;"> </span>d’aut<span style="letter-spacing: -.2pt;">r</span>e<span style="letter-spacing: .4pt;"> </span>part,<span style="letter-spacing: -1.0pt;"> </span>t<span style="letter-spacing: -.2pt;">r</span>aiter<span style="letter-spacing: -.3pt;"> </span>et<span style="letter-spacing: -.35pt;"> </span>prévenir<span style="letter-spacing: 1.2pt;"> </span>les<span style="letter-spacing: -.15pt;"> </span>compl<span style="letter-spacing: -.2pt;">i</span>cat<span style="letter-spacing: -.2pt;">i</span>o<span style="letter-spacing: -.2pt;">n</span>s<span style="letter-spacing: 2.35pt;"> </span>en<span style="letter-spacing: .2pt;"> </span>part<span style="letter-spacing: -.2pt;">i</span>cul<span style="letter-spacing: -.2pt;">i</span>er
infect<span style="letter-spacing: -.2pt; mso-font-width: 125%;">i</span>euses (érysipèles). <span style="letter-spacing: -.15pt; mso-font-width: 86%;">U</span>n<span style="letter-spacing: .55pt;"> </span>t<span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span>aite<span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>e<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>t chiru<span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span>g<span style="letter-spacing: -.2pt; mso-font-width: 125%;">i</span>cal <span style="letter-spacing: -.15pt; mso-font-width: 83%;">d</span>es<span style="letter-spacing: .55pt;"> </span>lymphœdè<span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>es peut êt<span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span>e envisagé <span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span>ais<span style="letter-spacing: .95pt;"> </span>les<span style="letter-spacing: .65pt;"> </span>i<span style="letter-spacing: -.2pt;">n</span>d<span style="letter-spacing: -.2pt;">i</span>cat<span style="letter-spacing: -.2pt;">i</span>o<span style="letter-spacing: -.2pt;">n</span>s<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span>este<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .2pt;"> </span>très<span style="letter-spacing: .25pt;"> </span>limitées<span style="letter-spacing: 1.3pt;"> </span>et<span style="letter-spacing: -.1pt;">
</span><span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span>a<span style="letter-spacing: -.2pt;">r</span>e<span style="letter-spacing: -.2pt;">s</span>.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">Le</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s<span style="letter-spacing: 1.8pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">é</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">h</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 1.1pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">h</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">y</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">q</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 1.1pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e<span style="letter-spacing: 1.7pt;"> </span><span style="letter-spacing: .15pt;">c</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">ss</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 1.1pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 1.1pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e<span style="letter-spacing: 1.7pt;"> </span><span style="letter-spacing: .15pt;">c</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.1pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 1.1pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">pa</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">r<span style="letter-spacing: 1.95pt;"> </span><span style="letter-spacing: .15pt;">ba</span><span style="letter-spacing: -.1pt;">nd</span><span style="letter-spacing: .15pt;">a</span><span style="letter-spacing: -.1pt;">g</span><span style="letter-spacing: .15pt;">e</span>s<span style="letter-spacing: 1.55pt;"> </span><span style="letter-spacing: .15pt;">pe</span>u<span style="letter-spacing: 1.8pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">é</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">q</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">co<span style="letter-spacing: -.2pt;">n</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">stitue<span style="letter-spacing: -.2pt;">n</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.15pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">le<span style="letter-spacing: -.6pt;"> </span>pri<span style="letter-spacing: -.2pt;">n</span>cipal
t<span style="letter-spacing: -.2pt;">r</span>aite<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>t.<span style="letter-spacing: 1.2pt;"> </span>Le<span style="letter-spacing: .8pt;"> </span>t<span style="letter-spacing: -.2pt;">r</span>aite<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .15pt;"> </span>a<span style="letter-spacing: .4pt;"> </span>pour<span style="letter-spacing: 1.6pt;"> </span>objectif<span style="letter-spacing: -.6pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 88%;">d</span>e<span style="letter-spacing: .25pt;"> </span>dimi<span style="letter-spacing: -.15pt;">n</span>uer<span style="letter-spacing: 2.8pt;"> </span>et<span style="letter-spacing: -.15pt;">
</span>stabiliser le<span style="letter-spacing: -.25pt;"> </span>volu<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: -.2pt;">d</span>u<span style="letter-spacing: -.95pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span>emb<span style="letter-spacing: -.15pt;">r</span>e<span style="letter-spacing: 1.0pt;"> </span>prése<span style="letter-spacing: -.2pt;">n</span>ta<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .5pt;"> </span>un<span style="letter-spacing: -.7pt;"> </span>œdè<span style="letter-spacing: -.15pt;">m</span><span style="letter-spacing: -.4pt;">e</span>,<span style="letter-spacing: .05pt;"> </span>d’en<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: -.15pt;">r</span>et<span style="letter-spacing: -.15pt;">r</span>ouver<span style="letter-spacing: 2.2pt;"> </span>la<span style="letter-spacing: -.25pt;"> </span><span style="letter-spacing: -.2pt;">m</span>obilité<span style="letter-spacing: -.9pt;"> </span>et<span style="letter-spacing: .2pt;"> </span>l’esthétiqu<span style="letter-spacing: -.4pt;">e</span>.
<span style="letter-spacing: 1.55pt;"> </span>Le
d<span style="letter-spacing: -.15pt;">i</span>amèt<span style="letter-spacing: -.15pt;">r</span>e<span style="letter-spacing: 1.7pt;"> </span><span style="letter-spacing: -.15pt;">d</span>u<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.15pt;">m</span>emb<span style="letter-spacing: -.15pt;">r</span>e<span style="letter-spacing: -.5pt;"> </span>prése<span style="letter-spacing: -.2pt;">n</span>ta<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: -.05pt;"> </span>le<span style="letter-spacing: -.8pt;"> </span>lymphœdè<span style="letter-spacing: -.15pt;">m</span>e
est<span style="letter-spacing: .65pt;"> </span>tout<span style="letter-spacing: .35pt;"> </span>d’abo<span style="letter-spacing: -.15pt;">r</span>d<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: -.15pt;">m</span>esuré<span style="letter-spacing: .1pt;"> </span>avec<span style="letter-spacing: .15pt;"> </span>un<span style="letter-spacing: -1.25pt;">
</span>ce<span style="letter-spacing: -.2pt;">n</span>timè- t<span style="letter-spacing: -.2pt;">r</span>e<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: -.2pt;">d</span>e<span style="letter-spacing: -.45pt;"> </span>couturiè<span style="letter-spacing: -.2pt;">r</span>e<span style="letter-spacing: .65pt;"> </span>(ce<span style="letter-spacing: -.2pt;">n</span>timétr<span style="letter-spacing: -.2pt;">i</span>e). <span style="letter-spacing: 1.15pt;"> </span>Pui<span style="letter-spacing: -.2pt;">s</span>,<span style="letter-spacing: -.65pt;"> </span>géné<span style="letter-spacing: -.2pt;">r</span>ale<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>t,<span style="letter-spacing: -.05pt;"> </span>le<span style="letter-spacing: -.8pt;"> </span>t<span style="letter-spacing: -.2pt;">r</span>aite<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: -.05pt;"> </span>s’éc<span style="letter-spacing: -.15pt;">h</span>elon<span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: .7pt;"> </span>en<span style="letter-spacing: .5pt;"> </span>plus<span style="letter-spacing: -.2pt;">i</span>eurs
phases<span style="letter-spacing: .75pt;">
</span>:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 5.5pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 0cm; margin-top: .2pt; mso-line-height-rule: exactly;">
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<div class="MsoNormal" style="line-height: 108%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 62.4pt; margin-right: 59.05pt; margin-top: 0cm; text-align: justify; text-indent: 28.6pt;">
<b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">U</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">n<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: .05pt;">t</span><span style="letter-spacing: -.15pt;">r</span><span style="letter-spacing: .05pt;">aitemen</span>t<span style="letter-spacing: 2.8pt;"> </span><span style="letter-spacing: .05pt;">d’attaqu</span>e<span style="letter-spacing: .05pt;"> </span></span></b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.15pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.7pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.15pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">e<span style="letter-spacing: 1.3pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">é</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.15pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.15pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.7pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.7pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">y</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">h</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">œ</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">è</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.15pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.35pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">.</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.7pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">I</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">l<span style="letter-spacing: -.1pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.7pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">ê</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.15pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.7pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">éa</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">é</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.7pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">à </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">l’hôpital<span style="letter-spacing: -1.0pt;"> </span>ou<span style="letter-spacing: -1.25pt;"> </span>en<span style="letter-spacing: .75pt;"> </span>ambulatoi<span style="letter-spacing: -.15pt;">r</span>e <span style="letter-spacing: .8pt;"> </span>avec<span style="letter-spacing: .15pt;">
</span>u<span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: -.15pt;">d</span>urée<span style="letter-spacing: .75pt;"> </span>var<span style="letter-spacing: -.15pt;">i</span>able<span style="letter-spacing: 2.2pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .45pt;"> </span>5<span style="letter-spacing: -.55pt;">
</span>jours<span style="letter-spacing: 1.65pt;">
</span>à<span style="letter-spacing: .35pt;"> </span>3-4<span style="letter-spacing: -1.0pt;"> </span>se<span style="letter-spacing: -.15pt;">m</span>ai<span style="letter-spacing: -.15pt;">n</span>es<span style="letter-spacing: .45pt;"> </span>en<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: -.2pt;">f</span>o<span style="letter-spacing: -.2pt;">n</span>ct<span style="letter-spacing: -.2pt;">i</span>on <span style="letter-spacing: -.15pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: 1.4pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span>a<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">é</span><span style="letter-spacing: .1pt; mso-font-width: 88%;">v</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">é</span><span style="letter-spacing: .1pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span>é<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: -.15pt;">d</span>u<span style="letter-spacing: -.65pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .1pt; mso-font-width: 88%;">y</span><span style="letter-spacing: .1pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .1pt; mso-font-width: 93%;">h</span><span style="letter-spacing: .1pt; mso-font-width: 82%;">œ</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">è</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span>e<span style="letter-spacing: .8pt;"> </span>à<span style="letter-spacing: 1.35pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.8pt; mso-font-width: 94%;">r</span>.<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 72%;">C</span>e<span style="letter-spacing: 1.8pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span>f<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span>e<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 88%;">e</span>n<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">’a</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">pp</span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span><span style="letter-spacing: -.15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span>n q<span style="letter-spacing: -.15pt;">u</span>ot<span style="letter-spacing: -.15pt;">i</span>d<span style="letter-spacing: -.15pt;">i</span>en<span style="letter-spacing: -.15pt;">n</span>e
<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .3pt;"> </span>ba<span style="letter-spacing: -.15pt;">nd</span>a<span style="letter-spacing: -.15pt;">g</span>es<span style="letter-spacing: -.3pt;"> </span>peu<span style="letter-spacing: .5pt;"> </span>élastiques<span style="letter-spacing: 1.55pt;"> </span><span style="letter-spacing: -.15pt;">m</span>ult<span style="letter-spacing: -.15pt;">i</span>co<span style="letter-spacing: -.15pt;">u</span>c<span style="letter-spacing: -.15pt;">h</span>es <span style="letter-spacing: .15pt;"> </span>(réalisés<span style="letter-spacing: 1.4pt;"> </span>avec <span style="letter-spacing: -.15pt;">d</span>es<span style="letter-spacing: -.3pt;"> </span>ba<span style="letter-spacing: -.15pt;">nd</span>es<span style="letter-spacing: -.1pt;"> </span>à<span style="letter-spacing: .2pt;"> </span>allo<span style="letter-spacing: -.2pt;">ng</span>e- <span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">ou</span><span style="letter-spacing: .05pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span>,<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 113%;">ff</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">é</span><span style="letter-spacing: -.15pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 83%;">d</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: .05pt;">ba</span><span style="letter-spacing: -.1pt;">nd</span><span style="letter-spacing: .05pt;">e</span>s<span style="letter-spacing: 2.3pt;"> </span>à<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 88%;">v</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 94%;">r</span><span style="letter-spacing: -.15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 77%;">s</span>)<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 85%;">su</span>r<span style="letter-spacing: 1.3pt;"> </span><span style="letter-spacing: .05pt;">u</span>n<span style="letter-spacing: -.55pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .05pt; mso-font-width: 93%;">n</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.15pt; mso-font-width: 89%;">g</span>e<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 113%;">f</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span>t<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: .05pt;">c</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span>n<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 159%;">/</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span>u<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 89%;">d</span>e <span style="letter-spacing: -.15pt; mso-font-width: 84%;">m</span>ousse<span style="letter-spacing: .15pt;"> </span>ga<span style="letter-spacing: -.15pt;">r</span>dés<span style="letter-spacing: .75pt;"> </span>24h/24h.<span style="letter-spacing: -.15pt;"> </span>Les<span style="letter-spacing: -.05pt;"> </span>ba<span style="letter-spacing: -.15pt;">nd</span>a<span style="letter-spacing: -.15pt;">g</span>es<span style="letter-spacing: 2.2pt;"> </span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: -.2pt;">r</span>aî<span style="letter-spacing: -.2pt;">n</span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: -.25pt;"> </span>u<span style="letter-spacing: -.2pt;">n</span>e<span style="letter-spacing: -.25pt;"> </span>ré<span style="letter-spacing: -.2pt;">du</span>ct<span style="letter-spacing: -.2pt;">i</span>on<span style="letter-spacing: 1.55pt;"> </span>s<span style="letter-spacing: -.2pt;">i</span>gnificative
<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.2pt;">d</span>u<span style="letter-spacing: -.05pt;"> </span>volu<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.2pt;">d</span>u <span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span>emb<span style="letter-spacing: -.15pt;">r</span>e<span style="letter-spacing: .55pt;"> </span>attei<span style="letter-spacing: -.2pt;">n</span>t.<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 87%;">Un</span>e<span style="letter-spacing: .15pt;"> </span>gym<span style="letter-spacing: -.15pt;">n</span>astique<span style="letter-spacing: 2.2pt;">
</span>p<span style="letter-spacing: -.15pt;">r</span>atiquée<span style="letter-spacing: 2.45pt;"> </span>avec le<span style="letter-spacing: -.7pt;"> </span>port<span style="letter-spacing: -.8pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 88%;">d</span>e<span style="letter-spacing: .15pt;"> </span>ba<span style="letter-spacing: -.15pt;">nd</span>a<span style="letter-spacing: -.15pt;">g</span>es<span style="letter-spacing: -.85pt;"> </span>est<span style="letter-spacing: .75pt;"> </span>importa<span style="letter-spacing: -.15pt;">n</span>te <span style="letter-spacing: .7pt;"> </span>pour aug<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>ter<span style="letter-spacing: .15pt;"> </span>leur<span style="letter-spacing: .95pt;"> </span>efficacité.</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">Le<span style="letter-spacing: -.15pt;"> dr</span>ai<span style="letter-spacing: -.15pt;">n</span>a<span style="letter-spacing: -.15pt;">g</span>e<span style="letter-spacing: 1.35pt;"> </span>lymphatique
<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.15pt;">m</span>a<span style="letter-spacing: -.15pt;">n</span>uel<span style="letter-spacing: 1.05pt;"> </span>apporte<span style="letter-spacing: 2.0pt;">
</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">un<span style="letter-spacing: -.8pt;"> </span>petit<span style="letter-spacing: .85pt;"> </span>bénéfice<span style="letter-spacing: .8pt;"> </span>supplé<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>tai<span style="letter-spacing: -.2pt;">r</span>e<span style="letter-spacing: 1.7pt;"> </span>en<span style="letter-spacing: -1.2pt;"> </span>assoc<span style="letter-spacing: -.2pt;">i</span>at<span style="letter-spacing: -.2pt;">i</span>on
avec<span style="letter-spacing: .5pt;"> </span>les<span style="letter-spacing: .75pt;"> </span>ba<span style="letter-spacing: -.15pt;">nd</span>a<span style="letter-spacing: -.15pt;">g</span>es<span style="letter-spacing: .5pt;"> </span>peu<span style="letter-spacing: .95pt;"> </span>élastique<span style="letter-spacing: -.15pt;">s</span>.
<span style="letter-spacing: .15pt;"> </span>Il<span style="letter-spacing: 1.8pt;"> </span>est<span style="letter-spacing: -1.3pt;"> </span>géné<span style="letter-spacing: -.2pt;">r</span>ale<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .3pt;"> </span>réalisé<span style="letter-spacing: 1.05pt;"> </span>par<span style="letter-spacing: .7pt;"> </span>un<span style="letter-spacing: -.9pt;">
</span><span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>asseur-kinésithé<span style="letter-spacing: -.2pt;">r</span>apeute<span style="letter-spacing: .5pt;"> </span>ou<span style="letter-spacing: -1.25pt;"> </span>un<span style="letter-spacing: -1.0pt;"> </span>p<span style="letter-spacing: -.2pt;">h</span>ys<span style="letter-spacing: -.2pt;">i</span>othé<span style="letter-spacing: -.2pt;">r</span>apeute<span style="letter-spacing: 1.35pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 113%;">f</span>ormé<span style="letter-spacing: .2pt;"> </span>à<span style="letter-spacing: .25pt;"> </span>cette<span style="letter-spacing: 2.15pt;"> </span>techniqu<span style="letter-spacing: -.45pt;">e</span>.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">Le</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s<span style="letter-spacing: 1.5pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.15pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.65pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">c</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">hn</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">q</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.65pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.15pt; line-height: 108%;">f</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.65pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">ée</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.15pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">,</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.65pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">com</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.15pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e<span style="letter-spacing: 1.5pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.65pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.15pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">ss</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">h</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">é</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.15pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.15pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.65pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.15pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.15pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">q</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">,</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.65pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">’</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.15pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.65pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.05pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">f</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">ait<span style="letter-spacing: 1.0pt;"> </span>la<span style="letter-spacing: -.55pt;"> </span>p<span style="letter-spacing: -.15pt;">r</span>euve<span style="letter-spacing: .4pt;"> </span>d’u<span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: .7pt;"> </span>efficacité
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<b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">Un<span style="letter-spacing: -.7pt;"> </span>t<span style="letter-spacing: -.25pt;">r</span>aitement<span style="letter-spacing: 1.7pt;">
</span>d’ent<span style="letter-spacing: -.25pt;">r</span>etien<span style="letter-spacing: .25pt;"> </span></span></b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.35pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">éa</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">é</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.35pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">à<span style="letter-spacing: .2pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.25pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.25pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">c</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.35pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">par<span style="letter-spacing: .25pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.35pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">person<span style="letter-spacing: -.2pt;">n</span>e<span style="letter-spacing: .25pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">tt</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.25pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.35pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">ll</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">-</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">ê</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.25pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.45pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">. </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">Il<span style="letter-spacing: -1.15pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.2pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">epose<span style="letter-spacing: .25pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">ss</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.25pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.25pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">ll</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.25pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.25pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.35pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">sur<span style="letter-spacing: .3pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.35pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">po</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.35pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">d’u<span style="letter-spacing: -.2pt;">n</span>e<span style="letter-spacing: .35pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">c</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.25pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">ss</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.25pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.35pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">é</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">q</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.35pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">(</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">pp</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">ée</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.35pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">ss</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.35pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">c</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.25pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.25pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.25pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">n </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">élastique). <span style="letter-spacing: .75pt;"> </span>Le<span style="letter-spacing: -.45pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">port<span style="letter-spacing: -.95pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: .5pt;"> </span>la<span style="letter-spacing: -.85pt;">
</span>comp<span style="letter-spacing: -.2pt;">r</span>ess<span style="letter-spacing: -.2pt;">i</span>on<span style="letter-spacing: -.7pt;"> </span>est<span style="letter-spacing: .45pt;"> </span>i<span style="letter-spacing: -.2pt;">n</span>dispe<span style="letter-spacing: -.2pt;">n</span>sable<span style="letter-spacing: .6pt;"> </span>pour<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.2pt;">m</span>ai<span style="letter-spacing: -.2pt;">n</span>tenir <span style="letter-spacing: .1pt;"> </span>le<span style="letter-spacing: -.85pt;"> </span>volu<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: .6pt;"> </span>ré<span style="letter-spacing: -.2pt;">d</span>uit<span style="letter-spacing: -1.3pt;"> </span><span style="letter-spacing: -.2pt;">d</span>u lymphœdè<span style="letter-spacing: -.15pt;">m</span><span style="letter-spacing: -.4pt;">e</span>.<span style="letter-spacing: .9pt;"> </span>Ces<span style="letter-spacing: 1.2pt;"> </span>comp<span style="letter-spacing: -.15pt;">r</span>ess<span style="letter-spacing: -.15pt;">i</span>o<span style="letter-spacing: -.15pt;">ns</span>,<span style="letter-spacing: 2.7pt;"> </span>sous<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 113%;">f</span>or<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: .3pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: .9pt;"> </span>bas<span style="letter-spacing: .4pt;"> </span>cuiss<span style="letter-spacing: -.4pt;">e</span>,<span style="letter-spacing: 1.75pt;"> </span>bas<span style="letter-spacing: .4pt;"> </span>jar<span style="letter-spacing: -.2pt;">r</span>et<span style="letter-spacing: -1.05pt;"> </span>(chaussettes)<span style="letter-spacing: .65pt;"> </span>so<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .3pt;"> </span>à porter<span style="letter-spacing: .6pt;"> </span>q<span style="letter-spacing: -.2pt; mso-font-width: 89%;">u</span>ot<span style="letter-spacing: -.2pt; mso-font-width: 125%;">i</span>d<span style="letter-spacing: -.2pt; mso-font-width: 125%;">i</span>en<span style="letter-spacing: -.2pt;">n</span>e<span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>e<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: .6pt;"> </span>la<span style="letter-spacing: .6pt;"> </span>journée<span style="letter-spacing: .6pt;"> </span>et<span style="letter-spacing: .6pt;"> </span>à<span style="letter-spacing: 1.15pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span>emplacer<span style="letter-spacing: .6pt;"> </span>réguliè<span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span>e<span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>e<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: .6pt;"> </span>(tous<span style="letter-spacing: .6pt;"> </span>les<span style="letter-spacing: .6pt;"> </span>3<span style="letter-spacing: -.15pt;"> </span>à<span style="letter-spacing: 1.15pt;"> </span>4<span style="letter-spacing: -.15pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>ois)<span style="letter-spacing: .6pt;"> </span>en <span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span>aison<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: 1.2pt;"> </span>leur<span style="letter-spacing: .6pt;"> </span>perte<span style="letter-spacing: .6pt;"> </span>d’efficacité<span style="letter-spacing: .6pt;"> </span>avec<span style="letter-spacing: 1.3pt;"> </span>le<span style="letter-spacing: .6pt;"> </span>temp<span style="letter-spacing: -.2pt; mso-font-width: 77%;">s</span>.<span style="letter-spacing: .6pt;"> </span>On<span style="letter-spacing: 1.3pt;"> </span>y<span style="letter-spacing: -.1pt;"> </span>assoc<span style="letter-spacing: -.2pt; mso-font-width: 125%;">i</span>e<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">d</span>es<span style="letter-spacing: .7pt;"> </span>ba<span style="letter-spacing: -.15pt;">nd</span>a<span style="letter-spacing: -.15pt;">g</span>es<span style="letter-spacing: 1.45pt;"> </span>peu<span style="letter-spacing: 1.5pt;"> </span>élastiques <span style="letter-spacing: -.15pt; mso-font-width: 88%;">m</span>ult<span style="letter-spacing: -.15pt;">i</span>co<span style="letter-spacing: -.15pt;">u</span>c<span style="letter-spacing: -.15pt;">h</span>es<span style="letter-spacing: 2.5pt;"> </span>(com<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: .6pt;"> </span>ceux<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.2pt;">d</span>u<span style="letter-spacing: -1.25pt;"> </span>t<span style="letter-spacing: -.2pt;">r</span>aite<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .2pt;"> </span>d’attaque)
<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: -.15pt;">m</span>ais<span style="letter-spacing: .65pt;"> </span>à<span style="letter-spacing: .35pt;"> </span>u<span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: .85pt;"> </span>fréque<span style="letter-spacing: -.15pt;">n</span>ce<span style="letter-spacing: 1.45pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .45pt;"> </span>t<span style="letter-spacing: -.2pt;">r</span>ois<span style="letter-spacing: -.5pt;"> </span>par<span style="letter-spacing: .6pt;"> </span>se<span style="letter-spacing: -.2pt; mso-font-width: 89%;">m</span>ai<span style="letter-spacing: -.2pt;">n</span>e<span style="letter-spacing: .6pt;"> </span>la<span style="letter-spacing: -.55pt;"> </span><span style="letter-spacing: -.2pt;">n</span>uit.<span style="letter-spacing: .7pt;"> </span>Les<span style="letter-spacing: -.5pt;"> </span><span style="letter-spacing: -.15pt;">dr</span>ai<span style="letter-spacing: -.15pt;">n</span>a<span style="letter-spacing: -.15pt;">g</span>es<span style="letter-spacing: 1.6pt;"> </span>lymphatiques <span style="letter-spacing: 1.35pt;"> </span>so<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .2pt;"> </span>par<span style="letter-spacing: -.2pt;">f</span>ois<span style="letter-spacing: .7pt;"> </span>utile<span style="letter-spacing: -.2pt;">s</span>.</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 5.5pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 0cm; margin-top: .2pt; mso-line-height-rule: exactly;">
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<div class="MsoNormal" style="line-height: 108%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 62.4pt; margin-right: 59.2pt; margin-top: 0cm; text-align: justify; text-indent: 28.6pt;">
<b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">Le</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s<span style="letter-spacing: .4pt;"> </span></span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">c</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">o</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">mp</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">l</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">i</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">c</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">a</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">t</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">i</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">o</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">n</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">i</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">n</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">f</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">e</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">c</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">t</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">i</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">e</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">u</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">s</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">e</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.3pt; line-height: 108%;"> </span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">(</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">é</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">r</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">y</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">s</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">i</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">p</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">è</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">l</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">e</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">s</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">)</span></b><b><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.35pt; line-height: 108%;"> </span></b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.25pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.25pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">ée</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">pa</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">r<span style="letter-spacing: .15pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.25pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">b</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.25pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">q</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">(</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.25pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.25pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">x</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.05pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">- </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">c</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">ll</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.2pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: -0.4pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">,</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.65pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; letter-spacing: 0.05pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 12pt; line-height: 108%;">u<span style="letter-spacing: -.8pt;">
</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .05pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 88%;">y</span><span style="letter-spacing: .05pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 111%;">)</span>.<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 125%;">I</span>l<span style="letter-spacing: -.15pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 77%;">s</span>t<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">po</span><span style="letter-spacing: .05pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 88%;">v</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span>r<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">é</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">gu</span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">è</span><span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 83%;">d</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>s<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">é</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span>- <span style="letter-spacing: .05pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">u</span><span style="letter-spacing: .05pt; mso-font-width: 94%;">r</span><span style="letter-spacing: -.15pt; mso-font-width: 125%;">i</span>e<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span>t<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">’é</span><span style="letter-spacing: .05pt; mso-font-width: 88%;">v</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span>r<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: .05pt;">o</span>u<span style="letter-spacing: -.75pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 83%;">é</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">g</span><span style="letter-spacing: -.15pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">g</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">u</span><span style="letter-spacing: -.15pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: .05pt;">qu</span>i<span style="letter-spacing: -.3pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">u</span><span style="letter-spacing: .05pt; mso-font-width: 88%;">v</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 83%;">ê</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 94%;">r</span>e<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 83%;">d</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: 1.3pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 89%;">po</span><span style="letter-spacing: .05pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">’e</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">é</span>e<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 89%;">pou</span>r<span style="letter-spacing: 1.3pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span>s <span style="letter-spacing: .05pt; mso-font-width: 83%;">é</span><span style="letter-spacing: .05pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 88%;">y</span><span style="letter-spacing: .05pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">è</span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.2pt; mso-font-width: 77%;">s</span>.<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: -1.05pt; mso-font-width: 79%;">L</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">’a</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">pp</span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: -.2pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.2pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span>n<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 86%;">d’u</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">n</span>e<span style="letter-spacing: 1.7pt;"> </span><span style="letter-spacing: .05pt;">crè</span><span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 93%;">h</span><span style="letter-spacing: .05pt; mso-font-width: 88%;">y</span><span style="letter-spacing: -.2pt; mso-font-width: 89%;">d</span><span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span>e<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 85%;">su</span>r<span style="letter-spacing: 1.3pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span>a<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 85%;">pea</span>u<span style="letter-spacing: 1.45pt;"> </span><span style="letter-spacing: .05pt;">sèc</span><span style="letter-spacing: -.15pt;">h</span>e<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span>t<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 83%;">ê</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span>e<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">é</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">gu</span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">è</span><span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span><span style="letter-spacing: -.4pt; mso-font-width: 83%;">e</span>.<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 69%;">E</span>n cas<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: -.2pt;">d</span>e<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.2pt;">m</span>ycose<span style="letter-spacing: -.2pt;">s</span>,<span style="letter-spacing: .25pt;"> </span>un<span style="letter-spacing: .95pt;"> </span>t<span style="letter-spacing: -.25pt; mso-font-width: 94%;">r</span>aite<span style="letter-spacing: -.25pt; mso-font-width: 86%;">m</span>e<span style="letter-spacing: -.25pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: -.35pt;"> </span>par<span style="letter-spacing: .25pt;"> </span>a<span style="letter-spacing: -.25pt; mso-font-width: 93%;">n</span>ti<span style="letter-spacing: -.25pt; mso-font-width: 86%;">m</span>ycosique<span style="letter-spacing: -.35pt;"> </span>est<span style="letter-spacing: -.35pt;"> </span>nécessai<span style="letter-spacing: -.25pt; mso-font-width: 94%;">r</span>e<span style="letter-spacing: -.35pt;"> </span>en<span style="letter-spacing: .05pt;"> </span>y<span style="letter-spacing: -1.05pt;"> </span>assoc<span style="letter-spacing: -.25pt; mso-font-width: 125%;">i</span>a<span style="letter-spacing: -.25pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: -.35pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: .25pt;"> </span>la<span style="letter-spacing: -.35pt;"> </span>po<span style="letter-spacing: -.25pt;">ud</span><span style="letter-spacing: -.25pt; mso-font-width: 94%;">r</span>e pour<span style="letter-spacing: 1.1pt;"> </span>les<span style="letter-spacing: .3pt;"> </span>chaussu<span style="letter-spacing: -.2pt;">r</span>e<span style="letter-spacing: -.2pt;">s</span>.</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 5.5pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 0cm; margin-top: .2pt; mso-line-height-rule: exactly;">
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<div class="MsoNormal" style="line-height: 108%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 62.4pt; margin-right: 59.15pt; margin-top: 0cm; text-align: justify; text-indent: 28.65pt;">
<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">I</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">l<span style="letter-spacing: -.05pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.8pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">ss</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.15pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.15pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.8pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.15pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e<span style="letter-spacing: 1.4pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">b</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.8pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.8pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">po</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.15pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.15pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">,</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.8pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">v</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.15pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.8pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">d’e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">n<span style="letter-spacing: 1.15pt;"> </span><span style="letter-spacing: .1pt;">pe</span><span style="letter-spacing: -.15pt;">rdr</span><span style="letter-spacing: -.3pt;">e</span>,<span style="letter-spacing: 1.65pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.8pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.8pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.15pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e<span style="letter-spacing: 1.4pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">po</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.15pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.8pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">é</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.15pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.8pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.1pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">n <span style="letter-spacing: -.2pt; mso-font-width: 92%;">f</span>acteur<span style="letter-spacing: .5pt;"> </span>agg<span style="letter-spacing: -.2pt;">r</span>ava<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.2pt;">d</span>u<span style="letter-spacing: -1.25pt;"> </span>lymphœdè<span style="letter-spacing: -.2pt;">m</span><span style="letter-spacing: -.45pt; mso-font-width: 83%;">e</span>.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">Des<span style="letter-spacing: 1.5pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">j</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">c</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">o</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">,</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.6pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.15pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">es<span style="letter-spacing: 1.15pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">é</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">è</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">v</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.6pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">gu</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.6pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">ou<span style="letter-spacing: -.85pt;"> </span>u<span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: 1.05pt;"> </span>prise<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: 1.2pt;"> </span>te<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>s<span style="letter-spacing: -.2pt; mso-font-width: 125%;">i</span>on<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 89%;">d</span>oive<span style="letter-spacing: -.2pt; mso-font-width: 93%;">n</span>t,<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">d</span>a<span style="letter-spacing: -.15pt;">n</span>s<span style="letter-spacing: 1.25pt;"> </span>la <span style="letter-spacing: -.15pt; mso-font-width: 88%;">m</span>esu<span style="letter-spacing: -.15pt;">r</span>e<span style="letter-spacing: -.8pt;"> </span><span style="letter-spacing: -.15pt;">d</span>u<span style="letter-spacing: .6pt;"> </span>possibl<span style="letter-spacing: -.4pt;">e</span>,<span style="letter-spacing: 1.5pt;"> </span>êt<span style="letter-spacing: -.15pt;">r</span>e<span style="letter-spacing: 1.25pt;"> </span>évités<span style="letter-spacing: 1.45pt;"> </span>sur<span style="letter-spacing: .15pt;"> </span>le<span style="letter-spacing: -.65pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span>emb<span style="letter-spacing: -.15pt;">r</span>e<span style="letter-spacing: .6pt;"> </span>prése<span style="letter-spacing: -.2pt;">n</span>ta<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .1pt;"> </span>un<span style="letter-spacing: -1.1pt;"> </span>œdè<span style="letter-spacing: -.15pt;">m</span><span style="letter-spacing: -.4pt;">e</span>.<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.65pt; mso-font-width: 72%;">T</span>out<span style="letter-spacing: .1pt;"> </span>acte<span style="letter-spacing: .45pt;"> </span>d’acupu<span style="letter-spacing: -.2pt;">n</span>c</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12pt;">tu<span style="letter-spacing: -.2pt;">r</span>e<span style="letter-spacing: .5pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12pt;">ou<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 87%;">d</span>e<span style="letter-spacing: .45pt;"> </span>mésothé<span style="letter-spacing: -.15pt;">r</span>ap<span style="letter-spacing: -.15pt;">i</span>e<span style="letter-spacing: 2.25pt;"> </span><span style="letter-spacing: -.2pt;">d</span>oit<span style="letter-spacing: .35pt;"> </span>égale<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .2pt;"> </span>êt<span style="letter-spacing: -.2pt;">r</span>e<span style="letter-spacing: .65pt;"> </span>évité.</span></div>
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<b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">Q</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">u</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">e<span style="letter-spacing: 1.95pt;"> </span>p<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>u<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>-<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: 1.7pt;"> </span>f<span style="letter-spacing: -2.9pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>r<span style="letter-spacing: -2.9pt;"> </span>e<span style="letter-spacing: 1.95pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>-<span style="letter-spacing: -2.65pt;"> </span>m<span style="letter-spacing: -2.65pt;"> </span>ê<span style="letter-spacing: -2.65pt;"> </span>m<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: 1.95pt;"> </span>p<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>u<span style="letter-spacing: -2.65pt;"> </span>r<span style="letter-spacing: 2.25pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: 1.95pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>g<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>r<span style="letter-spacing: 2.25pt;"> </span>?</span></b><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 14.0pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">A</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">u <span style="letter-spacing: -.05pt;">cour</span>s<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.2pt;">d</span>u<span style="letter-spacing: .45pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">é</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">j</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">ou</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">à<span style="letter-spacing: .15pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">’</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">h</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">ôp</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">,</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">h</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">y</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">q</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">pa</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">r<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.05pt;">ba</span><span style="letter-spacing: -.2pt;">nd</span>a<span style="letter-spacing: -.2pt;">g</span><span style="letter-spacing: -.05pt;">e</span>s<span style="letter-spacing: -.15pt;"> </span><span style="letter-spacing: -.05pt;">pe</span>u<span style="letter-spacing: .25pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">é</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">q</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">u</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">ê</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e<span style="letter-spacing: -.15pt;">n</span>se<span style="letter-spacing: -.15pt;">i</span>gné<span style="letter-spacing: 2.4pt;"> </span>à<span style="letter-spacing: .85pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">la<span style="letter-spacing: -.25pt;"> </span>person<span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: 1.05pt;"> </span>attei<span style="letter-spacing: -.2pt;">n</span>te<span style="letter-spacing: -.1pt;"> </span>d’un<span style="letter-spacing: 1.35pt;"> </span>lymphœdè<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: .55pt;"> </span>(et<span style="letter-spacing: .65pt;"> </span>à<span style="letter-spacing: .65pt;"> </span>l’e<span style="letter-spacing: -.15pt;">n</span>tou<span style="letter-spacing: -.15pt;">r</span>a<span style="letter-spacing: -.15pt;">g</span>e).
<span style="letter-spacing: 1.7pt;"> </span>La<span style="letter-spacing: .15pt;"> </span>comp<span style="letter-spacing: -.15pt;">r</span>ess<span style="letter-spacing: -.15pt;">i</span>on<span style="letter-spacing: 1.3pt;"> </span>est
mise<span style="letter-spacing: .65pt;"> </span>en<span style="letter-spacing: .75pt;"> </span>place<span style="letter-spacing: .9pt;"> </span>par<span style="letter-spacing: .8pt;"> </span>le<span style="letter-spacing: -.55pt;">
</span><span style="letter-spacing: -.15pt; mso-font-width: 87%;">m</span>ala<span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .65pt;"> </span>lui-mê<span style="letter-spacing: -.2pt;">m</span><span style="letter-spacing: -.45pt; mso-font-width: 83%;">e</span>.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">Après<span style="letter-spacing: -.85pt;"> </span>un<span style="letter-spacing: .5pt;"> </span>p<span style="letter-spacing: -.15pt;">r</span>em<span style="letter-spacing: -.15pt;">i</span>er<span style="letter-spacing: .65pt;"> </span>épiso<span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .1pt;"> </span>d’érysipèl<span style="letter-spacing: -.4pt;">e</span>,<span style="letter-spacing: 1.2pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">il<span style="letter-spacing: .75pt;"> </span>est<span style="letter-spacing: .6pt;"> </span>co<span style="letter-spacing: -.15pt;">n</span>seillé<span style="letter-spacing: 1.85pt;"> </span>d’app<span style="letter-spacing: -.15pt;">r</span>e<span style="letter-spacing: -.15pt;">ndr</span>e<span style="letter-spacing: .65pt;"> </span>à<span style="letter-spacing: -.15pt;"> r</span>econ<span style="letter-spacing: -.15pt;">n</span>aît<span style="letter-spacing: -.15pt;">r</span>e<span style="letter-spacing: 2.45pt;"> </span>les p<span style="letter-spacing: -.2pt;">r</span>em<span style="letter-spacing: -.2pt;">i</span>ers <span style="letter-spacing: .1pt; mso-font-width: 77%;">s</span><span style="letter-spacing: -.15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">g</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 113%;">f</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">u</span>x<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 89%;">a</span>f<span style="letter-spacing: .05pt;">i</span>n<span style="letter-spacing: 2.15pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: .1pt;">pou</span><span style="letter-spacing: .1pt; mso-font-width: 88%;">v</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span>r<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 88%;">p</span><span style="letter-spacing: -.15pt; mso-font-width: 88%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 88%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 88%;">ndr</span>e<span style="letter-spacing: 1.45pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">p</span><span style="letter-spacing: -.15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">b</span><span style="letter-spacing: -.15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 86%;">q</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">u</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 84%;">e</span>n<span style="letter-spacing: 1.9pt;"> </span><span style="letter-spacing: .1pt;">ca</span>s<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: 1.6pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">ou</span><span style="letter-spacing: .1pt; mso-font-width: 88%;">v</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span>l <span style="letter-spacing: .1pt; mso-font-width: 83%;">é</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span><span style="letter-spacing: -.15pt; mso-font-width: 89%;">d</span><span style="letter-spacing: -.35pt; mso-font-width: 83%;">e</span>.<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 125%;">I</span>l<span style="letter-spacing: -.05pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 77%;">s</span>t<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 113%;">f</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .1pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 116%;">ll</span>é<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 82%;">d</span>e<span style="letter-spacing: 1.9pt;"> </span><span style="letter-spacing: .1pt;">s</span>e<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">u</span><span style="letter-spacing: .1pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span>r<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 88%;">d’u</span><span style="letter-spacing: -.15pt; mso-font-width: 88%;">n</span>e<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: .1pt;">o</span><span style="letter-spacing: -.15pt;">rd</span><span style="letter-spacing: .1pt;">on</span><span style="letter-spacing: -.15pt;">n</span><span style="letter-spacing: .1pt;">a</span><span style="letter-spacing: -.15pt;">n</span><span style="letter-spacing: .1pt;">c</span>e<span style="letter-spacing: 1.8pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 89%;">p</span><span style="letter-spacing: -.15pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .1pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .1pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 88%;">v</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .1pt; mso-font-width: 94%;">r</span>s<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 89%;">d</span>e déplace<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: -.15pt;">n</span>ts<span style="letter-spacing: .7pt;"> </span>ou<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: .8pt;"> </span>voya<span style="letter-spacing: -.2pt;">g</span>e<span style="letter-spacing: -.2pt;">s</span>.<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">C</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">o</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">m</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">m</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">e</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">n</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">t<span style="letter-spacing: 3.3pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: 1.95pt;"> </span>f<span style="letter-spacing: -2.9pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>r<span style="letter-spacing: -2.9pt;"> </span>e<span style="letter-spacing: 1.95pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>u<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>v<span style="letter-spacing: -2.65pt;"> </span>r<span style="letter-spacing: -2.9pt;"> </span>e<span style="letter-spacing: 1.95pt;"> </span>?</span></b><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 14.0pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">Le<span style="letter-spacing: -.75pt;"> </span>lymphœdè<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: -.15pt;"> </span>pri<span style="letter-spacing: -.15pt;">m</span>ai<span style="letter-spacing: -.15pt;">r</span>e<span style="letter-spacing: 1.9pt;"> </span>est<span style="letter-spacing: .5pt;"> </span>u<span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.15pt;">m</span>alad<span style="letter-spacing: -.15pt;">i</span>e<span style="letter-spacing: .65pt;"> </span>ch<span style="letter-spacing: -.15pt;">r</span>onique<span style="letter-spacing: 1.6pt;">
</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">o<span style="letter-spacing: -.2pt;">n</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">le<span style="letter-spacing: -.95pt;"> </span>t<span style="letter-spacing: -.2pt;">r</span>aite<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: -.2pt;"> </span>est<span style="letter-spacing: .15pt;"> </span>p<span style="letter-spacing: -.2pt;">r</span>olo<span style="letter-spacing: -.2pt;">n</span>gé.<span style="letter-spacing: 1.1pt;"> </span>Il<span style="letter-spacing: 1.3pt;">
</span>est préfé<span style="letter-spacing: -.2pt;">r</span>able<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: -.2pt;">d</span>e<span style="letter-spacing: -.3pt;"> </span>bénéfic<span style="letter-spacing: -.2pt;">i</span>er<span style="letter-spacing: 1.25pt;"> </span>d’un<span style="letter-spacing: .35pt;"> </span>suivi<span style="letter-spacing: 1.3pt;"> </span>méd<span style="letter-spacing: -.2pt;">i</span>cal<span style="letter-spacing: .35pt;"> </span>régul<span style="letter-spacing: -.2pt;">i</span>er<span style="letter-spacing: 1.35pt;"> </span>par<span style="letter-spacing: -.05pt;"> </span>un<span style="letter-spacing: .4pt;"> </span>mé<span style="letter-spacing: -.2pt;">d</span>ecin<span style="letter-spacing: -.15pt;"> </span>ou<span style="letter-spacing: .1pt;"> </span>un<span style="letter-spacing: .4pt;"> </span>serv<span style="letter-spacing: -.2pt;">i</span>ce<span style="letter-spacing: -.55pt;"> </span>spéc<span style="letter-spacing: -.2pt;">i</span>alisé <span style="letter-spacing: .05pt; mso-font-width: 87%;">pou</span>r<span style="letter-spacing: 1.9pt;"> </span><span style="letter-spacing: -.15pt;">m</span><span style="letter-spacing: .05pt;">esu</span><span style="letter-spacing: -.15pt;">r</span><span style="letter-spacing: .05pt;">e</span>r<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span>e<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 88%;">v</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">u</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span>e<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.15pt;">d</span>u<span style="letter-spacing: -.7pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 88%;">y</span><span style="letter-spacing: .05pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .05pt; mso-font-width: 93%;">h</span><span style="letter-spacing: .05pt; mso-font-width: 82%;">œ</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">è</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span>e<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span>t<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">pp</span><span style="letter-spacing: .05pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">é</span><span style="letter-spacing: .05pt; mso-font-width: 85%;">c</span><span style="letter-spacing: -.15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span>r<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span>e<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">u</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 88%;">v</span>i<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.15pt;">d</span>u<span style="letter-spacing: -.7pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span>.<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 69%;">S</span>i<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">’</span><span style="letter-spacing: .05pt; mso-font-width: 82%;">œ</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">è</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span>e <span style="letter-spacing: -.1pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .15pt; mso-font-width: 88%;">v</span><span style="letter-spacing: -.1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.1pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: 1.15pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">ub</span><span style="letter-spacing: .15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .15pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.1pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.1pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: 1.15pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">ou</span><span style="letter-spacing: .15pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">ou</span><span style="letter-spacing: -.1pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">u</span>x<span style="letter-spacing: 1.15pt;"> </span><span style="letter-spacing: .15pt;">o</span>u<span style="letter-spacing: -.3pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">ug</span><span style="letter-spacing: -.1pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.1pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .15pt; mso-font-width: 126%;">t</span>e<span style="letter-spacing: 1.15pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 89%;">b</span><span style="letter-spacing: .15pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">u</span><span style="letter-spacing: .15pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .15pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.1pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.1pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: 1.15pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: 1.75pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 88%;">v</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .15pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">u</span><span style="letter-spacing: -.1pt; mso-font-width: 86%;">m</span><span style="letter-spacing: -.3pt; mso-font-width: 83%;">e</span>,<span style="letter-spacing: 1.15pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 88%;">u</span><span style="letter-spacing: -.1pt; mso-font-width: 88%;">n</span>e<span style="letter-spacing: 1.6pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">o</span><span style="letter-spacing: -.1pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .15pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">u</span><span style="letter-spacing: .15pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .15pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .15pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .15pt; mso-font-width: 89%;">o</span>n méd<span style="letter-spacing: -.2pt;">i</span>cale<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.2pt;">r</span>ap<span style="letter-spacing: -.2pt;">id</span>e<span style="letter-spacing: .95pt;"> </span>est<span style="letter-spacing: .75pt;"> </span>nécessai<span style="letter-spacing: -.2pt;">r</span><span style="letter-spacing: -.45pt; mso-font-width: 83%;">e</span>.<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">U</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt;">n<span style="letter-spacing: 1.7pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>u<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: 1.7pt;"> </span>p<span style="letter-spacing: -2.65pt;"> </span>s<span style="letter-spacing: -2.9pt;"> </span>y<span style="letter-spacing: -2.9pt;"> </span>c<span style="letter-spacing: -2.65pt;"> </span>h<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>g<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>q<span style="letter-spacing: -2.65pt;"> </span>u<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: 1.95pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>-<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>l<span style="letter-spacing: 3.05pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>u<span style="letter-spacing: -2.65pt;"> </span>h<span style="letter-spacing: -2.65pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>b<span style="letter-spacing: -2.65pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: 1.95pt;"> </span>?</span></b><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 14.0pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">Le<span style="letter-spacing: 1.05pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">ete<span style="letter-spacing: -.2pt;">n</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">tisse<span style="letter-spacing: -.2pt;">m</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e<span style="letter-spacing: -.2pt;">n</span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: 0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">psyc<span style="letter-spacing: -.2pt;">h</span>ologique<span style="letter-spacing: 1.5pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">et<span style="letter-spacing: .1pt;"> </span>soc<span style="letter-spacing: -.2pt;">i</span>al<span style="letter-spacing: 1.0pt;"> </span>est<span style="letter-spacing: -1.2pt;"> </span>par<span style="letter-spacing: -.2pt;">f</span>ois<span style="letter-spacing: .1pt;"> </span>très<span style="letter-spacing: .25pt;"> </span>importa<span style="letter-spacing: -.2pt;">n</span>t,<span style="letter-spacing: 2.15pt;"> </span><span style="letter-spacing: -.2pt;">n</span>otam<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .4pt;"> </span>c<span style="letter-spacing: -.15pt;">h</span>ez<span style="letter-spacing: 1.0pt;"> </span>les
<span style="letter-spacing: .05pt; mso-font-width: 125%;">j</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">u</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: .75pt;"> </span>f<span style="letter-spacing: .05pt;">i</span><span style="letter-spacing: .05pt; mso-font-width: 116%;">ll</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 77%;">s</span>.<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -1.05pt; mso-font-width: 79%;">L</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">’</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.15pt; mso-font-width: 89%;">g</span>e<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.15pt;">d</span>u<span style="letter-spacing: -.7pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 86%;">corp</span>s<span style="letter-spacing: 1.35pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span>,<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span>a<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">up</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 94%;">r</span>t<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.15pt;">d</span>u<span style="letter-spacing: -.7pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">p</span><span style="letter-spacing: -.15pt; mso-font-width: 77%;">s</span>,<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 77%;">s</span><span style="letter-spacing: -.15pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">é</span><span style="letter-spacing: -.15pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">b</span><span style="letter-spacing: .05pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 89%;">od</span><span style="letter-spacing: .05pt; mso-font-width: 125%;">i</span>f<span style="letter-spacing: .05pt;">i</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">é</span><span style="letter-spacing: -.35pt; mso-font-width: 83%;">e</span>.<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 82%;">U</span><span style="letter-spacing: -.15pt; mso-font-width: 93%;">n</span>e <span style="letter-spacing: .1pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .1pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 77%;">s</span>e<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 87%;">e</span>n<span style="letter-spacing: 1.6pt;"> </span><span style="letter-spacing: .1pt;">cha</span><span style="letter-spacing: -.1pt;">rg</span>e<span style="letter-spacing: 1.6pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .1pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .1pt; mso-font-width: 88%;">y</span><span style="letter-spacing: .1pt; mso-font-width: 85%;">c</span><span style="letter-spacing: -.1pt; mso-font-width: 93%;">h</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">og</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 86%;">q</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">u</span>e<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 77%;">s</span>t<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">ou</span><span style="letter-spacing: .1pt; mso-font-width: 88%;">v</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.1pt; mso-font-width: 93%;">n</span>t<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">é</span><span style="letter-spacing: .1pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 77%;">ss</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.1pt; mso-font-width: 94%;">r</span>e<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 86%;">pou</span>r<span style="letter-spacing: 2.45pt;"> </span><span style="letter-spacing: .1pt;">app</span><span style="letter-spacing: -.1pt;">r</span><span style="letter-spacing: .1pt;">e</span><span style="letter-spacing: -.1pt;">ndr</span>e<span style="letter-spacing: 2.55pt;"> </span>à<span style="letter-spacing: 1.25pt;"> </span>«<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 85%;">cc</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span>r<span style="letter-spacing: 1.0pt;"> </span>»<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span>a <span style="letter-spacing: -.2pt; mso-font-width: 86%;">m</span>alad<span style="letter-spacing: -.2pt;">i</span><span style="letter-spacing: -.45pt; mso-font-width: 83%;">e</span>.<o:p></o:p></span></div>
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<span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 23.0pt;">Viv<span style="letter-spacing: -.35pt;">r</span>e<span style="letter-spacing: 1.45pt;"> </span></span><span lang="EN-US" style="color: #be4804; font-family: "arial" , "sans-serif"; font-size: 23.0pt;">avec</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 23.0pt;"><o:p></o:p></span></div>
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<div class="MsoNormal" style="line-height: 94%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 62.35pt; margin-right: 100.8pt; margin-top: 0cm; text-indent: -22.7pt;">
<b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; line-height: 94%;">Q</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt; line-height: 94%;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; line-height: 94%;">u</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt; line-height: 94%;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; line-height: 94%;">e</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt; line-height: 94%;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; line-height: 94%;">l</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt; line-height: 94%;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; line-height: 94%;">l</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt; line-height: 94%;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; line-height: 94%;">e</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt; line-height: 94%;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; line-height: 94%;">s <span style="letter-spacing: .75pt;"> </span>s</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt; line-height: 94%;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; line-height: 94%;">o</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt; line-height: 94%;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; line-height: 94%;">n</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt; line-height: 94%;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; line-height: 94%;">t<span style="letter-spacing: 3.3pt;">
</span>l<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>s <span style="letter-spacing: .75pt;"> </span>c<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>é<span style="letter-spacing: -2.65pt;"> </span>q<span style="letter-spacing: -2.65pt;"> </span>u<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>c<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>s <span style="letter-spacing: .75pt;"> </span>d<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: 1.95pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span>a<span style="letter-spacing: 1.7pt;"> </span></span></b><br />
<b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; line-height: 94%;">m<span style="letter-spacing: -2.65pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>d<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: 1.95pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>u<span style="letter-spacing: -2.65pt;"> </span>r<span style="letter-spacing: 2.25pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span>a<span style="letter-spacing: 1.7pt;"> </span>v<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -1.3pt;"> </span>f<span style="letter-spacing: -2.9pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>m<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span><span style="letter-spacing: .75pt;">e</span>,<span style="letter-spacing: 2.15pt;"> </span>p<span style="letter-spacing: -2.65pt;"> </span>r<span style="letter-spacing: -2.9pt;"> </span>o<span style="letter-spacing: -2.9pt;"> </span>f<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span><span style="letter-spacing: .75pt;">e</span>,</span></b><br />
<b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; line-height: 94%;">s<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>c<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span><span style="letter-spacing: .75pt;">e</span>,<span style="letter-spacing: 2.15pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>c<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span>a<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>r<span style="letter-spacing: -2.9pt;"> </span><span style="letter-spacing: .75pt;">e</span>,<span style="letter-spacing: 2.15pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>p<span style="letter-spacing: -2.65pt;"> </span>o<span style="letter-spacing: -2.65pt;"> </span>r<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: -2.65pt;"> </span>i<span style="letter-spacing: -2.65pt;"> </span>v<span style="letter-spacing: -2.9pt;"> </span>e
<span style="letter-spacing: -1.1pt;"> </span>?</span></b><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 14.0pt; line-height: 94%;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -1.15pt; line-height: 108%;">L</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">’</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">ob</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">j</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">c</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">f</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">u<span style="letter-spacing: .1pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">s</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e<span style="letter-spacing: .2pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">r</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">ss</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">n</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">t</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.2pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">u<span style="letter-spacing: .1pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">y</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">p</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">h</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">œ</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">d</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">è</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">su</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">r<span style="letter-spacing: .25pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">v</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.4pt; line-height: 108%;"> </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">f</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">m</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.25pt; line-height: 108%;">i</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">a</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.05pt; line-height: 108%;">l</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; letter-spacing: -0.5pt; line-height: 108%;">e</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">, </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">p<span style="letter-spacing: -.15pt;">ro</span>fess<span style="letter-spacing: -.15pt;">i</span>on<span style="letter-spacing: -.15pt;">n</span>elle<span style="letter-spacing: 2.2pt;"> </span>ou<span style="letter-spacing: .25pt;"> </span>sportiv<span style="letter-spacing: -.4pt;">e</span>.<span style="letter-spacing: 2.35pt;"> </span>La<span style="letter-spacing: -.85pt;"> </span>posit<span style="letter-spacing: -.15pt;">i</span>on <span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.15pt;">d</span>ebout<span style="letter-spacing: 1.35pt;"> </span>en<span style="letter-spacing: .1pt;"> </span>per<span style="letter-spacing: -.15pt;">m</span>a<span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: -.15pt;">n</span>ce<span style="letter-spacing: -.75pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: -.2pt;"> </span>certai<span style="letter-spacing: -.15pt;">n</span>es<span style="letter-spacing: .85pt;"> </span>p<span style="letter-spacing: -.15pt;">ro</span>fess<span style="letter-spacing: -.15pt;">i</span>o<span style="letter-spacing: -.15pt;">n</span>s<span style="letter-spacing: .4pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">est par<span style="letter-spacing: -.15pt;">f</span>ois<span style="letter-spacing: 2.25pt;"> </span><span style="letter-spacing: -.15pt;">m</span>al<span style="letter-spacing: .95pt;"> </span>toléré<span style="letter-spacing: -.4pt;">e</span>. <span style="letter-spacing: .15pt;"> </span>Da<span style="letter-spacing: -.15pt;">n</span>s<span style="letter-spacing: -.85pt;"> </span>ce<span style="letter-spacing: .25pt;"> </span>ca<span style="letter-spacing: -.15pt;">s</span>,<span style="letter-spacing: .3pt;"> </span>u<span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: .85pt;"> </span>réor<span style="letter-spacing: -.2pt;">i</span>e<span style="letter-spacing: -.2pt;">n</span>tat<span style="letter-spacing: -.2pt;">i</span>on
<span style="letter-spacing: .2pt;"> </span>p<span style="letter-spacing: -.2pt;">ro</span>fess<span style="letter-spacing: -.2pt;">i</span>on<span style="letter-spacing: -.2pt;">n</span>elle<span style="letter-spacing: .2pt;"> </span>est<span style="letter-spacing: .35pt;"> </span>par<span style="letter-spacing: -.2pt;">f</span>ois<span style="letter-spacing: .7pt;"> </span>nécessai<span style="letter-spacing: -.2pt;">r</span><span style="letter-spacing: -.45pt; mso-font-width: 83%;">e</span>.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">Après<span style="letter-spacing: .7pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">le<span style="letter-spacing: -.55pt;"> </span>t<span style="letter-spacing: -.2pt;">r</span>aite<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>t,<span style="letter-spacing: .65pt;"> </span>la<span style="letter-spacing: -.55pt;">
</span>mise<span style="letter-spacing: .65pt;">
</span>en<span style="letter-spacing: .75pt;"> </span>place<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .45pt;"> </span>co<span style="letter-spacing: -.15pt;">n</span>seils<span style="letter-spacing: 1.25pt;"> </span>d’<span style="letter-spacing: -.15pt;">h</span>ygiè<span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: 2.25pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .45pt;"> </span>v<span style="letter-spacing: -.15pt;">i</span>e<span style="letter-spacing: 1.45pt;"> </span>person<span style="letter-spacing: -.15pt;">n</span>alisés<span style="letter-spacing: 1.05pt;">
</span>per<span style="letter-spacing: -.2pt;">m</span>ett<span style="letter-spacing: -.2pt;">r</span>a <span style="letter-spacing: -.1pt; mso-font-width: 85%;">d</span>e<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.1pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">u</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span>r<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">l</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 77%;">s</span><span style="letter-spacing: .1pt; mso-font-width: 86%;">q</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">u</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span>s<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">’a</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">pp</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span>n<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 89%;">d’u</span>n<span style="letter-spacing: 1.4pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 93%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">ou</span><span style="letter-spacing: .1pt; mso-font-width: 88%;">v</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span>l<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 85%;">œdè</span><span style="letter-spacing: -.1pt; mso-font-width: 85%;">m</span><span style="letter-spacing: -.3pt; mso-font-width: 85%;">e</span>.<span style="letter-spacing: 1.85pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 73%;">Ce</span>s<span style="letter-spacing: 2.0pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 94%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 85%;">c</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span><span style="letter-spacing: .1pt; mso-font-width: 86%;">m</span><span style="letter-spacing: -.1pt; mso-font-width: 86%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.1pt; mso-font-width: 93%;">n</span><span style="letter-spacing: -.1pt; mso-font-width: 89%;">d</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.1pt; mso-font-width: 125%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">o</span><span style="letter-spacing: -.1pt; mso-font-width: 93%;">n</span>s<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 89%;">p</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 89%;">u</span><span style="letter-spacing: .1pt; mso-font-width: 88%;">v</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.1pt; mso-font-width: 93%;">n</span>t e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: -.2pt;">r</span>aî<span style="letter-spacing: -.2pt;">n</span>er<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 84%;">d</span>es<span style="letter-spacing: .55pt;"> </span>co<span style="letter-spacing: -.15pt;">n</span>séque<span style="letter-spacing: -.15pt;">n</span>ces<span style="letter-spacing: 1.65pt;"> </span>sur<span style="letter-spacing: 1.05pt;"> </span>la<span style="letter-spacing: -.55pt;"> </span>v<span style="letter-spacing: -.2pt;">i</span>e<span style="letter-spacing: .55pt;"> </span>q<span style="letter-spacing: -.2pt;">u</span>ot<span style="letter-spacing: -.2pt;">i</span>d<span style="letter-spacing: -.2pt;">i</span>en<span style="letter-spacing: -.2pt;">n</span>e:<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt;">-<span style="letter-spacing: .4pt;"> </span>éviter<span style="letter-spacing: .4pt;"> </span>le<span style="letter-spacing: -.55pt;"> </span>surpo<span style="letter-spacing: -.2pt;">i</span>d<span style="letter-spacing: -.2pt;">s</span>.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">-<span style="letter-spacing: -.1pt;"> </span>surveiller<span style="letter-spacing: -.05pt;"> </span>et<span style="letter-spacing: -.6pt;"> </span>so<span style="letter-spacing: -.2pt;">i</span>g<span style="letter-spacing: -.2pt;">n</span>er<span style="letter-spacing: -.45pt;"> </span>l’apparit<span style="letter-spacing: -.2pt;">i</span>on<span style="letter-spacing: 2.2pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 84%;">d</span>e<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.15pt;">m</span>ycoses<span style="letter-spacing: .05pt;">
</span>pri<span style="letter-spacing: -.2pt;">n</span>cipale<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: -.3pt;"> </span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: -.2pt;">r</span>e<span style="letter-spacing: .35pt;"> </span>les<span style="letter-spacing: -.75pt;"> </span>orteils;<span style="letter-spacing: 1.75pt;"> </span>séc<span style="letter-spacing: -.2pt;">h</span>er
très<span style="letter-spacing: .5pt;"> </span>so<span style="letter-spacing: -.2pt;">i</span>g<span style="letter-spacing: -.2pt;">n</span>euse<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .2pt;"> </span>le<span style="letter-spacing: -.55pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span>emb<span style="letter-spacing: -.15pt;">r</span>e<span style="letter-spacing: .7pt;"> </span>attei<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">d</span>e<span style="letter-spacing: .65pt;"> </span>lymphœdè<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: 1.75pt;"> </span>et<span style="letter-spacing: -.1pt;"> </span>les<span style="letter-spacing: .3pt;"> </span>orteils<span style="letter-spacing: 2.85pt;"> </span>après<span style="letter-spacing: -.3pt;"> </span>la<span style="letter-spacing: -.55pt;">
</span>toilett<span style="letter-spacing: -.45pt;">e</span>.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">-<span style="letter-spacing: .6pt;"> </span>éviter<span style="letter-spacing: 2.55pt;"> </span>les<span style="letter-spacing: .5pt;"> </span>sou<span style="letter-spacing: -.15pt;">r</span>ces<span style="letter-spacing: -.6pt;"> </span>pote<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: -.2pt;">i</span>elles<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 88%;">d</span>e<span style="letter-spacing: .5pt;"> </span>blessu<span style="letter-spacing: -.15pt;">r</span>es<span style="letter-spacing: -.6pt;"> </span>mê<span style="letter-spacing: -.15pt;">m</span>e<span style="letter-spacing: -.35pt;"> </span>mini<span style="letter-spacing: -.15pt;">m</span>es<span style="letter-spacing: 1.7pt;"> </span>(griffu<span style="letter-spacing: -.15pt;">r</span>e<span style="letter-spacing: -.15pt;">s</span>,
<span style="letter-spacing: 1.55pt;"> </span>piqû<span style="letter-spacing: -.15pt;">r</span>es<span style="letter-spacing: 1.1pt;"> </span>d’in-
secte<span style="letter-spacing: -.2pt;">s</span>,<span style="letter-spacing: -.7pt;"> </span>épi<span style="letter-spacing: -.2pt;">n</span>e<span style="letter-spacing: -.2pt;">s</span>,<span style="letter-spacing: .45pt;"> </span>objets<span style="letter-spacing: 1.5pt;"> </span>poi<span style="letter-spacing: -.2pt;">n</span>tus…),
<span style="letter-spacing: 1.45pt;"> </span>désinfecter<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span>ap<span style="letter-spacing: -.2pt;">i</span><span style="letter-spacing: -.2pt; mso-font-width: 89%;">d</span>e<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .2pt;"> </span>toute<span style="letter-spacing: -.6pt;"> </span>pla<span style="letter-spacing: -.2pt;">i</span><span style="letter-spacing: -.4pt;">e</span>.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">-<span style="letter-spacing: -.2pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 116%;">l</span>a<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">p</span><span style="letter-spacing: -.25pt; mso-font-width: 94%;">r</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.05pt; mso-font-width: 86%;">q</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">u</span>e<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 87%;">d’u</span><span style="letter-spacing: -.2pt; mso-font-width: 87%;">n</span>e<span style="letter-spacing: .3pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.05pt; mso-font-width: 85%;">c</span><span style="letter-spacing: -.05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.05pt; mso-font-width: 88%;">v</span><span style="letter-spacing: -.05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.05pt; mso-font-width: 126%;">t</span>é<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 77%;">s</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">po</span><span style="letter-spacing: -.05pt; mso-font-width: 94%;">r</span><span style="letter-spacing: -.05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.05pt; mso-font-width: 88%;">v</span>e<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 89%;">d</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: -.05pt; mso-font-width: 125%;">i</span>t<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">ê</span><span style="letter-spacing: -.05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.25pt; mso-font-width: 94%;">r</span>e<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.25pt; mso-font-width: 89%;">d</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">p</span><span style="letter-spacing: -.05pt; mso-font-width: 126%;">t</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">é</span>e<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">e</span>t<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 89%;">d</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: -.05pt; mso-font-width: 125%;">i</span>t<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 80%;">s</span>e<span style="letter-spacing: .3pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 113%;">f</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">a</span><span style="letter-spacing: -.05pt; mso-font-width: 125%;">i</span><span style="letter-spacing: -.25pt; mso-font-width: 94%;">r</span>e<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 84%;">ave</span>c<span style="letter-spacing: .3pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 116%;">l</span>a<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 85%;">c</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">o</span><span style="letter-spacing: -.05pt; mso-font-width: 86%;">m</span><span style="letter-spacing: -.05pt; mso-font-width: 89%;">p</span><span style="letter-spacing: -.25pt; mso-font-width: 94%;">r</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">e</span><span style="letter-spacing: -.05pt; mso-font-width: 77%;">s</span>- s<span style="letter-spacing: -.15pt;">i</span>on<span style="letter-spacing: 1.55pt;"> </span>élastiqu<span style="letter-spacing: -.4pt;">e</span>. <span style="letter-spacing: .25pt;"> </span>La<span style="letter-spacing: -.15pt;"> </span><span style="letter-spacing: -.2pt;">n</span>atat<span style="letter-spacing: -.2pt;">i</span>on,<span style="letter-spacing: -1.25pt;"> </span>le<span style="letter-spacing: -.55pt;"> </span>vélo,<span style="letter-spacing: .45pt;"> </span>la<span style="letter-spacing: -.55pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 86%;">m</span>a<span style="letter-spacing: -.15pt;">r</span>c<span style="letter-spacing: -.15pt;">h</span>e<span style="letter-spacing: .85pt;"> </span>so<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .2pt;"> </span>plus<span style="letter-spacing: .55pt;"> </span>part<span style="letter-spacing: -.2pt;">i</span>culiè<span style="letter-spacing: -.2pt;">r</span>e<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 94%;">r</span>ecom<span style="letter-spacing: -.2pt;">m</span>a<span style="letter-spacing: -.2pt;">n</span>dé<span style="letter-spacing: -.2pt;">s</span>.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt;">-<span style="letter-spacing: .4pt;"> </span>éviter<span style="letter-spacing: 2.7pt;"> </span>les<span style="letter-spacing: .5pt;"> </span>sou<span style="letter-spacing: -.15pt;">r</span>ces<span style="letter-spacing: -.35pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .45pt;"> </span>chaleur<span style="letter-spacing: 1.4pt;">
</span>:<span style="letter-spacing: .4pt;"> </span>coups<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .8pt;"> </span>soleil,<span style="letter-spacing: -1.35pt;"> </span>bain<span style="letter-spacing: .95pt;"> </span>cha<span style="letter-spacing: -.2pt;">ud</span>,<span style="letter-spacing: .05pt;"> </span>sau<span style="letter-spacing: -.2pt;">n</span>a.<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; position: relative; top: 0.5pt;">O</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt; position: relative; top: 0.5pt;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; position: relative; top: 0.5pt;">ù<span style="letter-spacing: 1.7pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>n<span style="letter-spacing: 1.7pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>s<span style="letter-spacing: -2.65pt;"> </span>t<span style="letter-spacing: 3.3pt;"> </span>l<span style="letter-spacing: -2.65pt;"> </span>a<span style="letter-spacing: 1.7pt;"> </span>r<span style="letter-spacing: -2.9pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>c<span style="letter-spacing: -2.65pt;"> </span>h<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: -2.65pt;"> </span>r<span style="letter-spacing: -2.9pt;"> </span>c<span style="letter-spacing: -2.65pt;"> </span>h<span style="letter-spacing: -2.65pt;"> </span>e<span style="letter-spacing: 1.95pt;"> </span>?</span></b><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 14.0pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">La<span style="letter-spacing: -.2pt;"> </span><span style="letter-spacing: -.15pt;">r</span>ec<span style="letter-spacing: -.15pt;">h</span>e<span style="letter-spacing: -.15pt;">r</span>c<span style="letter-spacing: -.15pt;">h</span>e<span style="letter-spacing: 1.15pt;"> </span>est<span style="letter-spacing: 1.1pt;"> </span>or<span style="letter-spacing: -.15pt;">i</span>e<span style="letter-spacing: -.15pt;">n</span>tée <span style="letter-spacing: .25pt;"> </span>à<span style="letter-spacing: .25pt;"> </span></span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 108%;">la<span style="letter-spacing: -.75pt;"> </span><span style="letter-spacing: -.2pt;">f</span>ois<span style="letter-spacing: -.95pt;"> </span>vers<span style="letter-spacing: -.3pt;"> </span>u<span style="letter-spacing: -.15pt;">n</span>e<span style="letter-spacing: .45pt;"> </span>amél<span style="letter-spacing: -.15pt;">i</span>o<span style="letter-spacing: -.15pt;">r</span>at<span style="letter-spacing: -.15pt;">i</span>on <span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: -.15pt;">d</span>u<span style="letter-spacing: .5pt;"> </span>t<span style="letter-spacing: -.2pt;">r</span>aite<span style="letter-spacing: -.2pt;">m</span>e<span style="letter-spacing: -.2pt;">n</span>t
<span style="letter-spacing: -.2pt; mso-font-width: 89%;">d</span>e<span style="letter-spacing: -.05pt;"> </span>cette<span style="letter-spacing: 1.65pt;"> </span><span style="letter-spacing: -.2pt;">m</span>alad<span style="letter-spacing: -.2pt;">i</span>e<span style="letter-spacing: .4pt;"> </span>et
la<span style="letter-spacing: -.55pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 85%;">r</span>ec<span style="letter-spacing: -.15pt;">h</span>e<span style="letter-spacing: -.15pt;">r</span>c<span style="letter-spacing: -.15pt;">h</span>e<span style="letter-spacing: 1.9pt;"> </span><span style="letter-spacing: -.15pt;">d</span>es<span style="letter-spacing: .3pt;"> </span>gè<span style="letter-spacing: -.15pt;">n</span>es<span style="letter-spacing: .65pt;"> </span>impliqués
<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: -.15pt;">d</span>a<span style="letter-spacing: -.15pt;">n</span>s<span style="letter-spacing: .85pt;"> </span>les<span style="letter-spacing: .85pt;"> </span>lymphœdè<span style="letter-spacing: -.15pt;">m</span>es<span style="letter-spacing: 2.05pt;"> </span><span style="letter-spacing: -.2pt;">f</span>amil<span style="letter-spacing: -.2pt;">i</span>aux.<o:p></o:p></span></div>
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<span lang="EN-US" style="color: #f7b700; font-family: "ms pgothic" , "sans-serif"; font-size: 14.0pt; line-height: 94%;"><span style="letter-spacing: -3.9pt;"></span></span><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; line-height: 94%;">C</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt; line-height: 94%;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; line-height: 94%;">o</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt; line-height: 94%;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; line-height: 94%;">m</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt; line-height: 94%;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; line-height: 94%;">m</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt; line-height: 94%;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; line-height: 94%;">e</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt; line-height: 94%;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; line-height: 94%;">n</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; letter-spacing: -2.65pt; line-height: 94%;"> </span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 14pt; line-height: 94%;">t<span style="letter-spacing: 3.3pt;">
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Seraphimhttp://www.blogger.com/profile/09830433552680718249noreply@blogger.com0tag:blogger.com,1999:blog-7803504750995977657.post-57452555779163453912017-09-11T03:02:00.001-07:002017-09-11T03:02:51.965-07:00Traitement des lymphœdèmes des membres<div class="separator" style="clear: both; text-align: center;">
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<h1 class="article-title" style="box-sizing: border-box; font-size: 23px; font-weight: 400; line-height: 32px; margin: 0px 0px 6px;">
<span style="box-sizing: border-box;">Traitement des lymphœdèmes des membres</span></h1>
<h1 class="article-title-alt" style="box-sizing: border-box; font-size: 22px; font-weight: 400; line-height: 30px; margin: 0px;">
<span style="box-sizing: border-box;">Treatment of limbs lymphedema</span></h1>
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<span class="sr-only" style="border: 0px; box-sizing: border-box; clip: rect(0px 0px 0px 0px); height: 1px; margin: -1px; overflow: hidden; padding: 0px; position: absolute; width: 1px;">Author links open overlay panel</span><a class="author size-m workspace-trigger" href="http://www.sciencedirect.com/science/article/pii/S0755498210004847#!" name="baep-author-id4" style="box-sizing: border-box; color: #007398; line-height: 22px; margin: 0px; text-decoration-line: none; word-break: break-word;"><span class="content" style="box-sizing: border-box;"><span class="text given-name" style="box-sizing: border-box;">Loïc</span><span class="text surname" style="box-sizing: border-box;">Vaillant</span><span class="author-ref" id="baff1" style="box-sizing: border-box;"><span style="box-sizing: border-box; position: relative; top: -0.4em; vertical-align: baseline;">1</span></span><span class="Icon Person" style="box-sizing: border-box; display: inline-block; height: 12px; margin-left: 2px; width: 12px;"><svg fill="currentColor" focusable="false" height="128" style="height: 100%; width: 100%;" tabindex="-1" viewbox="0 0 106 128" width="106"><path d="M11.07 120l.84-9.29C13.88 91.92 35.25 87.78 53 87.78c17.74 0 39.11 4.13 41.08 22.84l.84 9.38h10.04l-.93-10.34C101.88 89.23 83.89 78 53 78S4.11 89.22 1.95 109.73L1.04 120h10.03M53 17.71c-9.72 0-18.24 8.69-18.24 18.59 0 13.67 7.84 23.98 18.24 23.98S71.24 49.97 71.24 36.3c0-9.9-8.52-18.59-18.24-18.59zM53 70c-15.96 0-28-14.48-28-33.67C25 20.97 37.82 8 53 8s28 12.97 28 28.33C81 55.52 68.96 70 53 70"></path></svg></span><span class="author-ref" id="baff0005" style="box-sizing: border-box;"><span style="box-sizing: border-box; position: relative; top: -0.4em; vertical-align: baseline;">2</span></span><span class="Icon Email" style="box-sizing: border-box; display: inline-block; height: 12px; margin-left: 2px; width: 12px;"><svg fill="currentColor" focusable="false" height="128" style="height: 100%; width: 100%;" tabindex="-1" viewbox="0 0 102 128" width="102"><path d="M55.8 57.2c-1.78 1.31-5.14 1.31-6.9 0L17.58 34h69.54L55.8 57.19zM0 32.42l42.94 32.62c2.64 1.95 6.02 2.93 9.4 2.93s6.78-.98 9.42-2.93L102 34.34V24H0zM92 88.9L73.94 66.16l-8.04 5.95L83.28 94H18.74l18.38-23.12-8.04-5.96L10 88.94V51.36L0 42.9V104h102V44.82l-10 8.46V88.9"></path></svg></span></span></a><a class="author size-m workspace-trigger" href="http://www.sciencedirect.com/science/article/pii/S0755498210004847#!" name="baep-author-id5" style="box-sizing: border-box; color: #007398; line-height: 22px; margin: 0px; text-decoration-line: none; word-break: break-word;"><span class="content" style="box-sizing: border-box;"><span class="text given-name" style="box-sizing: border-box;">Christine</span><span class="text surname" style="box-sizing: border-box;">Müller</span><span class="author-ref" id="baff1" style="box-sizing: border-box;"><span style="box-sizing: border-box; position: relative; top: -0.4em; vertical-align: baseline;">1</span></span></span></a><a class="author size-m workspace-trigger" href="http://www.sciencedirect.com/science/article/pii/S0755498210004847#!" name="baep-author-id6" style="box-sizing: border-box; color: #007398; line-height: 22px; margin: 0px; text-decoration-line: none; word-break: break-word;"><span class="content" style="box-sizing: border-box;"><span class="text given-name" style="box-sizing: border-box;">Pascal</span><span class="text surname" style="box-sizing: border-box;">Goussé</span><span class="author-ref" id="baff0010" style="box-sizing: border-box;"><span style="box-sizing: border-box; position: relative; top: -0.4em; vertical-align: baseline;">3</span></span></span></a>
<dl class="affiliation" style="box-sizing: border-box; color: #737373; margin: 22px 0px 0px; vertical-align: top;">
<dt style="box-sizing: border-box; clear: left; float: left; text-align: right; width: 2.3em;"><span style="box-sizing: border-box; position: relative; top: -0.4em; vertical-align: baseline;">1</span></dt>
<dd style="box-sizing: border-box; margin-left: 3em;">Université François-Rabelais de Tours, CHRU de Tours, Tours, France</dd></dl>
<dl class="affiliation" style="box-sizing: border-box; color: #737373; margin: 0px; vertical-align: top;">
<dt style="box-sizing: border-box; clear: left; float: left; text-align: right; width: 2.3em;"><span style="box-sizing: border-box; position: relative; top: -0.4em; vertical-align: baseline;">2</span></dt>
<dd style="box-sizing: border-box; margin-left: 3em;">Unité Inserm U930, CNRS FRE 2448, 37044 Tours, France</dd></dl>
<dl class="affiliation" style="box-sizing: border-box; color: #737373; margin: 0px; vertical-align: top;">
<dt style="box-sizing: border-box; clear: left; float: left; text-align: right; width: 2.3em;"><span style="box-sizing: border-box; position: relative; top: -0.4em; vertical-align: baseline;">3</span></dt>
<dd style="box-sizing: border-box; margin-left: 3em;">Polyclinique Bordeaux Nord Aquitaine, unité de lymphologie, 33300 Bordeaux, France</dd></dl>
</div>
</div>
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Acheter l'article complet : https://linkinghub.elsevier.com/retrieve/pii/S0755498210004847<br />
<br />
<h2 style="box-sizing: border-box; color: #505050; font-family: Arial, Helvetica, "Lucida Sans Unicode", "Microsoft Sans Serif", "Segoe UI Symbol", STIXGeneral, "Cambria Math", "Arial Unicode MS", sans-serif; font-size: 18px; font-weight: 400; line-height: 32px; margin: 0px 0px 8px;">
Points essentiels</h2>
<div id="aep-abstract-sec-id10" style="box-sizing: border-box; color: #505050; font-family: Arial, Helvetica, "Lucida Sans Unicode", "Microsoft Sans Serif", "Segoe UI Symbol", STIXGeneral, "Cambria Math", "Arial Unicode MS", sans-serif;">
<div id="spar0060" style="box-sizing: border-box; margin-bottom: 16px;">
<strong style="box-sizing: border-box;">Le traitement du lymphœdème a pour objectif de réduire le volume et d’éviter les complications infectieuses ou articulaires</strong>. Ce traitement est rarement étiologique ; il est le plus souvent symptomatique et doit être poursuivi au long cours.</div>
<div id="spar0065" style="box-sizing: border-box; margin-bottom: 16px;">
<strong style="box-sizing: border-box;">L’érysipèle et les lymphangites sont une complication fréquente des lymphœdèmes</strong>. L’érysipèle est toujours d’origine streptococcique et impose une antibiothérapie systémique. Le risque de récidive d’érysipèle sur lymphœdème est élevé.</div>
<div id="spar0070" style="box-sizing: border-box; margin-bottom: 16px;">
En cas d’œdème volumineux associé à une sclérose cutanée importante, il peut apparaître une <strong style="box-sizing: border-box;">diminution des mobilités articulaires</strong> et une <strong style="box-sizing: border-box;">gêne fonctionnelle</strong>.</div>
<div id="spar0075" style="box-sizing: border-box; margin-bottom: 16px;">
<strong style="box-sizing: border-box;">Les soins cutanés, le drainage lymphatique manuel, le traitement compressif par bandage et la gymnastique décongestive sont les quatre piliers de la physiothérapie combinée décongestive des lymphœdèmes des membres</strong>. Les bandages sont le traitement le plus important de la physiothérapie combinée décongestive. On peut améliorer un lymphœdème par des bandages seuls, mais une amélioration durable des lymphœdèmes ne peut se voir sans bandages. L’efficacité d’un traitement doit s’évaluer par des méthodes objectives, mesure des périmètres des membres ou mieux des volumes.</div>
<div id="spar0080" style="box-sizing: border-box; margin-bottom: 16px;">
<strong style="box-sizing: border-box;">La prise en charge d’un lymphœdème comporte trois phases : phase d’attaque ou traitement initial</strong> qui vise à réduire le volume du lymphœdème, puis <strong style="box-sizing: border-box;">phase d’entretien</strong> pour maintenir le résultat et enfin <strong style="box-sizing: border-box;">phase de sevrage</strong>.</div>
<div id="spar0085" style="box-sizing: border-box; margin-bottom: 16px;">
<strong style="box-sizing: border-box;">À la phase d’attaque, on utilise la physiothérapie combinée décongestive</strong>avec principalement des bandages réducteurs multicouches et le drainage lymphatique manuel (DLM).</div>
<div id="spar0090" style="box-sizing: border-box; margin-bottom: 16px;">
<strong style="box-sizing: border-box;">À la phase d’entretien, on utilise une compression élastique</strong> (bas ou manchons) éventuellement associé à des DLM.</div>
<div id="spar0095" style="box-sizing: border-box; margin-bottom: 16px;">
<strong style="box-sizing: border-box;">À toutes les phases</strong>, il faut associer les <strong style="box-sizing: border-box;">soins cutanés</strong> et des <strong style="box-sizing: border-box;">exercices adaptés</strong>.</div>
<div id="spar0100" style="box-sizing: border-box; margin-bottom: 16px;">
<strong style="box-sizing: border-box;">Des traitements adjuvants peuvent être utiles</strong> (pressothérapie, médicaments).</div>
<div id="spar0105" style="box-sizing: border-box; margin-bottom: 16px;">
<strong style="box-sizing: border-box;">La chirurgie est rarement indiquée</strong> en dehors des lymphœdèmes génitaux et pubiens.</div>
<div id="spar0110" style="box-sizing: border-box; margin-bottom: 16px;">
<strong style="box-sizing: border-box;">La prise en charge thérapeutique du lymphœdème est difficile mais bénéficie de techniques variées</strong>. La physiothérapie combinée décongestive est une méthode thérapeutique très efficace qui permet de redonner une meilleure qualité de vie sans permettre une guérison du lymphœdème.</div>
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<h2 style="background-color: white; color: #e05800; font-family: Roboto, Arial, Helvetica, sans-serif; font-size: 22px; font-style: italic; font-weight: normal; margin: 2px 0px 5px; padding: 0px; text-align: justify; width: 630px;">
Plan</h2>
<div id="panec_plan_embarque" style="background-color: white; font-family: Roboto, Arial, Helvetica, sans-serif; font-size: 11px; margin: 0px; padding: 0px; text-align: justify;">
<div class="titrePlanNiveau1" style="line-height: normal; margin: 0px 0px 5px 20px; padding: 0px;">
<a href="https://www.blogger.com/null" style="color: #e05800; float: none; font-family: Verdana; font-weight: bold; margin: 0px; outline: magenta none medium; padding: 0px; width: auto;">Traitement de la cause</a></div>
<div class="titrePlanNiveau1" style="line-height: normal; margin: 0px 0px 5px 20px; padding: 0px;">
<a href="https://www.blogger.com/null" style="color: #e05800; float: none; font-family: Verdana; font-weight: bold; margin: 0px; outline: magenta none medium; padding: 0px; width: auto;">Traitement des complications</a><div class="titrePlanNiveau2" style="line-height: normal; margin: 3px 0px 3px 13px; padding: 0px;">
<a href="https://www.blogger.com/null" style="color: #2576c2; float: none; font-family: Verdana; font-size: 10px; font-weight: bold; margin: 0px; outline: magenta none medium; padding: 0px; text-decoration-line: underline; width: auto;">Complications infectieuses</a></div>
<div class="titrePlanNiveau2" style="line-height: normal; margin: 3px 0px 3px 13px; padding: 0px;">
<a href="https://www.blogger.com/null" style="color: #2576c2; float: none; font-family: Verdana; font-size: 10px; font-weight: bold; margin: 0px; outline: magenta none medium; padding: 0px; width: auto;">Complications articulaires</a></div>
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<div class="titrePlanNiveau1" style="line-height: normal; margin: 0px 0px 5px 20px; padding: 0px;">
<a href="https://www.blogger.com/null" style="color: #e05800; float: none; font-family: Verdana; font-weight: bold; margin: 0px; outline: magenta none medium; padding: 0px; width: auto;">Traitement symptomatique : moyens thérapeutiques</a><div class="titrePlanNiveau2" style="line-height: normal; margin: 3px 0px 3px 13px; padding: 0px;">
<a href="https://www.blogger.com/null" style="color: #2576c2; float: none; font-family: Verdana; font-size: 10px; font-weight: bold; margin: 0px; outline: magenta none medium; padding: 0px; width: auto;">Soins de la peau et des phanères</a></div>
<div class="titrePlanNiveau2" style="line-height: normal; margin: 3px 0px 3px 13px; padding: 0px;">
<a href="https://www.blogger.com/null" style="color: #2576c2; float: none; font-family: Verdana; font-size: 10px; font-weight: bold; margin: 0px; outline: magenta none medium; padding: 0px; width: auto;">Bandages</a></div>
<div class="titrePlanNiveau2" style="line-height: normal; margin: 3px 0px 3px 13px; padding: 0px;">
<a href="https://www.blogger.com/null" style="color: #2576c2; float: none; font-family: Verdana; font-size: 10px; font-weight: bold; margin: 0px; outline: magenta none medium; padding: 0px; width: auto;">Drainage lymphatique manuel</a></div>
<div class="titrePlanNiveau2" style="line-height: normal; margin: 3px 0px 3px 13px; padding: 0px;">
<a href="https://www.blogger.com/null" style="color: #2576c2; float: none; font-family: Verdana; font-size: 10px; font-weight: bold; margin: 0px; outline: magenta none medium; padding: 0px; width: auto;">Exercice et hygiène de vie</a></div>
<div class="titrePlanNiveau2" style="line-height: normal; margin: 3px 0px 3px 13px; padding: 0px;">
<a href="https://www.blogger.com/null" style="color: #2576c2; float: none; font-family: Verdana; font-size: 10px; font-weight: bold; margin: 0px; outline: magenta none medium; padding: 0px; width: auto;">Traitements adjuvants</a></div>
</div>
<div class="titrePlanNiveau1" style="line-height: normal; margin: 0px 0px 5px 20px; padding: 0px;">
<a href="https://www.blogger.com/null" style="color: #e05800; float: none; font-family: Verdana; font-weight: bold; margin: 0px; outline: magenta none medium; padding: 0px; width: auto;">Stratégie thérapeutique</a></div>
<div class="titrePlanNiveau1" style="line-height: normal; margin: 0px 0px 5px 20px; padding: 0px;">
<a href="https://www.blogger.com/null" style="color: #e05800; float: none; font-family: Verdana; font-weight: bold; margin: 0px; outline: magenta none medium; padding: 0px; width: auto;">Conclusion</a></div>
<div class="titrePlanNiveau1" style="line-height: normal; margin: 0px 0px 5px 20px; padding: 0px;">
<a href="https://www.blogger.com/null" style="color: #e05800; float: none; font-family: Verdana; font-weight: bold; margin: 0px; outline: magenta none medium; padding: 0px; width: auto;">Conflits d’intérêts :</a></div>
</div>
Seraphimhttp://www.blogger.com/profile/09830433552680718249noreply@blogger.com0tag:blogger.com,1999:blog-7803504750995977657.post-85619053070113841182017-09-11T02:53:00.000-07:002017-09-11T03:03:23.121-07:00Lymphœdèmes primaires des membres<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgbB41CzmFpuJa90z2vMonJ-LfzTvAQSYpP4VbDLmZwYTJV9R8wLk79pqg0bBfQTwzLIAoHqXoR49gh-UASErCNwqsEkrmveWXVJjHruv5hFqN0RvyMkOJcBRs2ztpoXA3jjEdbx3h0gH4/s1600/lapresse-medicale.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="220" data-original-width="690" height="127" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgbB41CzmFpuJa90z2vMonJ-LfzTvAQSYpP4VbDLmZwYTJV9R8wLk79pqg0bBfQTwzLIAoHqXoR49gh-UASErCNwqsEkrmveWXVJjHruv5hFqN0RvyMkOJcBRs2ztpoXA3jjEdbx3h0gH4/s400/lapresse-medicale.jpg" width="500" /></a></div>
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<h1 class="article-title" style="box-sizing: border-box; font-size: 23px; font-weight: 400; line-height: 32px; margin: 0px 0px 6px;">
<span style="box-sizing: border-box;">Lymphœdèmes primaires des membres</span></h1>
<h1 class="article-title-alt" style="box-sizing: border-box; font-size: 22px; font-weight: 400; line-height: 30px; margin: 0px;">
<span style="box-sizing: border-box;">Primary lymphedema of limbs</span></h1>
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<span class="sr-only" style="border: 0px; box-sizing: border-box; clip: rect(0px 0px 0px 0px); height: 1px; margin: -1px; overflow: hidden; padding: 0px; position: absolute; width: 1px;">Author links open overlay panel</span><a class="author size-m workspace-trigger" href="http://www.sciencedirect.com/science/article/pii/S0755498210005427#!" name="baep-author-id5" style="box-sizing: border-box; color: #007398; line-height: 22px; margin: 0px; text-decoration-line: none; word-break: break-word;"><span class="content" style="box-sizing: border-box;"><span class="text given-name" style="box-sizing: border-box;">Loïc</span><span class="text surname" style="box-sizing: border-box;">Vaillant</span><span class="author-ref" id="baff0005" style="box-sizing: border-box;"><span style="box-sizing: border-box; position: relative; top: -0.4em; vertical-align: baseline;">1</span></span><span class="author-ref" id="baff0010" style="box-sizing: border-box;"><span style="box-sizing: border-box; position: relative; top: -0.4em; vertical-align: baseline;">2</span></span><span class="Icon Person" style="box-sizing: border-box; display: inline-block; height: 12px; margin-left: 2px; width: 12px;"><svg fill="currentColor" focusable="false" height="128" style="height: 100%; width: 100%;" tabindex="-1" viewbox="0 0 106 128" width="106"><path d="M11.07 120l.84-9.29C13.88 91.92 35.25 87.78 53 87.78c17.74 0 39.11 4.13 41.08 22.84l.84 9.38h10.04l-.93-10.34C101.88 89.23 83.89 78 53 78S4.11 89.22 1.95 109.73L1.04 120h10.03M53 17.71c-9.72 0-18.24 8.69-18.24 18.59 0 13.67 7.84 23.98 18.24 23.98S71.24 49.97 71.24 36.3c0-9.9-8.52-18.59-18.24-18.59zM53 70c-15.96 0-28-14.48-28-33.67C25 20.97 37.82 8 53 8s28 12.97 28 28.33C81 55.52 68.96 70 53 70"></path></svg></span><span class="Icon Email" style="box-sizing: border-box; display: inline-block; height: 12px; margin-left: 2px; width: 12px;"><svg fill="currentColor" focusable="false" height="128" style="height: 100%; width: 100%;" tabindex="-1" viewbox="0 0 102 128" width="102"><path d="M55.8 57.2c-1.78 1.31-5.14 1.31-6.9 0L17.58 34h69.54L55.8 57.19zM0 32.42l42.94 32.62c2.64 1.95 6.02 2.93 9.4 2.93s6.78-.98 9.42-2.93L102 34.34V24H0zM92 88.9L73.94 66.16l-8.04 5.95L83.28 94H18.74l18.38-23.12-8.04-5.96L10 88.94V51.36L0 42.9V104h102V44.82l-10 8.46V88.9"></path></svg></span></span></a><a class="author size-m workspace-trigger" href="http://www.sciencedirect.com/science/article/pii/S0755498210005427#!" name="baep-author-id6" style="box-sizing: border-box; color: #007398; line-height: 22px; margin: 0px; text-decoration-line: none; word-break: break-word;"><span class="content" style="box-sizing: border-box;"><span class="text given-name" style="box-sizing: border-box;">Valérie</span><span class="text surname" style="box-sizing: border-box;">Tauveron</span><span class="author-ref" id="baff0005" style="box-sizing: border-box;"><span style="box-sizing: border-box; position: relative; top: -0.4em; vertical-align: baseline;">1</span></span></span></a>
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<dl class="affiliation" style="box-sizing: border-box; color: #737373; margin: 22px 0px 0px; vertical-align: top;">
<dt style="box-sizing: border-box; clear: left; float: left; text-align: right; width: 2.3em;"><span style="box-sizing: border-box; position: relative; top: -0.4em; vertical-align: baseline;">1</span></dt>
<dd style="box-sizing: border-box; margin-left: 3em;">Université François-Rabelais de Tours, CHRU de Tours, 37044 Tours cedex 01, France</dd></dl>
<dl class="affiliation" style="box-sizing: border-box; color: #737373; margin: 0px; vertical-align: top;">
<dt style="box-sizing: border-box; clear: left; float: left; text-align: right; width: 2.3em;"><span style="box-sizing: border-box; position: relative; top: -0.4em; vertical-align: baseline;">2</span></dt>
<dd style="box-sizing: border-box; margin-left: 3em;">CNRS FRE 2448, unité Inserm U930, 37044 Tours cedex, France</dd></dl>
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Pour acquérir l'article complet : <a href="https://linkinghub.elsevier.com/retrieve/pii/S0755498210005427">https://linkinghub.elsevier.com/retrieve/pii/S0755498210005427</a><br />
<br />
<div class="abstract author" id="aep-abstract-id7" style="box-sizing: border-box; color: #505050; font-family: Arial, Helvetica, "Lucida Sans Unicode", "Microsoft Sans Serif", "Segoe UI Symbol", STIXGeneral, "Cambria Math", "Arial Unicode MS", sans-serif; margin-bottom: 8px;">
<h2 style="box-sizing: border-box; font-size: 18px; font-weight: 400; line-height: 32px; margin: 0px 0px 8px;">
Points essentiels</h2>
<div id="aep-abstract-sec-id8" style="box-sizing: border-box;">
<div id="spar0005" style="box-sizing: border-box; margin-bottom: 16px;">
<strong style="box-sizing: border-box;">Le lymphoedème de membre est une maladie fréquente et mal connue.</strong> La classification clinique sépare les lymphœdèmes primaires par malformation du système lymphatique (héréditaire ou non, parfois associé à d’autres malformations) et les lymphœdèmes secondaires (infectieux ou par destruction ganglionnaire).</div>
<div id="spar0010" style="box-sizing: border-box; margin-bottom: 16px;">
<strong style="box-sizing: border-box;">Un lymphœdème primaire est un lymphœdème sans cause acquise expliquant la dysfonction lymphatique.</strong> Il est dû à une anomalie de la lymphangiogenèse et est souvent associé à une mutation d’un des gènes intervenant dans la lymphangiogenèse (<em style="box-sizing: border-box;">FOX C2, VEGFR 3, SOX18, PROX 1</em>…).</div>
<div id="spar0015" style="box-sizing: border-box; margin-bottom: 16px;">
<strong style="box-sizing: border-box;">Pour confirmer le diagnostic clinique,</strong> nous disposons actuellement de nombreux moyens techniques non invasifs qui étudient soit l’anatomie du système, soit son fonctionnement (en particulier la lymphoscintigraphie).</div>
<div id="spar0020" style="box-sizing: border-box; margin-bottom: 16px;">
<strong style="box-sizing: border-box;">La prise en charge thérapeutique</strong> s’appuie essentiellement sur le traitement physique par drainage et la contention, après avoir dépisté et si possible traité les facteurs aggravants (surtout les dermo-hypodermites streptococciques).</div>
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<div class="abstract author" id="aep-abstract-id9" lang="en" style="box-sizing: border-box; color: #505050; font-family: Arial, Helvetica, "Lucida Sans Unicode", "Microsoft Sans Serif", "Segoe UI Symbol", STIXGeneral, "Cambria Math", "Arial Unicode MS", sans-serif; margin-bottom: 8px;">
<h2 style="box-sizing: border-box; font-size: 18px; font-weight: 400; line-height: 32px; margin: 0px 0px 8px;">
Le texte complet de cet article est disponible en PDF.</h2>
<h2 style="background-color: white; color: #e05800; font-family: Roboto, Arial, Helvetica, sans-serif; font-size: 22px; font-style: italic; font-weight: normal; margin: 2px 0px 5px; padding: 0px; text-align: justify; width: 630px;">
Plan</h2>
<h2 style="box-sizing: border-box; font-size: 18px; font-weight: 400; line-height: 32px; margin: 0px 0px 8px;">
<div id="panec_plan_embarque" style="background-color: white; color: black; font-family: Roboto, Arial, Helvetica, sans-serif; font-size: 11px; margin: 0px; padding: 0px; text-align: justify;">
<div class="titrePlanNiveau1" style="line-height: normal; margin: 0px 0px 5px 20px; padding: 0px;">
<a href="https://www.blogger.com/null" style="color: #e05800; float: none; font-family: Verdana; font-weight: bold; margin: 0px; outline: magenta none medium; padding: 0px; width: auto;">Physiopathologie</a><br />
<div class="titrePlanNiveau2" style="line-height: normal; margin: 3px 0px 3px 13px; padding: 0px;">
<a href="https://www.blogger.com/null" style="color: #2576c2; float: none; font-family: Verdana; font-size: 10px; font-weight: bold; margin: 0px; outline: magenta none medium; padding: 0px; width: auto;">Rôle du système lymphatique</a></div>
<div class="titrePlanNiveau2" style="line-height: normal; margin: 3px 0px 3px 13px; padding: 0px;">
<a href="https://www.blogger.com/null" style="color: #2576c2; float: none; font-family: Verdana; font-size: 10px; font-weight: bold; margin: 0px; outline: magenta none medium; padding: 0px; width: auto;">Conséquences du lymphœdème</a></div>
<div class="titrePlanNiveau2" style="line-height: normal; margin: 3px 0px 3px 13px; padding: 0px;">
<a href="https://www.blogger.com/null" style="color: #2576c2; float: none; font-family: Verdana; font-size: 10px; font-weight: bold; margin: 0px; outline: magenta none medium; padding: 0px; width: auto;">Le lymphœdème primaire</a></div>
</div>
<div class="titrePlanNiveau1" style="line-height: normal; margin: 0px 0px 5px 20px; padding: 0px;">
<a href="https://www.blogger.com/null" style="color: #e05800; float: none; font-family: Verdana; font-weight: bold; margin: 0px; outline: magenta none medium; padding: 0px; width: auto;">Clinique</a></div>
<div class="titrePlanNiveau1" style="line-height: normal; margin: 0px 0px 5px 20px; padding: 0px;">
<a href="https://www.blogger.com/null" style="color: #e05800; float: none; font-family: Verdana; font-weight: bold; margin: 0px; outline: magenta none medium; padding: 0px; width: auto;">Examens complémentaires</a></div>
<div class="titrePlanNiveau1" style="line-height: normal; margin: 0px 0px 5px 20px; padding: 0px;">
<a href="https://www.blogger.com/null" style="color: #e05800; float: none; font-family: Verdana; font-weight: bold; margin: 0px; outline: magenta none medium; padding: 0px; width: auto;">Classification des lymphœdemes primaires</a><br />
<div class="titrePlanNiveau2" style="line-height: normal; margin: 3px 0px 3px 13px; padding: 0px;">
<a href="https://www.blogger.com/null" style="color: #2576c2; float: none; font-family: Verdana; font-size: 10px; font-weight: bold; margin: 0px; outline: magenta none medium; padding: 0px; width: auto;">Lymphœdème héréditaire sans malformations associées</a></div>
<div class="titrePlanNiveau2" style="line-height: normal; margin: 3px 0px 3px 13px; padding: 0px;">
<a href="https://www.blogger.com/null" style="color: #2576c2; float: none; font-family: Verdana; font-size: 10px; font-weight: bold; margin: 0px; outline: magenta none medium; padding: 0px; width: auto;">Lymphœdèmes primaires avec malformations associées</a></div>
</div>
<div class="titrePlanNiveau1" style="line-height: normal; margin: 0px 0px 5px 20px; padding: 0px;">
<a href="https://www.blogger.com/null" style="color: #e05800; float: none; font-family: Verdana; font-weight: bold; margin: 0px; outline: magenta none medium; padding: 0px; width: auto;">Évolution du lymphœdeme</a></div>
<div class="titrePlanNiveau1" style="line-height: normal; margin: 0px 0px 5px 20px; padding: 0px;">
<a href="https://www.blogger.com/null" style="color: #e05800; float: none; font-family: Verdana; font-weight: bold; margin: 0px; outline: magenta none medium; padding: 0px; width: auto;">Conflits d’intérêts</a></div>
<div>
<a href="https://www.blogger.com/null" style="color: #e05800; float: none; font-family: Verdana; font-weight: bold; margin: 0px; outline: magenta none medium; padding: 0px; width: auto;"><br /></a></div>
</div>
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</h2>
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Seraphimhttp://www.blogger.com/profile/09830433552680718249noreply@blogger.com0tag:blogger.com,1999:blog-7803504750995977657.post-39115568887142050572017-08-28T06:12:00.000-07:002017-08-28T06:12:01.571-07:00Taping et lymphœdème : pas de différences notables avec le bandage compressif<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj_rj1LzanTZ27yuEQdwgYN3ZxbvzhGNKfxr05Umdam37OB3gbsnQhu06HNkJ9W8fJcaNtYxu34dnRR26NL6AjuXGNgGHzWkV6fATdlbzA8TbTR1PTTSU3A3GdjZL5K0eF99S1IFE5wcXM/s1600/IMG_1230.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1200" data-original-width="1600" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj_rj1LzanTZ27yuEQdwgYN3ZxbvzhGNKfxr05Umdam37OB3gbsnQhu06HNkJ9W8fJcaNtYxu34dnRR26NL6AjuXGNgGHzWkV6fATdlbzA8TbTR1PTTSU3A3GdjZL5K0eF99S1IFE5wcXM/s400/IMG_1230.jpg" width="500" /></a></div>
<br />
<span style="font-size: large;">Article paru dans Kinesport</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Concernant les gros lymphoedemes, nous avons toujours attiré l'attention sur le fait que les résultats ne sont pas toujours aussi efficaces comme on peut le lire aujourd'hui. En effet, après avoir testé les montages de Taping sur des gros lymphoedemes après cancer ( notamment par le nombre considérable d'essai d'un de notre formateur Antoine LEFEBVRE), il a été conclut que nous n'obtenions pas de meilleurs résultats qu' un bandage spécifique classique, si ce n'est qu'en terme de confort.</span><br />
<span style="font-size: large;">Sachant qu'un montage en Taping est plus fastidieux et plus long, nous conseillons de ne pas se jeter en première intention sur la méthode de Taping dans ce domaine précis ( contrairement à d'autres, bien définis aujoud'hui ( cf autres articles et speed meeting sur le sujet)).</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Ce discours transparent est aujourd'hui appuyé par une étude japonaise menée sur les lymphoedemes après cancer du sein: "Could Kinesio tape replace the bandage in decongestive lymphatic therapy for breast-cancer-related lymphedema?"</span><br />
<span style="font-size: large;">A pilot study</span><br />
<span style="font-size: large;">Han-Ju Tsai & Hsiu-Chuan Hung & Jing-Lan Yang & Chiun-Sheng Huang & Jau-Yih Tsauo</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Les auteurs dans cette étude ont voulu étudier la comparaison entre le traitement décongestif lymphatique standard ( DLT) avec des compressions pneumatiques additionnées et un traitement à base de taping, additionné lui aussi de compressions pneumatiques.</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">41 patients présentant depuis au moins 3 mois, un lymphoedeme unilatéral inhérent à un cancer du sein sont séparés en 2 groupes (21 en bandage classique et 20 en taping).</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">- 30-min drainage lymphatique manuel</span><br />
<span style="font-size: large;">- 1h compression pneumatique compression</span><br />
<span style="font-size: large;"> - application de bandage ou de montage taping selon le groupe </span><br />
<span style="font-size: large;">- 20-min d'exercices physiques </span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Evaluation :</span><br />
<span style="font-size: large;">- circonférence</span><br />
<span style="font-size: large;">- composition en eau du membre supérieur</span><br />
<span style="font-size: large;">- relevé symptômatique</span><br />
<span style="font-size: large;">- sensations des gestes de la vie courante </span><br />
<span style="font-size: large;">- degré d'acceptation du bandage</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Résultats :</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">- Pas de différences significatives réelles entre les 2 groupes sur la circonférence, les diminutions d'excès d'eau, les déplacements en eau...</span><br />
<span style="font-size: large;">- Par contre l'acceptation du bandage est meilleure dans le groupe tapé que le bandage classique, et permet ainsi de le garder appliqué plus longtemps. </span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Conclusions </span><br />
<span style="font-size: large;">AInsi les auteurs concluent en écrivant que le tape peut être utilisé dans les cas de lymphodeme, et peut représenter une méthode alternative à distance d' 1 mois de l'intervention.</span><br />
<span style="font-size: large;"></span><br />
<span style="font-size: large;">Néanmoins, ils écrivent aussi que ces 2 types de traitement restent inéfficaces, et nécissitent beaucoup de temps d'application.</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;"><b>Etude scientifique complémentaire</b></span><br />
<span style="font-size: large;"><b><br /></b></span>
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<div class="separator" style="clear: both; text-align: center;">
<a href="https://projet.chu-besancon.fr/pmb/PMB_Ecoles/opac_css/doc_num.php?explnum_id=582" target="_blank"><img border="0" data-original-height="591" data-original-width="1496" height="157" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiQ3i0zN6TpjAN3oPo7aBzD7cjwXTvFI7CJb5VFED7hUc5H8rKe3gwF9nEjfvnpR2GO5xY_ukQiB97zPxm98nySYqnkTUypHX_OmIBFU5YGeafAVsNirGjz81aYmbFxYexGL7QT7iwqEKg/s400/lymphoedeme_taping.jpg" width="500" /></a></div>
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<br /></div>
<div class="separator" style="clear: both;">
<span style="font-size: large;">RÉSUMÉ</span></div>
<div class="separator" style="clear: both;">
<span style="font-size: large;">Les bandages sont nécessaires dans la physiothérapie des lymphœdème. Le taping est parfois proposé pour ce traitement. À la lueur de leurs différences d'effets et des faibles résultats obtenus, le taping ne peut pas remplacer les bandages dans une physiothérapie décongestive des lymphœdèmes.</span></div>
<div class="separator" style="clear: both;">
<span style="font-size: large;"><br /></span></div>
<div class="separator" style="clear: both;">
<span style="font-size: large;">CONCLUSION</span></div>
<div class="separator" style="clear: both;">
<span style="font-size: large;">Dans le cadre des lymphœdèmes, l'application du taping ne remplace pas les bandages de décongestion.</span></div>
<div class="separator" style="clear: both;">
<span style="font-size: large;"><br /></span></div>
<div class="separator" style="clear: both;">
<span style="font-size: large;">Pour être proposés, les bandages adhésifs doivent recouvrir l'ensemble du lymphœdème. Ils gardent tout leur intérêt à la fois dans la phase d'attaque et dans le traitement d'entretien</span></div>
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<span style="font-size: large;"><br /></span></div>
<div class="separator" style="clear: both;">
<span style="font-size: large;">Points à retenir</span></div>
<div class="separator" style="clear: both;">
<span style="font-size: large;"><br /></span></div>
<div class="separator" style="clear: both;">
<span style="font-size: large;">• Les bandages, tout comme les bas à varices et les manchons, ont une efficacité qui est fonc- tion de leur superficie.</span></div>
<div class="separator" style="clear: both;">
<span style="font-size: large;">• La faible superficie de recouvrement du lym-</span></div>
<div class="separator" style="clear: both;">
<span style="font-size: large;">phœdème par le taping réduit considérable- ment l'effet de résorption.</span></div>
<div class="separator" style="clear: both;">
<span style="font-size: large;">• Le taping ne peut pas remplacer les bandages</span></div>
<div class="separator" style="clear: both;">
<span style="font-size: large;"></span></div>
<div class="separator" style="clear: both;">
<span style="font-size: large;">de décongestions.</span></div>
<span style="font-size: large;"><b><br /></b></span>Seraphimhttp://www.blogger.com/profile/09830433552680718249noreply@blogger.com0tag:blogger.com,1999:blog-7803504750995977657.post-76820873629854845772017-08-28T05:52:00.000-07:002017-08-28T05:52:15.125-07:00Les lymphoedèmes du membre inférieur<div class="separator" style="clear: both; text-align: center;">
<a href="http://www.portailvasculaire.fr/sites/default/files/docs/lmv14_dossierfmc_lymphoedemes_du_membre_inferieur.pdf" target="_blank"><img border="0" data-original-height="733" data-original-width="700" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi0v8PunzivjnqG0w_8lFUDFnJktxoR7MPQhV6y2he5_eTX5P-A1NNXxsZiifvDMNik8kXLak4-LaIyYzdZmG22YnQnYQr5wIAxK8UYs2upJeU5wmt4_oG4SpJ4qK8sUF6dTBNsNsdEr6I/s400/lymphoedeme_description.jpg" width="381" /></a></div>
<div class="separator" style="clear: both; text-align: left;">
<span style="font-size: large;">Un document qui fait le point sur la pathologie du lymphoedème du membre inférieur et son traitement.</span></div>
<div class="separator" style="clear: both; text-align: left;">
<span style="font-size: large;"><br /></span></div>
<h2 style="clear: both;">
<span style="font-size: large;">RÉSUMÉ</span></h2>
<div class="separator" style="clear: both;">
<span style="font-size: large;"><br /></span></div>
<div class="separator" style="clear: both;">
<span style="font-size: large;">Les lymphœdèmes des membres inférieurs sont de deux types. Les lymphœdèmes primaires sont dus à une anomalie de la lymphangiogénèse liée pour certains à des mutations génétiques des gènes VEGFR3, FOXC2 ou SOX18. Ils sont d’apparition précoce (avant 35 ans) dans 65-80% des cas. Ils peuvent être associés à d’autres malformations vasculaires ou faire partie de syndromes malformatifs complexes.</span></div>
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<span style="font-size: large;"><br /></span></div>
<div class="separator" style="clear: both;">
<span style="font-size: large;">Les lymphœdèmes secondaires sont dus soit à la destruction ou à l’obstruction du réseau lymphatique, la principale cause en Occident étant le traitement de cancers.</span></div>
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<br /></div>
<div class="separator" style="clear: both;">
<span style="font-size: large;">Le diagnostic est essentiellement clinique mais dans certaines situations la lymphoscintigraphie isotopique et l’IRM sont nécessaires pour le confirmer.</span></div>
<div class="separator" style="clear: both;">
<span style="font-size: large;"><br /></span></div>
<div class="separator" style="clear: both;">
<span style="font-size: large;">La prise en charge par traitement physique, associant DLM et bandages ou bas de compression forte doit être proposée le plus tôt possible pour éviter l’aggravation. Les surinfections cutanées sont fréquentes et nécessitent une antibiothérapie de façon urgente car elles sont source d’aggravation.</span></div>
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<span style="font-size: large;"><br /></span></div>
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<span style="font-size: large;"></span></div>
<div class="separator" style="clear: both;">
<span style="font-size: large;">Il s’agit d’une maladie chronique, handicapante et altérant la qualité de vie, l’éducation thérapeutique vise à aider le patient à mieux accepter sa différence et à devenir acteur de sa propre santé.</span></div>
<div class="separator" style="clear: both;">
<span style="font-size: large;"><br /></span></div>
<div class="separator" style="clear: both;">
<span style="font-size: large;">Extrait du document</span></div>
<div class="separator" style="clear: both;">
<span style="font-size: large;"><br /></span></div>
<div class="separator" style="clear: both;">
<span style="font-size: large;">CONCLUSION</span></div>
<div class="separator" style="clear: both;">
<span style="font-size: large;"><br /></span></div>
<div class="separator" style="clear: both;">
<span style="font-size: large;">Les lymphœdèmes des membres inférieurs, qu’ils soient primaires ou secondaires font partie des maladies chroniques qu’il est indispensable de diagnostiquer et prendre en charge précocement afin d’éviter l’aggravation. Les complications les plus fréquentes sont des infections cutanées qui sont à traiter en urgence par antibiothérapie adaptée. Un lymphœdème douloureux doit faire rechercher une TVP, une infection, une tumeur ou une récidive tumorale.</span></div>
<div class="separator" style="clear: both;">
<span style="font-size: large;">La physiothérapie décongestive est le traitement le plus utilisé, il est long et contraignant et doit être expliqué au patient afin qu’il y adhère et y participe, pour devenir le plus autonome possible et améliorer sa qualité de vie.</span></div>
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<span style="font-size: large;"></span></div>
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<br /></div>
<h3 style="clear: both;">
Télécharger le document</h3>
<div>
<a href="http://www.portailvasculaire.fr/sites/default/files/docs/lmv14_dossierfmc_lymphoedemes_du_membre_inferieur.pdf"><span style="font-size: large;">http://www.portailvasculaire.fr/sites/default/files/docs/lmv14_dossierfmc_lymphoedemes_du_membre_inferieur.pdf</span></a></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<br />Seraphimhttp://www.blogger.com/profile/09830433552680718249noreply@blogger.com0tag:blogger.com,1999:blog-7803504750995977657.post-69479587806734753932017-07-24T07:17:00.001-07:002017-08-02T13:18:26.050-07:00Quelques remèdes homéopathiques sous forme de granules préconisés dans certains cas de lymphoedème de la jambe et des parties génitales<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgkYbrcXR09NM-k4OFxa1qgXUpplF4tQBcLoD9WF_BOYEjGzy5oeqhrQ5Acv4Zp_xl07RK5b-pW4os62yot-P_TVosKpbnSOPLU3bmcZHAyftS4U7Wi-hvaCBi6-kaa4ph5UVQZjoDhmK8/s1600/DSC01701.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-size: large;"><img border="0" data-original-height="902" data-original-width="1600" height="280" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgkYbrcXR09NM-k4OFxa1qgXUpplF4tQBcLoD9WF_BOYEjGzy5oeqhrQ5Acv4Zp_xl07RK5b-pW4os62yot-P_TVosKpbnSOPLU3bmcZHAyftS4U7Wi-hvaCBi6-kaa4ph5UVQZjoDhmK8/s400/DSC01701.JPG" width="500" /></span></a></div>
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Pour pathologies circulatoire, gynécologique et dermatologique</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;"><a href="http://www.xn--homopathie-d7a.com/traitements/kreosotum.html" target="_blank">Kreosotum</a> 30 CH</span><br />
<div>
<span style="font-size: large;"><a href="http://www.xn--homopathie-d7a.com/traitements/apis-mellifica.html" target="_blank">Apis mellifica</a> 9CH</span></div>
<div>
<span style="font-size: large;"><a href="http://www.xn--homopathie-d7a.com/traitements/luesinum.html" target="_blank">Luesinum</a> 30CH</span></div>
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Préparation magistrale homéopathique avec :</span><br />
<br />
<ul>
<li><span style="font-size: large;"><a href="http://www.doctissimo.fr/html/sante/phytotherapie/plante-medicinale/hamamelis.htm" target="_blank">Hamamelis </a>7CH</span></li>
<li><span style="font-size: large;"><a href="http://www.xn--homopathie-d7a.com/traitements/fluoricum-acidum.html" target="_blank">Fluoricum Acidum</a> 7CH</span></li>
<li><span style="font-size: large;"><a href="http://www.xn--homopathie-d7a.com/traitements/calcarea-fluorica.html" target="_blank">Calcarea Fluor</a> 7CH</span></li>
<li><span style="font-size: large;"><a href="http://www.xn--homopathie-d7a.com/traitements/pulsatilla.html" target="_blank">Pulsatilla</a> 7CH</span></li>
</ul>
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<br /></div>
<div>
<br /></div>
<div>
<br /></div>
Seraphimhttp://www.blogger.com/profile/09830433552680718249noreply@blogger.com1tag:blogger.com,1999:blog-7803504750995977657.post-83478377870904568562017-07-24T05:56:00.001-07:002017-07-24T05:56:27.623-07:00Soutien-gorge et possibilité d'entrave à la circulation des fluides dans la poitrine ?<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEidznBm0VzBwENu7gelcxJmsbFzaTU2k7elHqRcf76nTGRENsdj2hhMfWvdR3mGgaCoszt2GmIdjzrm8qg_YhRo0X3ScLry5itusBB54ixGwvHAL8RBx4F04PisuiCjwc-mR-qFYF-KQb4/s1600/danger_soutien-gorge.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="627" data-original-width="1200" height="208" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEidznBm0VzBwENu7gelcxJmsbFzaTU2k7elHqRcf76nTGRENsdj2hhMfWvdR3mGgaCoszt2GmIdjzrm8qg_YhRo0X3ScLry5itusBB54ixGwvHAL8RBx4F04PisuiCjwc-mR-qFYF-KQb4/s400/danger_soutien-gorge.jpg" width="400" /></a></div>
<br />
<br />
<span style="font-size: large;">Le soutien-gorge peut être assimilé à un garrot, surtout quand il est inadapté et mal réglé par rapport à la morphologie de sa propriétaire, et c’est souvent le cas ! </span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">On peut observer facilement, surtout en été, la manière dont le soutien-gorge est porté : trop souvent les bretelles s’enfoncent dans les muscles trapèzes, tandis que la ceinture thoracique étrangle littéralement le buste. </span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Cette inadaptation est généralement révélée par l’attache dans le dos qui remonte, tiraillée par des bretelles trop serrées.</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Tout cela entrave la circulation des fluides dans les tissus concernés, et souvent au-delà. </span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;"><b><span style="color: #990000;">Les capillaires lymphatiques et sanguins, mais aussi les ganglions, sont compressés</span></b>, les tissus sont sous-oxygénés et les déchets métaboliques ne peuvent plus être évacués. </span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Les conditions d’hypoxie tissulaire et d’acidose métabolique sont dès lors réunies pour la <b>formation d’œdèmes</b>, de kystes, fibrokystes et autres tumeurs.</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Les seins eux-mêmes présentent d’importantes variations naturelles de leur volume, liées au cycle de la femme. </span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Or le soutien-gorge, lui, reste le même. Lorsque les seins prennent du volume, le phénomène de compression augmente d’autant. </span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">S’ajoute à cela un autre facteur : l’augmentation de la température des tissus mammaires. </span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Une augmentation d’un demi-degré Celsius est tout à fait courante dans ces conditions, et pourrait jouer un rôle dans l’enkystement.</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;"><b>Extrait de l'article</b></span><br />
<a href="https://www.alternativesante.fr/cancer/soutien-gorge-et-cancer-du-sein-retour-sur-une-polemique"><span style="font-size: large;">Cancer du sein : faut-il à nouveau brûler son soutien-gorge ?</span></a><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Télécharger l'article <a href="http://eocf.free.fr/compression/soutien-gorge.pdf" target="_blank">ICI</a></span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;"><b>Voir aussi le diaporama</b></span><br />
<a href="https://fr.slideshare.net/Yves971/le-danger-du-soutien-gorge-52"><span style="font-size: large;">https://fr.slideshare.net/Yves971/le-danger-du-soutien-gorge-52</span></a><br />
<span style="font-size: large;"><br /></span>
<br />
<iframe allowfullscreen="" frameborder="0" height="355" marginheight="0" marginwidth="0" scrolling="no" src="//www.slideshare.net/slideshow/embed_code/key/d0l6jMhWBLg6Uf" style="border-width: 1px; border: 1px solid #ccc; margin-bottom: 5px; max-width: 100%;" width="425"> </iframe> <br />
<div style="margin-bottom: 5px;">
<strong> <a href="https://www.slideshare.net/Yves971/le-danger-du-soutien-gorge-52" target="_blank" title="Le danger du soutien gorge 5.2">Le danger du soutien gorge 5.2</a> </strong><br />
<strong><span style="font-size: large;"><br /></span></strong>
<b><span style="font-size: large;">En 2014, une nouvelle étude contredit ces rumeurs </span></b><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">A l'Université de Washington, une étude portant sur 1 500 femmes âgées entre 55 et 74 ans a été menée. Elle affirme qu'il n'y a aucun lien entre le soutien-gorge et le cancer du sein. Pour en venir à cette conclusion, les habitudes de ces femmes ont été étudiées de près : la taille, les bonnets ou encore l'âge auquel elles ont commencé à en porter... Au final, il s'avère qu'il n'y a aucune différence majeure entre les femmes atteintes d'un cancer du sein et celles qui ne le sont pas. Cependant, cette question fait encore débat. </span><br />
<b><br /></b>
<strong></strong><br />
<b>En savoir plus : <a href="http://www.ohmymag.com/soutien-gorge/le-soutien-gorge-favorise-t-il-reellement-le-cancer-du-sein_art96204.html">http://www.ohmymag.com/soutien-gorge/le-soutien-gorge-favorise-t-il-reellement-le-cancer-du-sein_art96204.html</a></b><br />
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Seraphimhttp://www.blogger.com/profile/09830433552680718249noreply@blogger.com1tag:blogger.com,1999:blog-7803504750995977657.post-21242299834464675062017-07-21T06:49:00.000-07:002017-07-21T06:53:56.255-07:00Une clinique allemande spécialisée dans les pathologies de la lymphe<div class="separator" style="clear: both; text-align: center;">
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<span style="font-size: large;"><b>Clinique Spécialisée en Lymphologie</b></span></h2>
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<span style="font-size: large;">Pommelsbrunn-Hohenstadt</span></div>
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<span style="font-size: large;">La clinique Lympho-Opt Pommelsbrunn-Hohenstadt est une petite clinique de réadaptation dans une atmosphère familiale. Pendant deux décennies, nous avons offert une aide de haute qualité aux personnes atteintes de maladies lymphatiques et veineuses, que ce soit en Allemagne ou dans le monde entier.</span></div>
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<span style="font-size: large;">Zur Behandlung des Lymphödems est la physiothérapie décongestionnante complète (CPT) qui peut être complétée par des mesures élargies, si nécessaire. Lympho-Opt se concentre sur le traitement suivants:</span></div>
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<span style="font-size: large;">Lymphoedème congénitaux et acquis aux stades II et III jusqu'à l'éléphantiasis</span></div>
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<span style="font-size: large;">Lymphoedème compliqué (Erisipelas, maladies secondaires, récurrence tumorale)</span></div>
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<span style="font-size: large;">Lymphoedème avec fistule, kystes et lymphoceles</span></div>
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<span style="font-size: large;">Lymphoedème sur le visage</span></div>
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<span style="font-size: large;">Lymphoedème sur les organes génitaux</span></div>
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<span style="font-size: large;">Lymphoedème généralisé</span></div>
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<span style="font-size: large;">Lymphoedème chez les enfants jusqu'à env. 10 ans (être accompagné d'un membre de la famille)</span></div>
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<span style="font-size: large;">Linphoedème posttraumatique et lymphœdème associé à la maladie de Sudeck</span></div>
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<span style="font-size: large;">Lympho-Opt est certifiée ISO 9001 : 2000 depuis le 7 avril 2001 et est soumise à un audit annuel.</span></div>
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<span style="font-size: large;">Lympho Opt Fachklinik (Clinic)</span></div>
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<span style="font-size: large;">Happurger Str. 15</span></div>
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<span style="font-size: large;">91224 Hohenstadt</span></div>
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<span style="font-size: large;">Phone: +49 9154 - 911 200</span></div>
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<span style="font-size: large;">Fax: + 49 9154 - 911 202 </span></div>
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<span style="font-size: large;">E-Mail: anmeldung@lympho-opt.de</span></div>
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<a href="http://www.lympho-opt.de/en/lymphology-specialist-clinic/index.html"><span style="font-size: large;">http://www.lympho-opt.de/en/lymphology-specialist-clinic/index.html</span></a></div>
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<iframe allowfullscreen="" frameborder="0" height="338" src="https://www.google.com/maps/embed?pb=!1m18!1m12!1m3!1d2590.8411635260145!2d11.482301315754434!3d49.50639346281465!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x47a1d93902de891f%3A0xf03c45d1e3839a9f!2sHappurger+Str.+15%2C+91224+Pommelsbrunn%2C+Allemagne!5e0!3m2!1sfr!2sfr!4v1500642768336" style="border: 0;" width="450"></iframe></center>
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<b><span style="font-size: large;">Télécharger deux flyers d'information (en allemand)</span></b></center>
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<b><span style="font-size: large;"><br /></span></b></center>
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<li><span style="font-size: large;">Flyer Lympho-Opt Service Range (<a href="http://www.lympho-opt.de/downloads/Flyer_Lympho-Opt_8s_2011-03.pdf" style="background-color: #f0f6ea; color: #0096e0; font-family: Verdana, Arial, Helvetica, sans-serif;" target="_blank">pdf 3,5 MB</a><span style="background-color: #f0f6ea; color: #646464; font-family: "verdana" , "arial" , "helvetica" , sans-serif;">)</span></span></li>
<li><span style="font-size: large;">Flyer Lympho-Opt Speciality Clinic (<a href="http://www.lympho-opt.de/downloads/Flyer_Klinik_10s_2011-08.pdf" style="background-color: #f0f6ea; color: #0096e0; font-family: Verdana, Arial, Helvetica, sans-serif;" target="_blank">pdf 3,5 MB</a><span style="background-color: #f0f6ea; color: #646464; font-family: "verdana" , "arial" , "helvetica" , sans-serif;">)</span></span></li>
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<span style="background-color: white; color: #212121; font-family: "arial" , sans-serif; text-align: left; white-space: pre-wrap;"><span style="font-size: large;">Centre de thérapie Lympho-Opt Hirschbach</span></span></h3>
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<span style="background-color: white; color: #212121; font-family: "arial" , sans-serif; font-size: 16px; white-space: pre-wrap;">Le centre de thérapie Lympho-Opt, situé dans le pittoresque Hirschbachtal au milieu de la réserve naturelle "Hersbrucker Alb, Veldensteiner Forst" offre aux personnes souffrant de lymphoedème les soins intensifs d'une clinique spécialisée pour la lymphologie dans une atmosphère de bien-être .</span></div>
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<span style="font-size: large;">Lympho Opt Therapiezentrum Hirschbach (Therapy Center)</span></div>
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<span style="font-size: large;">Am Vorraberg 1</span></div>
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<span style="font-size: large;">92275 Hirschbach</span></div>
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<span style="font-size: large;">Phone: + 49 9152 - 92 88 140</span></div>
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<span style="font-size: large;">Fax: +49 9152 - 92 88 111 </span></div>
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<span style="font-size: large;">E-Mail: hirschbach@lympho-opt.de</span></div>
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<span style="font-size: large;"><a href="http://www.lympho-opt.de/en/therapy-center-hirschbach/index.html">http://www.lympho-opt.de/en/therapy-center-hirschbach/index.html</a></span></div>
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<b><span style="font-size: large;">Télécharger un flyer d'information (en allemand)</span></b></div>
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<li><span style="font-size: large;">Flyer Lympho-Opt Therapy Center Hirschbach (<a href="http://www.lympho-opt.de/downloads/Flyer_Therapiezentrum_8s.pdf" style="background-color: #f0f6ea; color: #0096e0; font-family: Verdana, Arial, Helvetica, sans-serif;" target="_blank">pdf 0,6 MB</a><span style="background-color: #f0f6ea; color: #646464; font-family: "verdana" , "arial" , "helvetica" , sans-serif;">)</span></span></li>
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Seraphimhttp://www.blogger.com/profile/09830433552680718249noreply@blogger.com0tag:blogger.com,1999:blog-7803504750995977657.post-64077450948845912582017-07-21T02:16:00.000-07:002017-07-21T02:16:59.337-07:00Notice d'utilisation de l'appareil de massage Masspuncture<div class="separator" style="clear: both; text-align: center;">
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<br />Seraphimhttp://www.blogger.com/profile/09830433552680718249noreply@blogger.com0tag:blogger.com,1999:blog-7803504750995977657.post-82274691134831374842017-07-09T12:28:00.000-07:002017-07-21T02:17:34.866-07:00Un appareil de massage qui défatigue et relaxe le corps<h2 style="text-align: center;">
<br />TERANISHI MASSAGER MASS'PUNCTURE Fighter MX-86</h2>
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<b><span style="font-size: large;">Présentation de l'appareil</span></b></div>
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<span style="font-size: large;">Une présentation de l'appareil et de son utilisation en vidéo</span><br />
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<span style="font-size: large;"><iframe allowfullscreen="" frameborder="0" height="270" src="//www.dailymotion.com/embed/video/x5b9e5l" width="480"></iframe></span></div>
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<span style="font-size: large;">Une tête vibrante multifonctionnelle</span><br />
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<span style="font-size: large;">Il suffit de le brancher faire vibrer sa tête, et de la laisser courir sur le corps, de la tête au pied... C'est l'appareil à intra-sons «Mass'puncture». «Il agit en quelques minutes si efficacement qu'il est inutile de prolonger son application» dit son vendeur. Une seule tête, qui agit comme cinq: soulage les douleurs, favorise la détente, déstresse, procure une sensation de confort immédiat, et défatigue. Le «Mass'puncture», au design compact, peut se moduler en fonction de la personne, ce qui permet d'obtenir une agréable stimulation de la peau. </span><br />
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<span style="font-size: large;">Produit par la société Teranishi et commercialisé en France par la société </span><br />
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<span style="font-size: large;">ALPES SANTE NATURE </span><br />
<span style="font-size: large;">75 Chemin de Curalla </span><br />
<span style="font-size: large;">74190 PASSY </span><br />
<span style="font-size: large;">alpes-sante@wanadoo.fr </span><br />
<span style="font-size: large;">04.50.47.77.77</span><br />
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<span style="font-size: large;">Cette société n'a pas de magasin et vend ce produit sur les foires commerciales des grandes villes françaises. Pour savoir où elle sera il est plus facile de faire une recherche sur Google avec les mots clés ALPES SANTE NATURE foire que d'essayer de les joindre directement.</span><br />
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<span style="font-size: large;">Contact de la société Teranishi</span><br />
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<span style="font-size: large;"><a href="mailto:largeland@kmf.biglobe.ne.jp">largeland@kmf.biglobe.ne.jp</a></span><br />
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<h4 style="text-align: center;">
<span style="font-size: large;">Mode d'emploi</span></h4>
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<br />Seraphimhttp://www.blogger.com/profile/09830433552680718249noreply@blogger.com27tag:blogger.com,1999:blog-7803504750995977657.post-59033096700677526722017-07-05T15:58:00.000-07:002017-07-09T12:01:24.153-07:00Le lymphoedème : description, traitements, conseils<h1 style="background-color: white; font-size: 26px; font-weight: normal; line-height: 31.2px; margin: 10px 0px;">
<span style="font-family: inherit;">Article publié sur le site Les impatientes</span></h1>
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<i><span style="color: #cc0000;">Les conseils sont axés sur le lymphoedème du bras </span></i></div>
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<i><span style="color: #cc0000;">mais sont aussi valables pour les membres inférieurs.</span></i></div>
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<h2 style="background-color: white; color: #7083c2; font-family: "Century Gothic"; font-size: 26px; font-weight: normal; line-height: 31.2px; margin: 10px 0px;">
Le Lymphoedème</h2>
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Aujourd'hui, on ne considère plus le lymphoedème comme inévitable suite à une chirurgie du cancer du sein, il peut et doit être traité et ce, de manière personnalisée. La réussite du traitement dépend de la combinaison de plusieurs traitements, cette combinaison étant bien évidemment différente d'une femme à l'autre.</div>
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Le lymphoedème : il n'est plus inévitable</span></h4>
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<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">Aujourd'hui, on ne considère plus le lymphoedème comme inévitable suite à une chirurgie du cancer du sein, il peut et doit être traité et ce, de manière personnalisée. Un lymphoedème n'est pas bénin. Non traité, il diminue la motricité du membre, peut atteindre la peau, provoquer des infections chroniques et mener à des complications irréversibles. La réussite du traitement dépend de la combinaison de plusieurs traitements, cette combinaison étant bien évidemment différente d'une femme à l'autre. </span><br />
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<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">Le système lymphatique est calqué sur le réseau veineux et est composé de vaisseaux qui drainent 80% de la lymphe. Il transporte les liquides et les grosses molécules de protéines et des déchets cellulaires. Les petits vaisseaux se rejoignent en plus gros vaisseaux lymphatiques. Le liquide lymphatique est pompé dans ces vaisseaux par les mouvements des muscles et par les contractions des parois des gros vaisseaux lymphatiques. En bout de course, le système lymphatique se vide dans le sang. Le réseau lymphatique participe aux phénomènes infectieux et cancéreux - lutte contre la diffusion des métastases mais aussi immunitaires car il est responsable de l'inflammation des tissus.</span><br />
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<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">Le lymphoedème est donc un dysfonctionnement du système lymphatique, une accumulation de liquide lymphatique dans les tissus conjonctifs qui cause des enflures le plus souvent dans les bras ou les jambes. En outre, le fonctionnement du système lymphatique se détériore avec l'âge. </span><br />
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<span style="font-size: large;">Grades, types et causes du lymphoedème</span></h4>
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<span style="font-size: large;">Grades du lymphoedèmes</span></div>
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<strong style="background-color: white; color: #333333; font-family: Georgia;"><span style="font-size: large;">Grade 1 - léger et spontanément réversible</span></strong><br />
<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">L'oedème est apparent à la pression de la peau (prend la forme de l'objet qui la compresse). Il diminue à l'élévation du membre. </span><br />
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<strong style="background-color: white; color: #333333; font-family: Georgia;"><span style="font-size: large;">Grade 2 - spontanément irréversible</span></strong><br />
<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">La pression des doigts ne laisse plus de marque. La fibrose est installée, marquant le début du gonflement du membre qui commence à durcir. L'élévation du membre ne diminue plus l'oedème. </span><br />
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<strong style="background-color: white; color: #333333; font-family: Georgia;"><span style="font-size: large;">Grade 3 - "elephantiasis lymphostatique"</span></strong><br />
<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">Le membre est très gros et dur (fibrotique), le gonflement est irréversible. A ce stade, on peut tout de même envisager la chirurgie de débridement. </span><br />
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<h4 style="background-color: white; color: #7083c2; font-family: "century gothic"; font-weight: normal; line-height: 23.4px; margin: 0px;">
<span style="font-size: large;">Types et causes du lymphoedème</span></h4>
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<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">Il existe 2 types principaux de lymphoedème:</span><br />
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<ul style="background-color: white; color: #333333; font-family: Georgia; margin: 0px; padding: 0px 0px 0px 40px;"><span style="font-size: large;"><strong>1. Le lymphoedème aigu</strong><br />Il est transitoire et dure moins de 6 mois. Il correspond au grade 1. Il se forme après la chirurgie, lorsqu'on a sectionné des vaisseaux lymphatiques. Il disparaît généralement au bout d'une semaine par élévation du bras et des exercices.<br />Le lymphoedème aigu peut aussi être douloureux et se former environ 6 semaines après la chirurgie suite à une phlébite ou à une lymphangite aigue. Outre l'élévation du bras, il faut aussi prendre des anti-inflammatoires.<br />Ce type de lymphoedème peut aussi être dû aux drains chirurgicaux ou à l'immobilisation du membre.</span><span style="font-size: large;"><ul style="background-color: white; color: #333333; font-family: Georgia; margin: 0px; padding: 0px 0px 0px 40px;"><span style="font-size: large;"><br /></span></ul>
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<ul style="background-color: white; color: #333333; font-family: Georgia; margin: 0px; padding: 0px 0px 0px 40px;"><span style="font-size: large;"><strong>2. Le lymphoedème chronique</strong><br />C'est le cas le plus courant et le moins facile à résorber. Il commence insidieusement lorsque le système lymphatique endommagé n'arrive petit à petit plus à drainer le liquide lymphatique. Son installation est sournoise car elle est indolore, et ne s'accompagne pas de manifestations externes (rougeur). De plus, il survient 18 à 24 mois après la chirurgie, quand on ne l'attend plus.</span><span style="font-size: large;"><ul style="background-color: white; color: #333333; font-family: Georgia; margin: 0px; padding: 0px 0px 0px 40px;"><span style="font-size: large;"><br /></span></ul>
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<span style="font-size: large;"><strong style="background-color: white; color: #333333; font-family: Georgia;">S'il se développe plus tard, il faudrait penser à une récidive tumorale.</strong><span style="background-color: white; color: #333333; font-family: "georgia";"> </span></span><br />
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<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">Le lymphoedème chronique peut survenir dans les cas suivants :</span><br />
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<li style="background-color: white; color: #333333; font-family: Georgia; list-style-image: url("/img/_li.gif");"><span style="font-size: large;">Chirurgie</span></li>
<li style="background-color: white; color: #333333; font-family: Georgia; list-style-image: url("/img/_li.gif");"><span style="font-size: large;">Immobilisation du bras</span></li>
<li style="background-color: white; color: #333333; font-family: Georgia; list-style-image: url("/img/_li.gif");"><span style="font-size: large;">Négligence postopératoire pour prévenir le lymphoedème</span></li>
<li style="background-color: white; color: #333333; font-family: Georgia; list-style-image: url("/img/_li.gif");"><span style="font-size: large;">Infection et/ou la blessure des vaisseaux lymphatiques</span></li>
<li style="background-color: white; color: #333333; font-family: Georgia; list-style-image: url("/img/_li.gif");"><span style="font-size: large;">ou plus grave, une récidive de la tumeur ou son extension vers les ganglions lymphatiques.</span></li>
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<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">Il peut aussi apparaître suite à une hypoalbuminémie (baisse de protéines dans l'organisme) due à une maladie - comme le diabète, l'hypertension, la défaillance cardiaque, l'insuffisance rénale - ou due à une diminution de l'apport ou de l'absorption de protéines (anorexie, vomissements, dépression, anxiété, chimiothérapie, diarrhées, maladie intestinale, etc.), ou due à une perte des protéines (hémorragie, ascite, épanchements pleuraux, drains chirurgicaux, etc.). </span><br />
<span style="font-size: large;"><br style="background-color: white; color: #333333; font-family: Georgia;" /></span>
<span style="font-size: large;"><span style="background-color: white; color: #333333; font-family: "georgia";">La technique de la biopsie du ganglion lymphatique sentinelle pourrait prévenir l'installation du lymphoedème car elle ne détruit pas la chaîne ganglionnaire. (voir </span><a href="http://www.lesimpatientes.com/curageaxi/curageaxi_01.asp?s=%3C%=section%%3E" style="background-color: white; color: #cf4263; font-family: Georgia; text-decoration-line: none;">notre dossier consacré au ganglion sentinelle</a><span style="background-color: white; color: #333333; font-family: "georgia";">). </span></span><br />
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<span style="font-size: large;">Lymphoedèmeb et lymphangite : lymphoedème et cancer du sein</span></h4>
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<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">Le lymphoedème est la principale complication chirurgicale du cancer du sein. Il est lié au curage des ganglions sous l'aisselle (ganglions axillaires) du 3e niveau. Mais la fibrose peut aussi apparaître comme conséquence de la radiothérapie axillaire - de plus en plus remplacée par une chimiothérapie exclusive si les ganglions ont été atteints par la tumeur - ou comme conséquence d'une infection à la main (d'où la nécessaire vigilance lorsqu'on bricole / jardine / cuisine / coud, etc.) </span><br />
<span style="font-size: large;"><br style="background-color: white; color: #333333; font-family: Georgia;" /></span>
<span style="font-size: large;"><span style="background-color: white; color: #333333; font-family: "georgia";">Aussi appelé </span><strong style="background-color: white; color: #333333; font-family: Georgia;">"gros bras"</strong><span style="background-color: white; color: #333333; font-family: "georgia";">, il peut apparaître immédiatement ou bien dans les 5 ans - après traitement conservateur - et dans les 15 ans après mastectomie. </span></span><br />
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<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">Le membre ainsi atteint est très fragilisé. Il suffit d'un incident mineur (coup de soleil, </span><br />
<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">mouvement brusque ou port de charges) pour favoriser l'engorgement de la lymphe dans le membre et détériorer le réseau lymphatique déjà bien atteint. L'oedème apparaît généralement d'abord sur le bras avant de progresser vers la main. </span><br />
<span style="font-size: large;"><br style="background-color: white; color: #333333; font-family: Georgia;" /></span>
<span style="font-size: large;"><span style="background-color: white; color: #333333; font-family: "georgia";">L'oedème devient gênant lorsque la circonférence entre le membre atteint et le membre sain est supérieure à 5 cm. Mou et indolore au début, il peut durcir après inflammation (lymphangite) et il progresse rapidement. A long terme (plus de 10 ans après son installation), dans des cas rares, il peut se transformer en </span><strong style="background-color: white; color: #333333; font-family: Georgia;">lymphangiosarcome</strong><span style="background-color: white; color: #333333; font-family: "georgia";">, une très lourde complication, avec une survie de moins de 50% à 2 ans malgré l'amputation. </span></span><br />
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<h4 style="background-color: white; color: #7083c2; font-family: "Century Gothic"; font-weight: normal; line-height: 20.8px; margin: 0px;">
<span style="font-size: large;">Lymphangite</span></h4>
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<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">La lymphangite est une infection qui peut se manifester par un ou plusieurs des signes suivants:</span><br />
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<li style="background-color: white; color: #333333; font-family: Georgia; list-style-image: url("/img/_li.gif");"><span style="font-size: large;">éruption cutanée,</span></li>
<li style="background-color: white; color: #333333; font-family: Georgia; list-style-image: url("/img/_li.gif");"><span style="font-size: large;">peau rouge,</span></li>
<li style="background-color: white; color: #333333; font-family: Georgia; list-style-image: url("/img/_li.gif");"><span style="font-size: large;">sensation de chaleur,</span></li>
<li style="background-color: white; color: #333333; font-family: Georgia; list-style-image: url("/img/_li.gif");"><span style="font-size: large;">picotements,</span></li>
<li style="background-color: white; color: #333333; font-family: Georgia; list-style-image: url("/img/_li.gif");"><span style="font-size: large;">décoloration,</span></li>
<li style="background-color: white; color: #333333; font-family: Georgia; list-style-image: url("/img/_li.gif");"><span style="font-size: large;">gonflement anormal,</span></li>
<li style="background-color: white; color: #333333; font-family: Georgia; list-style-image: url("/img/_li.gif");"><span style="font-size: large;">lourdeur, douleur,</span></li>
<li style="background-color: white; color: #333333; font-family: Georgia; list-style-image: url("/img/_li.gif");"><span style="font-size: large;">et très souvent apparition soudaine de haute température et de frissons.</span></li>
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<span style="font-size: large;"><span style="background-color: white; color: #333333; font-family: "georgia";">Dans ce cas, il faut cesser immédiatement tous les traitements du lymphoedème (tous sans exception) et consulter le plus tôt possible. Le traitement prescrit par ce dernier consistera en des antibiotiques. En voyage, il faut toujours porter avec soi des antibiotiques ou une prescription médicale. </span><strong style="background-color: white; color: #333333; font-family: Georgia;">La lymphangite peut mettre votre vie en danger.</strong><span style="background-color: white; color: #333333; font-family: "georgia";"> </span></span><br />
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<h4 style="background-color: white; color: #7083c2; font-family: "Century Gothic"; font-weight: normal; line-height: 23.4px; margin: 0px;">
<span style="font-size: large;">Aspects psychologiques</span></h4>
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<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">Le lymphoedème est bien souvent un souvenir perpétuel de la bataille menée contre le cancer du sein. Les femmes qui ont eu un lymphoedème suite à un cancer du sein s'adaptent moins bien à leur maladie car elles ont du mal à reprendre une vie "normale", gênées par leur bras qui les fait souffrir. </span><br />
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<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">Elles ont par exemple du mal à trouver des vêtements confortables et adaptés, ou à porter des choses lourdes (ce qu'il faut éviter), et le lymphoedème est vraiment handicapant dans la vie quotidienne. </span><br />
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<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">L'œdème est souvent sous-estimé (quand il est diagnostiqué) et bien que les traitements existent, le corps médical est généralement mal informé ou peu préoccupé par ce problème qui n'est pour lui qu'un effet de bord. Mais les traitements existent bel et bien et ne pas en bénéficier ne fait qu'augmenter la douleur, le mal-être, la frustration de ne pouvoir utiliser son bras normalement, le tout associé à un sentiment néfaste d'impuissance. </span><br />
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<h4 style="background-color: white; color: #7083c2; font-family: "century gothic"; font-weight: normal; line-height: 23.4px; margin: 0px;">
<span style="font-size: large;">Traitements : pourquoi un traitement</span></h4>
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<span style="font-size: large;"><span style="background-color: white; color: #333333; font-family: "georgia";">Sans traitement, le liquide lymphatique, riche en protéines, continue à s'accumuler dans les tissus, provoquant un gonflement du membre et sa fibrose. Ceci n'est pas une conséquence bénigne car le membre devient alors un endroit idéal pour développer des bactéries ou une </span><strong style="background-color: white; color: #333333; font-family: Georgia;">lymphangite</strong><span style="background-color: white; color: #333333; font-family: "georgia";">. </span></span><br />
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<span style="font-size: large;"><span style="background-color: white; color: #333333; font-family: "georgia";">Avec le temps, le lymphoedème empirera et diminuera la motricité du membre. Il peut aussi s'étendre à la peau. En réduisant l'oxygène dans le système de transport des protéines, il peut également fournir un milieu de culture bactérienne favorisant les infections, conduisant ainsi à des infections chroniques. </span></span><br />
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<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">Le lymphoedème sévère non traité peut également se transformer en cancer lymphatique, le lymphangioscarome. </span><br />
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<h4 style="background-color: white; color: #7083c2; font-family: "Century Gothic"; font-weight: normal; line-height: 20.8px; margin: 0px;">
<span style="font-size: large;">Quels traitements ?</span></h4>
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<strong>Contre-indications au traitement du lymphoedème</strong>Beaucoup de spécialistes du lymphoedème sont contre ce traitement multi mode (aussi appelé Thérapie Décongestive Complexe) dans les cas de récidive ou d'invasion métastatique, afin de ne pas favoriser la propagation des cellules cancéreuses via le réseau lymphatique. Il est primordial de demander l'avis de spécialistes avant d'entreprendre un traitement. Plus généralement, voici les autres contre-indications :<br />
- Toute <b>douleur</b> doit faire cesser le traitement et amener à consulter au plus vite<br />
- Tout <b>gonflement</b> subit et anormal doit amener à consulter car il peut être le signe d'une récidive<br />
- La <b>lymphangite</b> (infection grave) : arrêter immédiatement le traitement et consulter<br />
- <b>Insuffisance cardiaque</b> : le traitement surcharge le cœur en liquide, les patients doivent donc être suivis de près. Idem pour les patients sous anti-coagulants (risque de thrombophlébite).</div>
<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">Il n'y a pas un mais des traitements combinés qui sont d'autant plus efficaces qu'ils sont précoces et réguliers. Toutefois, ce traitement multimode a encore du mal à percer dans la communauté médicale. </span><br />
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<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">Pour déterminer le type de traitement, on se base sur la grosseur du membre et sur la dureté de l'oedème. Le traitement multimode allie alors généralement drainage lymphatique, port de vêtements de compression, exercices physiques et mesures d'hygiène. </span><br />
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<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">Dans certains cas, cette thérapie dite décongestive complexe comprend aussi des exercices de respiration (car les mouvements du thorax améliore le flux lymphatique) et une adaptation du régime alimentaire. Il est important dans tous les cas, de ne pas laisser l'oedème s'installer. </span><br />
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<h4 style="background-color: white; color: #7083c2; font-family: "Century Gothic"; font-weight: normal; line-height: 20.8px; margin: 0px;">
<span style="font-size: large;">Elévation du bras : pour un oedème léger</span></h4>
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<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">Pour un oedème léger seulement, l'élévation du bras peut soulager celle qui développe un lymphoedème, la gravité aidant naturellement l'écoulement de la lymphe. Pour un oedème plus important, cette méthode a peu d'effet. L'élévation du bras seule ne constitue pas un traitement efficace du lymphoedème, même si l'on pratique en même temps des exercices bras surélev </span><br />
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<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">L'élévation du bras procure en fait un soulagement temporaire - l'impression de lourdeur diminue dans cette position - et doit être associée à d'autres traitements </span><br />
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<h4 style="background-color: white; color: #7083c2; font-family: "Century Gothic"; font-weight: normal; line-height: 20.8px; margin: 0px;">
<span style="font-size: large;">Drainage lymphatique manuel : soulage mais insuffisant seul</span></h4>
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<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">Le drainage manuel de la lymphe a pour effet de faciliter la circulation du liquide dans le tissu conjonctif. L'effet d'étirement sur les vaisseaux lymphatiques stimule leur contraction et facilite la circulation de la lymphe à l'intérieur. En outre, le drainage régulier augmente le débit et la quantité des vaisseaux lymphatiques adjacents à la zone congestionnée, et peut effectivement réduire visiblement l'oedème du membre. </span><br />
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<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">Le massage doit être pratiqué dans la direction du flot lymphatique par à coups légers. </span><br />
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<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">Le drainage lymphatique doit lui aussi être associé à un programme de traitement de fond. Combiné par exemple à un vêtement de compression, il aide à contenir l'oedème. </span><br />
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<h4 style="background-color: white; color: #7083c2; font-family: "Century Gothic"; font-weight: normal; line-height: 20.8px; margin: 0px;">
<span style="font-size: large;">Vêtements de compression : incontournables</span></h4>
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<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">Les vêtements de compression (manche ou un bandage) réduisent généralement efficacement le gonflement et doivent être portés tant que l'oedème persiste et pendant les exercices ou sollicitations du bras. </span><br />
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<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">La pression exercée sur la peau fait progresser le liquide lymphatique des tissus vers les vaisseaux pour l'évacuer plus facilement et soutient les muscles qui peuvent à leur tour augmenter la pression pour rétablir le flot lymphatique. </span><br />
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<span style="font-size: large;"><span style="background-color: white; color: #333333; font-family: "georgia";">Pompes de compression</span><span style="background-color: white; color: #333333; font-family: "georgia";"> </span></span></b><br />
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<span style="font-size: large;"><span style="background-color: white; color: #333333; font-family: "georgia";">Elles doivent être utilisées en complément d'autres modes de traitement. Aujourd'hui, les protocoles d'utilisation sont définis au cas par cas, sous surveillance médicale. Pour éviter que l'œdème ne se reporte sur la paroi thoracique, celle-ci doit être drainée par un DLM. </span></span><br />
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<h4 style="background-color: white; color: #7083c2; font-family: "Century Gothic"; font-weight: normal; line-height: 20.8px; margin: 0px;">
<span style="font-size: large;">Exercices : en association avec d'autres traitements</span></h4>
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<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">Comme les muscles aident à pomper le flot lymphatique en se contractant, l'exercice est le mode de traitement le plus généralisé. Mais attention à bien doser l'effort et à adopter des exercices spécifiques à chaque patiente car tout excès peut avoir l'effet contraire : augmenter l'oedème. </span><br />
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<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">Les exercices sont variés (flexions, rotations, exercices avec poids). Le programme des exercices augmente en intensité sans jamais dépasser le seuil de douleur. La marche et toutes les autres activités physiques douces sont toujours bénéfiques car <b>en respirant correctement </b>pendant l'effort, la pression thoracique diminue et facilite le flot lymphatique. </span><br />
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<h4 style="background-color: white; color: #7083c2; font-family: "Century Gothic"; font-weight: normal; line-height: 20.8px; margin: 0px;">
<span style="font-size: large;">Traitement médicamenteux : controversé</span></h4>
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<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">Les benzopyrones (comme le Coumarin) agissent en aidant la décomposition des protéines dans le liquide lymphatique. Utilisé lui aussi en traitement multi mode, le Coumarin semble donner de bons résultats dans certains pays d'Europe (pour une prise de 6 mois minimum) mais a été retiré des marchés américains, canadiens et australiens en raison de sa toxicité hépatique et de ses effets secondaires. Les risques associés à la prise de ce médicament doivent être évalués plus précisément. </span><br />
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<h4 style="background-color: white; color: #7083c2; font-family: "Century Gothic"; font-weight: normal; line-height: 20.8px; margin: 0px;">
<span style="font-size: large;">Laser : dans certains cas bénéfique</span></h4>
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<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">Appliqué sur la région touchée par la radiothérapie ou la chirurgie, il peut dans certains cas, réduire les adhérences (" aérer " les tissus), favoriser la guérison et diminuer la douleur. Dans certains cas, on a observé un retour de la mobilité du membre ainsi qu'une réduction de l'oedème. </span><br />
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<h4 style="background-color: white; color: #7083c2; font-family: "Century Gothic"; font-weight: normal; line-height: 20.8px; margin: 0px;">
<span style="font-size: large;">La chirurgie : pas encore au point</span></h4>
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<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">Rares sont les cas où la chirurgie donne un bon résultat. Elle est généralement envisagée en dernier recours lorsque le traitement multi mode a échoué. Quant à la liposuccion, elle aggrave le lymphoedème en détruisant les vaisseaux lymphatiques qui restaient. En fait, le lymphoedème peut même apparaître suite à une chirurgie esthétique. </span><br />
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<h4 style="background-color: white; color: #7083c2; font-family: "Century Gothic"; font-weight: normal; line-height: 20.8px; margin: 0px;">
<span style="font-size: large;">Le régime pauvre en protéines : inutile</span></h4>
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<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">Le tissu conjonctif entourant le système lymphatique a besoin de protéines pour fonctionner de manière optimale. Adopter un régime alimentaire pauvre en protéines ne soulage donc pas du lymphoedème. L'excès de graisses, en revanche est à éviter, car l'accumulation de graisse dans les tissus et dans les membres, rend le lymphoedème plus difficile à traiter. </span><br />
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<h4 style="background-color: white; color: #7083c2; font-family: "Century Gothic"; font-weight: normal; line-height: 20.8px; margin: 0px;">
<span style="font-size: large;">Les diurétiques : inefficaces</span></h4>
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<span style="font-size: large;"><span style="background-color: white; color: #333333; font-family: "georgia";">Les diurétiques favorisent l'élimination de l'eau tandis que le lymphoedème est dû à une accumulation de protéines dans les tissus. Les diurétiques augmentent donc la concentration en protéines, </span><span style="background-color: white; font-family: "georgia";"><span style="color: #cc0000;"><b>effet plus nocif que bénéfique. </b></span></span></span><br />
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<h4 style="background-color: white; color: #7083c2; font-family: "century gothic"; font-weight: normal; line-height: 23.4px; margin: 0px;">
<span style="font-size: large;">Recommandations : prévention de la lymphagite</span></h4>
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<span style="font-size: large;"><span style="background-color: white; color: #333333; font-family: "georgia";">Il faut </span><strong style="background-color: white; color: #333333; font-family: Georgia;">consulter immédiatement un médecin</strong><span style="background-color: white; color: #333333; font-family: "georgia";"> si vous avez un ou plusieurs des symptômes suivants:</span></span><br />
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<li style="background-color: white; color: #333333; font-family: Georgia; list-style-image: url("/img/_li.gif");"><span style="font-size: large;">rougeur et bras très chaud (signe d'une infection qui peut menacer la vie). Ce cas demande un traitement médical immédiat.</span></li>
<li style="background-color: white; color: #333333; font-family: Georgia; list-style-image: url("/img/_li.gif");"><span style="font-size: large;">sensation de peau étroite, qui tire</span></li>
<li style="background-color: white; color: #333333; font-family: Georgia; list-style-image: url("/img/_li.gif");"><span style="font-size: large;">sensation de lourdeur</span></li>
<li style="background-color: white; color: #333333; font-family: Georgia; list-style-image: url("/img/_li.gif");"><span style="font-size: large;">sensation de picotement et d'aiguilles</span></li>
<li style="background-color: white; color: #333333; font-family: Georgia; list-style-image: url("/img/_li.gif");"><span style="font-size: large;">douleur importante</span></li>
<li style="background-color: white; color: #333333; font-family: Georgia; list-style-image: url("/img/_li.gif");"><span style="font-size: large;">gonflement ou augmentation de taille</span></li>
<li style="background-color: white; color: #333333; font-family: Georgia; list-style-image: url("/img/_li.gif");"><span style="font-size: large;">douleur à l'épaule</span></li>
<li style="background-color: white; color: #333333; font-family: Georgia; list-style-image: url("/img/_li.gif");"><span style="font-size: large;">douleur à l'omoplate</span></li>
<li style="background-color: white; color: #333333; font-family: Georgia; list-style-image: url("/img/_li.gif");"><span style="font-size: large;">écoulement de liquide lymphatique par la peau</span></li>
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<h4 style="background-color: white; color: #7083c2; font-family: "Century Gothic"; font-weight: normal; line-height: 23.4px; margin: 0px;">
<span style="font-size: large;">Recommandations officielles</span></h4>
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<span style="background-color: white; color: #333333; font-family: "georgia"; font-size: large;">Cette liste de recommandations est destinée aux patientes susceptibles de développer un lymphoedème et est issue du National Lymphedema Network (<a href="http://www.lymphnet.org/">http://www.lymphnet.org/</a>)</span><br />
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<li style="list-style-image: url("/img/_li.gif");"><span style="font-size: large;">Etre attentive à tout gonflement du bras, de la main, des doigts ou de la poitrine. Consulter immédiatement dans ces cas.</span></li>
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<li style="list-style-image: url("/img/_li.gif");"><span style="font-size: large;"><strong>Ne JAMAIS permettre une injection, une prise de sang ou la prise de tension artérielle sur le bras concerné.</strong> Si vous souffrez d'un lymphoedème bilatéral, faites vérifier votre tension sur la cuisse.</span></li>
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<li style="list-style-image: url("/img/_li.gif");"><span style="font-size: large;">Sécher très soigneusement le bras et la main après la toilette et utiliser un lotion spéciale pour l'hygiène du bras : Lymphoderm, Eucerin, Curel, etc.</span></li>
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<li style="list-style-image: url("/img/_li.gif");"><span style="font-size: large;">Ménager le bras touché : <strong>ne pas porter d'objets lourds, de sacs en bandoulière du côté atteint,</strong> ne pas faire de mouvements brusques et/ou répétitifs (cirer son parquet, faire les vitres, tirer les portes lourdes, etc.)</span></li>
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<li style="list-style-image: url("/img/_li.gif");"><span style="font-size: large;">Ne pas porter de bijoux serrés autour du bras ou des doigts : changez votre alliance de main ou enlevez-la si votre bras gauche est touché. Ne pas retrousser sa manche pour serrer le bras.</span></li>
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<li style="list-style-image: url("/img/_li.gif");"><span style="font-size: large;"><strong>Ne pas exposer votre bras au soleil, </strong>ne pas prendre de coup de soleil. De même, éviter les bains chauds ou la vaisselle à l'eau très chaude. Pas de sauna.</span></li>
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<li style="list-style-image: url("/img/_li.gif");"><strong><span style="font-size: large;">Ne pas dormir sur le bras menacé.</span></strong></li>
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<li style="list-style-image: url("/img/_li.gif");"><span style="font-size: large;">Le tricot, le crochet sont déconseillés pendant de longues heures consécutives, de même que tout ce qui peut vous ankyloser..</span></li>
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<li style="list-style-image: url("/img/_li.gif");"><span style="font-size: large;"><strong>Eviter toute blessure (même minime) </strong>au bras ou à la main du côté concerné : égratignure ,coupure, brûlure, coup, piqûre d'insecte, griffure de chat, piqûre de rosier en jardinant, etc. portez des gants ou une protection adaptée si vous devez faire des travaux susceptible de générer ces blessures : gants jardinage, dé à coudre, etc. De même, si vous rasez vos aisselles, utilisez un rasoir électrique pour éviter les risques de coupure sous le bras. Lorsque vous vous manucurez, ne coupez pas les cuticules, repoussez les avec un petit bâtonnet.</span></li>
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<li style="list-style-image: url("/img/_li.gif");"><span style="font-size: large;">En avion, porter une manche de compression bien ajustée et des bandages supplémentaire si le trajet est long. Buvez beaucoup pendant le voyage.</span></li>
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<li style="list-style-image: url("/img/_li.gif");"><span style="font-size: large;">Faire de l'exercice est important, mais consultez votre thérapeute. Ne fatiguez pas un bras à risque; si le bras commence à vous gêner, reposez-vous et élevez-le. Exercices recommandés : la marche, la natation, les mouvements aérobics légers, le vélo, des mouvements de yoga ou de ballet spécifiquement conçus. (Ne soulevez pas de poids plus lourd que 7 kg).</span></li>
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<li style="list-style-image: url("/img/_li.gif");"><span style="font-size: large;">Pour les femmes à forte poitrine, porter des prothèses mammaires légères (les prothèses augmentent la pression sur les ganglions lymphatiques du cou). Utiliser un soutien-gorge bien ajusté, pas trop serré et idéalement sans armatures métalliques</span></li>
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<li style="list-style-image: url("/img/_li.gif");"><span style="font-size: large;">Attention, consulter immédiatement son médecin dans les cas suivants : éruption cutanée, démangeaison, rougeur, douleur, augmentation de la température ou de la fièvre. Une lymphangite (infection) dans le bras affecté peut être le début ou la détérioration du lymphoedème.</span></li>
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<li style="list-style-image: url("/img/_li.gif");"><span style="font-size: large;">Maintenir son poids idéal avec un régime équilibré riche en fibres et en protéines faciles à digérer (poulet, poisson, tofu). Diminuer l'apport alimentaire de protéines ne diminue pas la composante protéique du liquide lymphatique; mais cela pourrait plutôt affaiblir le tissu conjonctif et détériorer la condition de votre bras.</span></li>
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<li style="list-style-image: url("/img/_li.gif");"><strong><span style="font-size: large;">Eviter de fumer et de consommer de l'alcool.</span></strong></li>
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<li style="list-style-image: url("/img/_li.gif");"><span style="font-size: large;">Porter une manche de compression bien ajustée pendant la journée. Consultez tous les 4 ou 6 mois pour un suivi. Si la manche est trop ample, soit elle est usée, soit votre lymphoedème diminue !</span></li>
</ol>
<span style="background-color: white; color: #333333; font-family: "georgia";"><b>Un dossier réalisé par Karine Sabatier</b></span>Seraphimhttp://www.blogger.com/profile/09830433552680718249noreply@blogger.com3tag:blogger.com,1999:blog-7803504750995977657.post-79910044842454887032017-07-05T15:39:00.002-07:002017-07-24T06:16:31.112-07:00Traitement par ondes sonores : l'appareil Flowave 2<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjkB8xR_PhyphenhyphencjfxO3mEOHERuv-Frz0xehrDT_og9-Y_RxwRdTh_EGTKxBXbmOZSQ5-Co01I-mIQUT4UvZLfudBVhUWuHnsWpbwyB95t9LCMQJrtN7trAkfzPkl0vXvkugqnO6qcpziVn8Q/s1600/img-flowave2.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="300" data-original-width="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjkB8xR_PhyphenhyphencjfxO3mEOHERuv-Frz0xehrDT_og9-Y_RxwRdTh_EGTKxBXbmOZSQ5-Co01I-mIQUT4UvZLfudBVhUWuHnsWpbwyB95t9LCMQJrtN7trAkfzPkl0vXvkugqnO6qcpziVn8Q/s1600/img-flowave2.jpg" /></a></div>
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<span style="color: #cc0000;">Les appareils de la société Talamonti ne sont pas commercialisés en France. Ils sont utilisés par des centres spécialisés et des kiné en Italie principalement. Sur des forums des personnes disent avoir eu des résultats positifs sur leur lymphoedème.</span><br />
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<span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">Flowave2</span></h2>
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<span style="border: 0px; box-sizing: border-box; color: #660000; font-size: large; margin: 0px; outline: 0px; padding: 0px;"><u><b>Flowave 2 est un appareil utilisant les ondes sonores. Il est fabriqué par la société italienne <a href="http://www.talamontigroup.com/">Talamonti</a></b></u></span></div>
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<span style="border: 0px; box-sizing: border-box; color: #cc0000; font-size: large; margin: 0px; outline: 0px; padding: 0px;"><span style="color: #555555;"><br /></span></span></div>
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<span style="border: 0px; box-sizing: border-box; color: #cc0000; font-size: large; margin: 0px; outline: 0px; padding: 0px;"><span style="color: #555555;">Sur un forum une personne témoignait des résultats obtenus avec des séances de Flowave 2 chez un kiné et des séances à domicile avec l'appareil Transpondeur pro.</span></span></div>
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<span style="border: 0px; box-sizing: border-box; color: #cc0000; font-size: large; margin: 0px; outline: 0px; padding: 0px;"><span style="color: #555555;"><br /></span></span></div>
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<span style="border: 0px; box-sizing: border-box; color: #cc0000; font-size: large; margin: 0px; outline: 0px; padding: 0px;"><b><span style="background-color: white; color: #545454; font-family: "arial" , sans-serif;">Flowave is an electro-medical instrument which produces mechanical </span><span style="background-color: white; color: #6a6a6a; font-family: "arial" , sans-serif;">waves</span></b></span></div>
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<span style="border: 0px; box-sizing: border-box; color: #cc0000; font-size: large; margin: 0px; outline: 0px; padding: 0px;"><u><br /></u></span></div>
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<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: large; margin: 0px; outline: 0px; padding: 0px;">Traduction automatique de l'italien pour le produit Flowave 2</span></div>
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<span style="border: 0px; box-sizing: border-box; color: #555555; font-family: inherit; font-size: large; margin: 0px; outline: 0px; padding: 0px;"><a href="http://www.talamontigroup.com/flowave2">http://www.talamontigroup.com/flowave2</a></span></div>
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<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: large; margin: 0px; outline: 0px; padding: 0px;">Quoi?</span></h4>
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<span style="font-family: inherit; font-size: large;"><strong style="border: 0px; box-sizing: border-box; color: #1e1e1e; margin: 0px; outline: 0px; padding: 0px;">Flowave 2</strong><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;"><span class="" style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;"> est un dispositif électromédical du système intégré Novalinfa, pour le traitement des questions d'origine traumatique, le </span><span class="" style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">système oedémateux et veineux / lymphatique.</span></span></span></div>
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<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: large; margin: 0px; outline: 0px; padding: 0px;">Un tel dispositif agissant sur le niveau circulatoire, et des cellules musculaires, va rétablir l'équilibre physiologique.</span></div>
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<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: large; margin: 0px; outline: 0px; padding: 0px;">Qui peut l'utiliser?</span></h4>
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<span style="font-family: inherit; font-size: large;"><strong style="border: 0px; box-sizing: border-box; color: #1e1e1e; margin: 0px; outline: 0px; padding: 0px;">Le Flowave 2</strong><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;"><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;"> peut être utilisé par les </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">médecins, les </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">physiothérapeutes, les </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">infirmières et tous les </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">opérateurs agréés dans la profession de la </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">santé une </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">formation appropriée à l'utilisation correcte de la machine et au </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">courant des risques liés à son utilisation abusive.</span></span></span></div>
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<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: large; margin: 0px; outline: 0px; padding: 0px;">Domaines d'utilisation</span></h4>
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<span style="font-family: inherit; font-size: large;"><em style="border: 0px; box-sizing: border-box; color: #1e1e1e; margin: 0px; outline: 0px; padding: 0px;"><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;"><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">Réhabilitation musculaire, la </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">reconstruction du tissu lymphatique réadaptation, traitement de la </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">douleur</span></span></em><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;"> .</span></span></div>
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<span style="font-family: inherit; font-size: large;"><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">Le </span><strong style="border: 0px; box-sizing: border-box; color: #1e1e1e; margin: 0px; outline: 0px; padding: 0px;">Flowave 2</strong><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;"><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;"> est une </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">utilisation au </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">choix de: </span></span><em style="border: 0px; box-sizing: border-box; color: #1e1e1e; margin: 0px; outline: 0px; padding: 0px;"><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;"><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">œdème, lymphoedème I et II niveaux, l' </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">inflammation, la </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">stase veineuse, douleurs dans </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">les jambes, les </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">traumatismes, les </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">lésions musculaires, les </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">tensions musculaires, les </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">disques Ernie, l' </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">arthrose, l' </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">arthrite, la </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">douleur chronique, la </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">douleur aiguë, la </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">post-Ulcer traumatique, pied diabétique, escarres</span></span></em><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;"> .</span></span></div>
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<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: large; margin: 0px; outline: 0px; padding: 0px;">Action</span></h4>
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<span style="font-family: inherit; font-size: large;"><strong style="border: 0px; box-sizing: border-box; color: #1e1e1e; margin: 0px; outline: 0px; padding: 0px;">Flowave 2</strong><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;"> agit sur:</span></span></div>
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<li style="border: 0px; box-sizing: border-box; list-style: none; margin: 0px 0px 10px; outline: 0px; padding: 0px; position: relative;"><span style="font-family: inherit; font-size: large;"><strong style="border: 0px; box-sizing: border-box; color: #1e1e1e; margin: 0px; outline: 0px; padding: 0px;">Réseau de fluide</strong><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;"><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;"> (système lymphatique venoso-) sur le réseau de </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">fluide réactive la micro-circulation sanguine, ouvre les stations de ganglions lymphatiques et aide drainage interstitiel;</span></span></span></li>
<li style="border: 0px; box-sizing: border-box; list-style: none; margin: 0px 0px 10px; outline: 0px; padding: 0px; position: relative;"><span style="font-family: inherit; font-size: large;"><strong style="border: 0px; box-sizing: border-box; color: #1e1e1e; margin: 0px; outline: 0px; padding: 0px;">Système conjonctifs</strong><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;"><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;"> son action sur le système conjonctif rétablit les conditions physiologiques du même tissu, en </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">encourageant le rééquilibrage des échanges cellulaires intra et extra;</span></span></span></li>
<li style="border: 0px; box-sizing: border-box; list-style: none; margin: 0px 0px 10px; outline: 0px; padding: 0px; position: relative;"><span style="font-family: inherit; font-size: large;"><strong style="border: 0px; box-sizing: border-box; color: #1e1e1e; margin: 0px; outline: 0px; padding: 0px;">Système Neuronal</strong><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;"><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;"> (neuroendocrine) crée les conditions nécessaires pour une </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">réponse neuronale correcte, pas d' </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">alarme, avec une </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">action d' </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">équilibrage de la réponse du système endocrinien résultant.</span></span></span></li>
</ul>
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<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: large; margin: 0px; outline: 0px; padding: 0px;">Support physique</span></h4>
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<span style="font-family: inherit; font-size: large;"><strong style="border: 0px; box-sizing: border-box; color: #1e1e1e; margin: 0px; outline: 0px; padding: 0px;">Flowave 2</strong><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;"><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;"> est le seul électromédical qui utilise simultanément quatre physique et un moyen de </span><span style="border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px;">système de commande:</span></span></span></div>
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<li style="border: 0px; box-sizing: border-box; list-style: none; margin: 0px 0px 10px; outline: 0px; padding: 0px; position: relative;"><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: large; margin: 0px; outline: 0px; padding: 0px;">biorésonnante</span></li>
<li style="border: 0px; box-sizing: border-box; list-style: none; margin: 0px 0px 10px; outline: 0px; padding: 0px; position: relative;"><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: large; margin: 0px; outline: 0px; padding: 0px;">Polarterapia</span></li>
<li style="border: 0px; box-sizing: border-box; list-style: none; margin: 0px 0px 10px; outline: 0px; padding: 0px; position: relative;"><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: large; margin: 0px; outline: 0px; padding: 0px;">conjonctif sous vide</span></li>
<li style="border: 0px; box-sizing: border-box; list-style: none; margin: 0px 0px 10px; outline: 0px; padding: 0px; position: relative;"><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: large; margin: 0px; outline: 0px; padding: 0px;">Convoyage trans cutanée</span></li>
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<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: large; margin: 0px; outline: 0px; padding: 0px;">Il utilise également: le contrôle écologique, contrôle l'impédance, les ingrédients actifs naturels.</span></div>
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<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: large; margin: 0px; outline: 0px; padding: 0px;">Résultats</span></h4>
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<li style="border: 0px; box-sizing: border-box; list-style: none; margin: 0px 0px 10px; outline: 0px; padding: 0px; position: relative;"><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: large; margin: 0px; outline: 0px; padding: 0px;">centimètre de branche de réduction traitée</span></li>
<li style="border: 0px; box-sizing: border-box; list-style: none; margin: 0px 0px 10px; outline: 0px; padding: 0px; position: relative;"><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: large; margin: 0px; outline: 0px; padding: 0px;">Diminution de l'œdème (gonflement) avec réduction de la protéine et le composant interstitiel</span></li>
<li style="border: 0px; box-sizing: border-box; list-style: none; margin: 0px 0px 10px; outline: 0px; padding: 0px; position: relative;"><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: large; margin: 0px; outline: 0px; padding: 0px;">La réduction de la rétention d'eau avec augmentation de la diurèse</span></li>
<li style="border: 0px; box-sizing: border-box; list-style: none; margin: 0px 0px 10px; outline: 0px; padding: 0px; position: relative;"><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: large; margin: 0px; outline: 0px; padding: 0px;">Augmentation du tonus et la définition des muscles</span></li>
<li style="border: 0px; box-sizing: border-box; list-style: none; margin: 0px 0px 10px; outline: 0px; padding: 0px; position: relative;"><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: large; margin: 0px; outline: 0px; padding: 0px;">l'activation de la microcirculation avec une meilleure oxygénation et la nutrition cellulaire</span></li>
<li style="border: 0px; box-sizing: border-box; list-style: none; margin: 0px 0px 10px; outline: 0px; padding: 0px; position: relative;"><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: large; margin: 0px; outline: 0px; padding: 0px;">Augmentation de la température locale de la zone traitée</span></li>
<li style="border: 0px; box-sizing: border-box; list-style: none; margin: 0px 0px 10px; outline: 0px; padding: 0px; position: relative;"><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: large; margin: 0px; outline: 0px; padding: 0px;">Réduction de la graisse et de cellulite localisée</span></li>
<li style="border: 0px; box-sizing: border-box; list-style: none; margin: 0px 0px 10px; outline: 0px; padding: 0px; position: relative;"><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: large; margin: 0px; outline: 0px; padding: 0px;">Augmentation de l'élasticité et le tonus de la peau</span></li>
</ul>
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<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: large; margin: 0px; outline: 0px; padding: 0px;">Les données expérimentales à moyen / long terme montrent que les zones traitées ne reviennent pas dans la situation pathologique précoce.</span></div>
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<a href="http://eocf.free.fr/compression/ondes_lymphoedeme_italien.pdf"><img border="0" data-original-height="1143" data-original-width="1600" height="228" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgRG67cYYL4RBgqXiBXy6hb163o9JU68yvnP6ddGkYtCN4_XQCswIcIjsvT9astWsCNK4IPw22T_fORmtORdRa_90x3Qkx8XNaijcc-RtzjuhVnFR9L8fMg1228hb2RHQk32zQ5yQfERx8/s320/ondes_lymphoedeme_italien.jpg" width="320" /></a><a href="http://eocf.free.fr/compression/ondes_lymphoedeme_italien.pdf">http://eocf.free.fr/compression/ondes_lymphoedeme_italien.pdf</a></div>
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<h2 style="border: 0px; box-sizing: border-box; color: #555555; line-height: 22.4px; margin-bottom: 10px; outline: 0px; padding: 0px;">
<span style="font-family: inherit; font-size: large;"><b>Articles scientifiques </b></span></h2>
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<a href="http://eocf.free.fr/compression/40967709-Eficacia-Del-Flowave.pdf"><img border="0" data-original-height="361" data-original-width="668" height="215" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiLT0yDGHiCJG1IKgXeYy1OwkZy3wn2ftCNi0BNiZQYymY-zGd3IxDl9RYLSgLPokMXDNbo4SPxl8TwFbgbHoLi6cBJ0jJy9bHGEz5IAVfjN8HiqM9xTRCWYeFdpQxrhI_W9jNsncrkimw/s400/flowave_2005.jpg" width="400" /></a><a href="http://eocf.free.fr/compression/40967709-Eficacia-Del-Flowave.pdf">http://eocf.free.fr/compression/40967709-Eficacia-Del-Flowave.pdf</a></div>
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<span style="font-family: inherit; font-size: large;"><b><br /></b></span></div>
<h4>
<span style="font-family: inherit; font-size: large;"><b>Extrait</b></span></h4>
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<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">The<span style="letter-spacing: 0.4pt;"> </span>aetiology<span style="letter-spacing: -0.1pt;"> </span>divided<span style="letter-spacing: 0.25pt;">
</span>them<span style="letter-spacing: 0.7pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">in:</span></div>
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<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">•<span style="letter-spacing: -.05pt;"> </span>10<span style="letter-spacing: .4pt;"> </span>cases<span style="letter-spacing: .7pt;"> </span>of<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.05pt;">v</span>enous<span style="letter-spacing: .9pt;"> </span>lymphoedema <span style="letter-spacing: .3pt;"> </span>of<span style="letter-spacing: .2pt;"> </span>the<span style="letter-spacing: .55pt;"> </span>in<span style="letter-spacing: -.15pt;">f</span>e<span style="letter-spacing: .05pt;">r</span>ior<span style="letter-spacing: -.3pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">limb<span style="letter-spacing: -.1pt;">s</span></span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">,</span></div>
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<span lang="EN-US" style="background-color: yellow; color: #231f20; font-family: "myriad pro light" , sans-serif;">•<span style="letter-spacing: .5pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;"><span style="background-color: yellow;">3<span style="letter-spacing: -.35pt;"> </span>p<span style="letter-spacing: .05pt;">r</span>ima<span style="letter-spacing: .2pt;">r</span>y<span style="letter-spacing: .25pt;"> </span>lymphoedema
<span style="letter-spacing: .3pt;"> </span>of<span style="letter-spacing: .2pt;"> </span>in<span style="letter-spacing: -.15pt;">f</span>e<span style="letter-spacing: .05pt;">r</span>ior<span style="letter-spacing: -.3pt;"> </span>limb<span style="letter-spacing: -.1pt;">s</span></span>,</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
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<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">•<span style="letter-spacing: .5pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">8<span style="letter-spacing: -.35pt;"> </span>seconda<span style="letter-spacing: .2pt;">r</span>y<span style="letter-spacing: .95pt;"> </span>lymphoedema <span style="letter-spacing: .3pt;"> </span>of<span style="letter-spacing: .2pt;"> </span>the<span style="letter-spacing: .55pt;"> </span>in<span style="letter-spacing: -.15pt;">f</span>e<span style="letter-spacing: .05pt;">r</span>ior<span style="letter-spacing: -.3pt;"> </span>limb<span style="letter-spacing: -.1pt;">s</span>,</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 31.9pt; margin-top: 1.0pt; text-align: justify;">
<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">•<span style="letter-spacing: -.05pt;"> </span>28<span style="letter-spacing: .4pt;"> </span>seconda<span style="letter-spacing: .2pt;">r</span>y<span style="letter-spacing: .95pt;"> </span>lymphoedema <span style="letter-spacing: .3pt;"> </span>of<span style="letter-spacing: .2pt;"> </span>the<span style="letter-spacing: .55pt;"> </span>upper<span style="letter-spacing: .75pt;"> </span>limbs<span style="letter-spacing: .5pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">pos<span style="letter-spacing: -.05pt;">t</span>-mas<span style="letter-spacing: -.05pt;">t</span></span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">e<span style="letter-spacing: .1pt;">c</span></span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif; letter-spacing: -0.05pt;">t</span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">o<span style="letter-spacing: -.1pt;">m</span></span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif; letter-spacing: -0.3pt;">y</span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">,</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
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<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">•<span style="letter-spacing: .5pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">1<span style="letter-spacing: -.35pt;"> </span>lipolymphoedema <span style="letter-spacing: .05pt;"> </span>of<span style="letter-spacing: .2pt;"> </span>the<span style="letter-spacing: .55pt;"> </span>in<span style="letter-spacing: -.15pt;">f</span>e<span style="letter-spacing: .05pt;">r</span>ior<span style="letter-spacing: -.3pt;"> </span>limb<span style="letter-spacing: -.1pt;">s</span>.</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 0cm; margin-top: 1.0pt; mso-line-height-rule: exactly;">
<br /></div>
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<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif; line-height: 108%;">The<span style="letter-spacing: .55pt;"> </span>number<span style="letter-spacing: 1.15pt;"> </span>of<span style="letter-spacing: .15pt;"> </span>t<span style="letter-spacing: -.1pt;">r</span>eatments<span style="letter-spacing: .65pt;">
</span>was<span style="letter-spacing: .55pt;"> </span>va<span style="letter-spacing: .05pt;">r</span>iable<span style="letter-spacing: -.15pt;"> </span>f<span style="letter-spacing: -.1pt;">r</span>om<span style="letter-spacing: .4pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif; line-height: 108%;">9<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.05pt;">t</span>o<span style="letter-spacing: -.65pt;"> </span>14;<span style="letter-spacing: -.1pt;"> </span>the<span style="letter-spacing: .5pt;"> </span>pe<span style="letter-spacing: .05pt;">r</span>iod<span style="letter-spacing: .5pt;"> </span>be<span style="letter-spacing: .1pt;">t</span><span style="letter-spacing: -.05pt;">w</span>een the<span style="letter-spacing: -.2pt;">
</span>e<span style="letter-spacing: -.1pt;">x</span>ecution<span style="letter-spacing: 1.1pt;"> </span>of the<span style="letter-spacing: -.2pt;"> </span>first<span style="letter-spacing: .5pt;"> </span>lymphoscinti<span style="letter-spacing: -.05pt;">g</span>rap<span style="letter-spacing: -.1pt;">h</span>y <span style="letter-spacing: 1.2pt;"> </span>and<span style="letter-spacing: -.35pt;"> </span>the<span style="letter-spacing: -.2pt;"> </span>be<span style="letter-spacing: -.05pt;">g</span>inning<span style="letter-spacing: 1.05pt;"> </span>of the therapy<span style="letter-spacing: -.35pt;"> </span>ne<span style="letter-spacing: -.05pt;">v</span>er<span style="letter-spacing: -.05pt;"> </span>e<span style="letter-spacing: -.1pt;">x</span>ceeded<span style="letter-spacing: .7pt;"> </span>2<span style="letter-spacing: -.65pt;"> </span>d<span style="letter-spacing: -.05pt;">a</span>ys<span style="letter-spacing: -.3pt;"> </span>while<span style="letter-spacing: .2pt;"> </span>the<span style="letter-spacing: .1pt;"> </span>time<span style="letter-spacing: .15pt;"> </span>be<span style="letter-spacing: .1pt;">t</span><span style="letter-spacing: -.05pt;">w</span>een<span style="letter-spacing: .75pt;"> </span>the<span style="letter-spacing: .1pt;"> </span>end<span style="letter-spacing: .25pt;"> </span>of<span style="letter-spacing: -.2pt;"> </span>the<span style="letter-spacing: .1pt;"> </span>si<span style="letter-spacing: -.05pt;">t</span>- ting<span style="letter-spacing: .25pt;"> </span>and<span style="letter-spacing: .4pt;"> </span>the<span style="letter-spacing: .4pt;"> </span>second<span style="letter-spacing: 1.1pt;"> </span>lymphoscinti<span style="letter-spacing: -.1pt;">g</span>rap<span style="letter-spacing: -.1pt;">h</span>y<span style="letter-spacing: .5pt;"> </span>was<span style="letter-spacing: .4pt;"> </span>va<span style="letter-spacing: .05pt;">r</span>iable<span style="letter-spacing: -.4pt;"> </span>f<span style="letter-spacing: -.1pt;">r</span>om<span style="letter-spacing: .2pt;"> </span>1<span style="letter-spacing: -.35pt;"> </span><span style="letter-spacing: -.05pt;">t</span>o<span style="letter-spacing: -.6pt;"> </span>7<span style="letter-spacing: -.35pt;"> </span>d<span style="letter-spacing: -.05pt;">a</span>y<span style="letter-spacing: -.1pt;">s</span>.</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif; line-height: 108%;"><o:p></o:p></span></div>
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<br /></div>
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<span lang="EN-US" style="color: #f47d30; font-family: "myriad pro light" , sans-serif; letter-spacing: -0.35pt;">V</span><span lang="EN-US" style="color: #f47d30; font-family: "myriad pro light" , sans-serif;">erific<span style="letter-spacing: -.05pt;">a</span>tion<span style="letter-spacing: -.15pt;"> </span>of
<span style="letter-spacing: -.1pt;">r</span>esults</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
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<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif; letter-spacing: 0.15pt; line-height: 108%;">I</span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif; line-height: 108%;">n<span style="letter-spacing: .4pt;"> </span>all<span style="letter-spacing: .05pt;"> </span>cases<span style="letter-spacing: 1.05pt;"> </span>the<span style="letter-spacing: .8pt;"> </span>patients<span style="letter-spacing: .7pt;"> </span>h<span style="letter-spacing: -.05pt;">av</span>e<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.1pt;">r</span>epo<span style="letter-spacing: .2pt;">r</span><span style="letter-spacing: -.05pt;">t</span>ed<span style="letter-spacing: 1.1pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif; line-height: 108%;">a<span style="letter-spacing: -.3pt;"> </span>good<span style="letter-spacing: .75pt;"> </span>adaptation<span style="letter-spacing: -.5pt;"> </span><span style="letter-spacing: -.05pt;">t</span>o<span style="letter-spacing: -.5pt;"> </span>the<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 82%;">r</span>ecei<span style="letter-spacing: -.05pt;">v</span>ed
t<span style="letter-spacing: -.1pt;">r</span>eatment.<span style="letter-spacing: 1.05pt;"> </span>The<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 90%;">f</span>eeling<span style="letter-spacing: 1.4pt;"> </span>of<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 87%;">g</span>r<span style="letter-spacing: -.05pt;">a</span>vi<span style="letter-spacing: .1pt;">t</span>y
<span style="letter-spacing: .05pt;"> </span>and
ha<span style="letter-spacing: -.1pt;">r</span>dening<span style="letter-spacing: 1.4pt;"> </span>of<span style="letter-spacing: .35pt;">
</span>the<span style="letter-spacing: .2pt;"> </span>limbs<span style="letter-spacing: -.7pt;"> </span>has been elimina<span style="letter-spacing: -.05pt;">t</span>ed<span style="letter-spacing: .6pt;"> </span>in<span style="letter-spacing: -.7pt;"> </span>all<span style="letter-spacing: .4pt;"> </span>case<span style="letter-spacing: -.1pt;">s</span>.</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif; line-height: 108%;"><o:p></o:p></span></div>
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<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif; line-height: 108%;">Ch<span style="letter-spacing: -.1pt;">r</span>onic<span style="letter-spacing: 1.25pt;"> </span>patients<span style="letter-spacing: .5pt;">
</span>s<span style="letter-spacing: -.05pt;">t</span>opped<span style="letter-spacing: 1.35pt;"> </span>a<span style="letter-spacing: -.1pt;">n</span>y<span style="letter-spacing: .5pt;"> </span>other<span style="letter-spacing: .7pt;"> </span>therapies<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.15pt;">f</span>or<span style="letter-spacing: .15pt;"> </span>about<span style="letter-spacing: .95pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif; line-height: 108%;">6<span style="letter-spacing: -.15pt;"> </span>months<span style="letter-spacing: .45pt;"> </span>be<span style="letter-spacing: -.15pt;">f</span>o<span style="letter-spacing: -.1pt;">r</span>e
sta<span style="letter-spacing: .2pt;">r</span>ting<span style="letter-spacing: .1pt;"> </span>this<span style="letter-spacing: .2pt;"> </span>t<span style="letter-spacing: -.1pt;">r</span>eatment.<span style="letter-spacing: .35pt;">
</span><span style="letter-spacing: .15pt;">I</span>n<span style="letter-spacing: .25pt;"> </span>the<span style="letter-spacing: .6pt;"> </span>mea<span style="letter-spacing: -.1pt;">n</span>while<span style="letter-spacing: 1.4pt;"> </span>the<span style="letter-spacing: .6pt;"> </span>opera<span style="letter-spacing: -.05pt;">t</span>or<span style="letter-spacing: .5pt;"> </span>positi<span style="letter-spacing: -.05pt;">v</span>ely<span style="letter-spacing: -.05pt;"> </span>estima<span style="letter-spacing: -.05pt;">t</span>-
ed<span style="letter-spacing: -.6pt;"> </span>the<span style="letter-spacing: .4pt;"> </span>methodical<span style="letter-spacing: .7pt;"> </span>e<span style="letter-spacing: -.1pt;">x</span>ecution<span style="letter-spacing: .75pt;"> </span>of<span style="letter-spacing: .1pt;"> </span>the<span style="letter-spacing: .4pt;"> </span>pe<span style="letter-spacing: .3pt;">r</span><span style="letter-spacing: -.15pt; mso-font-width: 82%;">f</span>o<span style="letter-spacing: .05pt;">r</span>manc<span style="letter-spacing: -.1pt;">e</span>.</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif; line-height: 108%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; mso-line-height-rule: exactly;">
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 217.7pt; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #f47d30; font-family: "myriad pro light" , sans-serif;">Clinical <span style="letter-spacing: -.1pt;">r</span>esults</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 108%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 12.6pt; margin-top: 1.0pt;">
<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif; line-height: 108%;">The<span style="letter-spacing: -.5pt;"> </span>clinical<span style="letter-spacing: .85pt;"> </span>cont<span style="letter-spacing: -.1pt;">r</span>ol<span style="letter-spacing: 1.25pt;"> </span>all<span style="letter-spacing: -.05pt;">ow</span>ed<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: -.05pt;">t</span>o<span style="letter-spacing: -.05pt;"> v</span>e<span style="letter-spacing: .05pt;">r</span>ify<span style="letter-spacing: 1.05pt;"> </span>the<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 91%;">r</span>edu<span style="letter-spacing: .1pt;">c</span>tion<span style="letter-spacing: .95pt;"> </span>of<span style="letter-spacing: -.2pt;"> </span>the<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 91%;">t</span>ension<span style="letter-spacing: 1.0pt;"> </span>of<span style="letter-spacing: -.2pt;"> </span>the cutaneous<span style="letter-spacing: .65pt;"> </span>and<span style="letter-spacing: .4pt;"> </span>subcutaneous<span style="letter-spacing: .8pt;"> </span>tissues in<span style="letter-spacing: -.7pt;"> </span>100%<span style="letter-spacing: .05pt;"> </span>of<span style="letter-spacing: .2pt;"> </span>the<span style="letter-spacing: .55pt;"> </span>case<span style="letter-spacing: -.1pt;">s</span>.</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif; line-height: 108%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 11.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 12.9pt; margin-top: 0cm; mso-line-height-rule: exactly; text-align: justify;">
<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">The<span style="letter-spacing: .5pt;"> </span>measu<span style="letter-spacing: -.1pt;">r</span>ement<span style="letter-spacing: .75pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">of<span style="letter-spacing: -.5pt;"> </span>the<span style="letter-spacing: -.7pt;"> </span>cent<span style="letter-spacing: .05pt;">r</span>imet<span style="letter-spacing: .05pt;">r</span>ic<span style="letter-spacing: .6pt;"> </span>delta<span style="letter-spacing: .3pt;"> </span>(dif<span style="letter-spacing: -.15pt;">f</span>e<span style="letter-spacing: -.1pt;">r</span>ence<span style="letter-spacing: .45pt;"> </span>be<span style="letter-spacing: .1pt;">t</span><span style="letter-spacing: -.05pt;">w</span>een<span style="letter-spacing: 1.3pt;"> </span>the<span style="letter-spacing: -.7pt;"> </span><span style="letter-spacing: .1pt;">t</span><span style="letter-spacing: -.05pt;">w</span>o</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 108%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 12.6pt; margin-top: 1.0pt;">
<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif; line-height: 108%;">limbs)<span style="letter-spacing: .4pt;"> </span>be<span style="letter-spacing: -.15pt;">f</span>o<span style="letter-spacing: -.1pt;">r</span>e<span style="letter-spacing: .3pt;"> </span>and<span style="letter-spacing: .55pt;"> </span>a<span style="letter-spacing: .1pt;">f</span><span style="letter-spacing: -.05pt;">t</span>er<span style="letter-spacing: -.2pt;"> </span>the<span style="letter-spacing: .55pt;"> </span>therapeutic<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: .15pt;">c</span><span style="letter-spacing: -.05pt;">y</span>cle<span style="letter-spacing: .85pt;"> </span>sh<span style="letter-spacing: -.05pt;">ow</span>ed<span style="letter-spacing: 1.1pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif; line-height: 108%;">a<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.1pt;">r</span>edu<span style="letter-spacing: 0.1pt;">c</span>tion<span style="letter-spacing: 0.55pt;"> </span>of<span style="letter-spacing: -0.6pt;"> </span>74% (37)<span style="letter-spacing: 0.15pt;"> </span>divided<span style="letter-spacing: 0.6pt;"> </span>in<span style="letter-spacing: -0.05pt;">t</span>o:</span><span lang="EN-US" style="font-family: "myriad pro light" , "sans-serif"; font-size: 9.0pt; line-height: 108%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 108%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 12.6pt; margin-top: 1.0pt;">
<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif; line-height: 108%;"><br /></span></div>
<div class="MsoNormal" style="line-height: .5pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 0cm; margin-top: .25pt; mso-line-height-rule: exactly;">
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<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: -.2pt; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-table-layout-alt: fixed; mso-yfti-tbllook: 480;">
<tbody>
<tr style="height: 14.5pt; mso-height-rule: exactly; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid #231F20 1.0pt; height: 14.5pt; mso-border-alt: solid #231F20 .5pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 90.7pt;" valign="top" width="121"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-left: none; border: solid #231F20 1.0pt; height: 14.5pt; mso-border-alt: solid #231F20 .5pt; mso-border-left-alt: solid #231F20 .5pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 17.0pt;" valign="top" width="23"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 6.4pt; margin-right: -1.0pt; margin-top: 2.05pt;">
<span lang="EN-US" style="color: #c60b46; font-family: "myriad pro light" , sans-serif;">N¡</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid #231F20 1.0pt; height: 14.5pt; mso-border-alt: solid #231F20 .5pt; mso-border-left-alt: solid #231F20 .5pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 4.0cm;" valign="top" width="151"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.75pt; margin-right: -1.0pt; margin-top: 2.05pt;">
<span lang="EN-US" style="color: #c60b46; font-family: "myriad pro light" , sans-serif;">N¡<span style="letter-spacing: -.6pt;"> </span>cases<span style="letter-spacing: .35pt;"> </span>with<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.1pt;">r</span>edu<span style="letter-spacing: .1pt;">c</span>tion<span style="letter-spacing: .3pt;"> </span>of<span style="letter-spacing: .05pt;"> </span>the<span style="letter-spacing: .3pt;"> </span>delta</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid #231F20 1.0pt; height: 14.5pt; mso-border-alt: solid #231F20 .5pt; mso-border-left-alt: solid #231F20 .5pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 34.0pt;" valign="top" width="45"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.85pt; margin-right: -1.0pt; margin-top: 2.05pt;">
<span lang="EN-US" style="color: #c60b46; font-family: "myriad pro light" , sans-serif;">per<span style="letter-spacing: .2pt;"> </span></span><span lang="EN-US" style="color: #c60b46; font-family: "myriad pro light" , sans-serif;">cent</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 13.65pt; mso-height-rule: exactly; mso-yfti-irow: 1;">
<td style="border-top: none; border: solid #231F20 1.0pt; height: 13.65pt; mso-border-alt: solid #231F20 .5pt; mso-border-top-alt: solid #231F20 .5pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 90.7pt;" valign="top" width="121"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.75pt; margin-right: -1.0pt; margin-top: 2.05pt;">
<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif; letter-spacing: -0.2pt;">V</span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">enous<span style="letter-spacing: .3pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif; letter-spacing: -0.15pt;">L</span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">ymphedema</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid #231F20 1.0pt; border-left: none; border-right: solid #231F20 1.0pt; border-top: none; height: 13.65pt; mso-border-alt: solid #231F20 .5pt; mso-border-left-alt: solid #231F20 .5pt; mso-border-top-alt: solid #231F20 .5pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 17.0pt;" valign="top" width="23"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 5.45pt; margin-right: -1.0pt; margin-top: 2.05pt;">
<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">10</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid #231F20 1.0pt; border-left: none; border-right: solid #231F20 1.0pt; border-top: none; height: 13.65pt; mso-border-alt: solid #231F20 .5pt; mso-border-left-alt: solid #231F20 .5pt; mso-border-top-alt: solid #231F20 .5pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 4.0cm;" valign="top" width="151"><div align="right" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 25.45pt; margin-top: 2.05pt; text-align: right;">
<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">10</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid #231F20 1.0pt; border-left: none; border-right: solid #231F20 1.0pt; border-top: none; height: 13.65pt; mso-border-alt: solid #231F20 .5pt; mso-border-left-alt: solid #231F20 .5pt; mso-border-top-alt: solid #231F20 .5pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 34.0pt;" valign="top" width="45"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 11.6pt; margin-right: -1.0pt; margin-top: 2.05pt;">
<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">100<span style="letter-spacing: .25pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">%</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 13.65pt; mso-height-rule: exactly; mso-yfti-irow: 2;">
<td style="border-top: none; border: solid #231F20 1.0pt; height: 13.65pt; mso-border-alt: solid #231F20 .5pt; mso-border-top-alt: solid #231F20 .5pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 90.7pt;" valign="top" width="121"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.75pt; margin-right: -1.0pt; margin-top: 2.05pt;">
<span style="background-color: yellow;"><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif; letter-spacing: -0.15pt;">P</span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif; letter-spacing: 0.05pt;">r</span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">ima<span style="letter-spacing: .2pt;">r</span>y<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: -.15pt;">L</span>ymph.
<span style="letter-spacing: .15pt;"> O</span>f<span style="letter-spacing: .7pt;"> </span>I. </span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">L.</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></span></div>
</td>
<td style="border-bottom: solid #231F20 1.0pt; border-left: none; border-right: solid #231F20 1.0pt; border-top: none; height: 13.65pt; mso-border-alt: solid #231F20 .5pt; mso-border-left-alt: solid #231F20 .5pt; mso-border-top-alt: solid #231F20 .5pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 17.0pt;" valign="top" width="23"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.1pt; margin-right: -1.0pt; margin-top: 2.05pt;">
<span style="background-color: yellow;"><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">3</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></span></div>
</td>
<td style="border-bottom: solid #231F20 1.0pt; border-left: none; border-right: solid #231F20 1.0pt; border-top: none; height: 13.65pt; mso-border-alt: solid #231F20 .5pt; mso-border-left-alt: solid #231F20 .5pt; mso-border-top-alt: solid #231F20 .5pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 4.0cm;" valign="top" width="151"><div align="right" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 25.45pt; margin-top: 2.05pt; text-align: right;">
<span style="background-color: yellow;"><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">3</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></span></div>
</td>
<td style="border-bottom: solid #231F20 1.0pt; border-left: none; border-right: solid #231F20 1.0pt; border-top: none; height: 13.65pt; mso-border-alt: solid #231F20 .5pt; mso-border-left-alt: solid #231F20 .5pt; mso-border-top-alt: solid #231F20 .5pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 34.0pt;" valign="top" width="45"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 11.6pt; margin-right: -1.0pt; margin-top: 2.05pt;">
<span style="background-color: yellow;"><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">100<span style="letter-spacing: .25pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">%</span></span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 13.65pt; mso-height-rule: exactly; mso-yfti-irow: 3;">
<td style="border-top: none; border: solid #231F20 1.0pt; height: 13.65pt; mso-border-alt: solid #231F20 .5pt; mso-border-top-alt: solid #231F20 .5pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 90.7pt;" valign="top" width="121"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.75pt; margin-right: -1.0pt; margin-top: 2.05pt;">
<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">Seconda<span style="letter-spacing: .2pt;">r</span>y
<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: -.15pt;">L</span>ymph.<span style="letter-spacing: 1.2pt;">
</span><span style="letter-spacing: .15pt;">O</span>f<span style="letter-spacing: .6pt;"> </span>I.<span style="letter-spacing: -.05pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">L.</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid #231F20 1.0pt; border-left: none; border-right: solid #231F20 1.0pt; border-top: none; height: 13.65pt; mso-border-alt: solid #231F20 .5pt; mso-border-left-alt: solid #231F20 .5pt; mso-border-top-alt: solid #231F20 .5pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 17.0pt;" valign="top" width="23"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.1pt; margin-right: -1.0pt; margin-top: 2.05pt;">
<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">8</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid #231F20 1.0pt; border-left: none; border-right: solid #231F20 1.0pt; border-top: none; height: 13.65pt; mso-border-alt: solid #231F20 .5pt; mso-border-left-alt: solid #231F20 .5pt; mso-border-top-alt: solid #231F20 .5pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 4.0cm;" valign="top" width="151"><div align="right" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 25.45pt; margin-top: 2.05pt; text-align: right;">
<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">8</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid #231F20 1.0pt; border-left: none; border-right: solid #231F20 1.0pt; border-top: none; height: 13.65pt; mso-border-alt: solid #231F20 .5pt; mso-border-left-alt: solid #231F20 .5pt; mso-border-top-alt: solid #231F20 .5pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 34.0pt;" valign="top" width="45"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 11.6pt; margin-right: -1.0pt; margin-top: 2.05pt;">
<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">100<span style="letter-spacing: .25pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">%</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 13.65pt; mso-height-rule: exactly; mso-yfti-irow: 4;">
<td style="border-top: none; border: solid #231F20 1.0pt; height: 13.65pt; mso-border-alt: solid #231F20 .5pt; mso-border-top-alt: solid #231F20 .5pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 90.7pt;" valign="top" width="121"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.75pt; margin-right: -1.0pt; margin-top: 2.05pt;">
<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">Seconda<span style="letter-spacing: .2pt;">r</span>y
<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: -.15pt;">L</span>ymph.<span style="letter-spacing: 1.2pt;">
</span><span style="letter-spacing: .15pt;">O</span>f<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.15pt;">U</span>.<span style="letter-spacing: .35pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">L.</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid #231F20 1.0pt; border-left: none; border-right: solid #231F20 1.0pt; border-top: none; height: 13.65pt; mso-border-alt: solid #231F20 .5pt; mso-border-left-alt: solid #231F20 .5pt; mso-border-top-alt: solid #231F20 .5pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 17.0pt;" valign="top" width="23"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 5.45pt; margin-right: -1.0pt; margin-top: 2.05pt;">
<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">28</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid #231F20 1.0pt; border-left: none; border-right: solid #231F20 1.0pt; border-top: none; height: 13.65pt; mso-border-alt: solid #231F20 .5pt; mso-border-left-alt: solid #231F20 .5pt; mso-border-top-alt: solid #231F20 .5pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 4.0cm;" valign="top" width="151"><div align="right" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 25.45pt; margin-top: 2.05pt; text-align: right;">
<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">16</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid #231F20 1.0pt; border-left: none; border-right: solid #231F20 1.0pt; border-top: none; height: 13.65pt; mso-border-alt: solid #231F20 .5pt; mso-border-left-alt: solid #231F20 .5pt; mso-border-top-alt: solid #231F20 .5pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 34.0pt;" valign="top" width="45"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.25pt; margin-right: -1.0pt; margin-top: 2.05pt;">
<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">57<span style="letter-spacing: .25pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">%</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 13.65pt; mso-height-rule: exactly; mso-yfti-irow: 5;">
<td style="border-top: none; border: solid #231F20 1.0pt; height: 13.65pt; mso-border-alt: solid #231F20 .5pt; mso-border-top-alt: solid #231F20 .5pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 90.7pt;" valign="top" width="121"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.75pt; margin-right: -1.0pt; margin-top: 2.05pt;">
<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">Lipolymphedema</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid #231F20 1.0pt; border-left: none; border-right: solid #231F20 1.0pt; border-top: none; height: 13.65pt; mso-border-alt: solid #231F20 .5pt; mso-border-left-alt: solid #231F20 .5pt; mso-border-top-alt: solid #231F20 .5pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 17.0pt;" valign="top" width="23"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.1pt; margin-right: -1.0pt; margin-top: 2.05pt;">
<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">1</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid #231F20 1.0pt; border-left: none; border-right: solid #231F20 1.0pt; border-top: none; height: 13.65pt; mso-border-alt: solid #231F20 .5pt; mso-border-left-alt: solid #231F20 .5pt; mso-border-top-alt: solid #231F20 .5pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 4.0cm;" valign="top" width="151"><div align="right" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 25.45pt; margin-top: 2.05pt; text-align: right;">
<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">0</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid #231F20 1.0pt; border-left: none; border-right: solid #231F20 1.0pt; border-top: none; height: 13.65pt; mso-border-alt: solid #231F20 .5pt; mso-border-left-alt: solid #231F20 .5pt; mso-border-top-alt: solid #231F20 .5pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 34.0pt;" valign="top" width="45"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.95pt; margin-right: -1.0pt; margin-top: 2.05pt;">
<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">0<span style="letter-spacing: -.25pt;"> </span>%</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 13.6pt; mso-height-rule: exactly; mso-yfti-irow: 6; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid #231F20 1.0pt; height: 13.6pt; mso-border-alt: solid #231F20 .5pt; mso-border-top-alt: solid #231F20 .5pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 90.7pt;" valign="top" width="121"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.75pt; margin-right: -1.0pt; margin-top: 2.1pt;">
<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif; letter-spacing: -0.5pt;">T</span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">otal</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid #231F20 1.0pt; border-left: none; border-right: solid #231F20 1.0pt; border-top: none; height: 13.6pt; mso-border-alt: solid #231F20 .5pt; mso-border-left-alt: solid #231F20 .5pt; mso-border-top-alt: solid #231F20 .5pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 17.0pt;" valign="top" width="23"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 5.45pt; margin-right: -1.0pt; margin-top: 2.1pt;">
<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">50</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid #231F20 1.0pt; border-left: none; border-right: solid #231F20 1.0pt; border-top: none; height: 13.6pt; mso-border-alt: solid #231F20 .5pt; mso-border-left-alt: solid #231F20 .5pt; mso-border-top-alt: solid #231F20 .5pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 4.0cm;" valign="top" width="151"><div align="right" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 25.45pt; margin-top: 2.1pt; text-align: right;">
<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">37</span><span lang="EN-US" style="font-family: "myriad pro light" , sans-serif;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid #231F20 1.0pt; border-left: none; border-right: solid #231F20 1.0pt; border-top: none; height: 13.6pt; mso-border-alt: solid #231F20 .5pt; mso-border-left-alt: solid #231F20 .5pt; mso-border-top-alt: solid #231F20 .5pt; mso-height-rule: exactly; padding: 0cm 0cm 0cm 0cm; width: 34.0pt;" valign="top" width="45"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.25pt; margin-right: -1.0pt; margin-top: 2.1pt;">
<span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">74<span style="letter-spacing: .25pt;"> </span></span><span lang="EN-US" style="color: #231f20; font-family: "myriad pro light" , sans-serif;">%</span><span lang="EN-US" style="font-family: "myriad pro light" , "sans-serif"; font-size: 7.5pt;"><o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 10.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 0cm; margin-top: .5pt; mso-line-height-rule: exactly;">
<br /></div>
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<div>
<span style="font-family: inherit; font-size: large;"><b><br /></b></span></div>
<div style="color: #555555;">
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<b><i><span lang="EN-US" style="color: #231f20; font-family: "arial" , "sans-serif"; mso-fareast-font-family: Arial;">XXXIII<span style="letter-spacing: .6pt;"> </span>g.e.l.<span style="letter-spacing: .05pt;"> </span>Congress<span style="letter-spacing: -.7pt;"> </span>-<span style="letter-spacing: 1.1pt;"> </span>Prague,<span style="letter-spacing: .3pt;"> </span>12-13<span style="letter-spacing: .85pt;"> </span>May<span style="letter-spacing: .75pt;"> </span>2007</span></i></b><span lang="EN-US" style="font-family: "arial" , "sans-serif"; mso-fareast-font-family: Arial;"><o:p></o:p></span></div>
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<b><i><span lang="EN-US" style="color: #231f20; font-family: "arial" , "sans-serif"; mso-fareast-font-family: Arial;">Résumé de la communication de M Ricci</span></i></b></div>
</div>
<div style="color: #555555;">
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<!--[if gte vml 1]><v:group
id="_x0000_s1026" style='position:absolute;left:0;text-align:left;
margin-left:34.25pt;margin-top:14.95pt;width:526.55pt;height:214.75pt;
z-index:-1703;mso-position-horizontal-relative:page' coordorigin="685,299"
coordsize="10531,4295">
<v:shape id="_x0000_s1027" style='position:absolute;left:685;top:299;width:10531;
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</v:group><![endif]--><!--[if !vml]--><span style="height: 288px; left: 0px; margin-left: 45px; margin-top: 19px; mso-ignore: vglayout; position: absolute; width: 704px; z-index: 503314775;"><br /></span><!--[endif]--><b><span lang="EN-US" style="font-family: "times new roman" , serif; letter-spacing: 3pt;">S</span></b><b><span lang="EN-US" style="font-family: "times new roman" , serif;">I<span style="letter-spacing: .3pt;"> </span>-<span style="letter-spacing: .3pt;"> </span>5</span></b><span lang="EN-US" style="font-family: "times new roman" , serif;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 11.55pt; margin-right: -1.0pt; margin-top: 4.0pt;">
<b><span lang="EN-US" style="font-family: "times new roman" , serif;">SONOUROS WAVES EFFECT ON OEDEMA
INDUCED BY ECCENTRIC CONTRACTION IN RAT SKELETAL MUSCLE</span></b><span lang="EN-US" style="font-family: "times new roman" , serif;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 11.55pt; margin-right: -1.0pt; margin-top: 3.6pt;">
<span lang="EN-US" style="font-family: "times new roman" , serif;">M. RICCI<o:p></o:p></span></div>
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<i><span lang="EN-US" style="font-family: "times new roman" , serif;">Rehabilitation,
Jesi, Italy</span></i><span lang="EN-US" style="font-family: "times new roman" , serif;"><o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 9.7pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 11.55pt; margin-right: 29.45pt; margin-top: 0cm; mso-line-height-rule: exactly;">
<span lang="EN-US" style="font-family: "times new roman" , serif;">In our Rehabilitative<span style="letter-spacing: -.55pt;"> </span>Center<span style="letter-spacing: -.25pt;">
</span>the<span style="letter-spacing: -.1pt;"> </span>use of the<span style="letter-spacing: -.1pt;"> </span>sonorous waves for the<span style="letter-spacing: -.1pt;"> </span>treatment<span style="letter-spacing: -.35pt;">
</span>of the<span style="letter-spacing: -.1pt;"> </span>oedema<span style="letter-spacing: -.3pt;"> </span>is<span style="letter-spacing: -.05pt;"> </span>a<span style="letter-spacing: -.05pt;"> </span>common<span style="letter-spacing: -.35pt;">
</span>practice.<span style="letter-spacing: -.3pt;"> </span>The<span style="letter-spacing: -.15pt;"> </span>clinical<span style="letter-spacing: -.3pt;">
</span><span style="letter-spacing: -.1pt;">c</span>asuistry daily<span style="letter-spacing: -.2pt;"> </span>demonstrates<span style="letter-spacing: -.5pt;"> </span>the<span style="letter-spacing: -.1pt;"> </span>effectiveness<span style="letter-spacing: -.5pt;"> </span>of this<span style="letter-spacing: -.15pt;">
</span>physical<span style="letter-spacing: -.3pt;"> </span>therapy<span style="letter-spacing: -.3pt;"> </span>in<span style="letter-spacing: -.05pt;"> </span>activating<span style="letter-spacing: -.35pt;"> </span>lymphatic<span style="letter-spacing: -.4pt;"> </span>drainage<span style="letter-spacing: -.35pt;"> </span>and<span style="letter-spacing: -.15pt;"> </span>therefore<span style="letter-spacing: -.35pt;"> </span>reducing<span style="letter-spacing: -.35pt;"> </span>the<span style="letter-spacing: -.1pt;"> </span>oede<span style="letter-spacing: -.1pt;">m</span>a.<span style="letter-spacing: -.3pt;"> </span>In the cases<span style="letter-spacing: -.2pt;"> </span>of venous lymph-oedema<span style="letter-spacing: -.55pt;"> </span>the<span style="letter-spacing: -.1pt;"> </span>clinical<span style="letter-spacing: -.3pt;">
</span>evidence<span style="letter-spacing: -.35pt;"> </span>demonstrates<span style="letter-spacing: -.5pt;"> </span>that<span style="letter-spacing: -.15pt;"> </span>sonorous
waves are<span style="letter-spacing: -.1pt;"> </span>able<span style="letter-spacing: -.15pt;"> </span>to<span style="letter-spacing: -.05pt;"> </span>influence<span style="letter-spacing: -.35pt;"> </span>the<span style="letter-spacing: -.1pt;"> </span>mobility<span style="letter-spacing: -.3pt;"> </span>of inte<span style="letter-spacing: -.1pt;">r</span>stitial
proteins,<span style="letter-spacing: -.35pt;"> </span>that<span style="letter-spacing: -.15pt;"> </span>result<span style="letter-spacing: -.2pt;">
</span>more<span style="letter-spacing: -.2pt;"> </span>easily<span style="letter-spacing: -.2pt;"> </span>drained<span style="letter-spacing: -.3pt;">
</span>by lymphatic.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 9.85pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 11.55pt; margin-right: -1.0pt; margin-top: 0cm; mso-line-height-rule: exactly;">
<span lang="EN-US" style="font-family: "times new roman" , serif;">To<span style="letter-spacing: -.1pt;">
</span>gain<span style="letter-spacing: -.15pt;"> </span>a<span style="letter-spacing: -.05pt;"> </span>more<span style="letter-spacing: -.2pt;"> </span>detailed<span style="letter-spacing: -.3pt;"> </span>understanding<span style="letter-spacing: -.55pt;"> </span>of the<span style="letter-spacing: -.1pt;"> </span>sonorous wave<span style="letter-spacing: -.2pt;"> </span>effect<span style="letter-spacing: -.2pt;"> </span>in<span style="letter-spacing: -.05pt;"> </span>oedema<span style="letter-spacing: -.3pt;">
</span>drainage<span style="letter-spacing: -.35pt;"> </span>we applied<span style="letter-spacing: -.3pt;"> </span>sonorous waves delivered<span style="letter-spacing: -.35pt;"> </span>by the<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 9.75pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 11.55pt; margin-right: -1.0pt; margin-top: 0cm; mso-line-height-rule: exactly;">
<span lang="EN-US" style="font-family: "times new roman" , serif;">Flowave<span style="letter-spacing: -.35pt;"> </span>instrument<span style="letter-spacing: -.4pt;"> </span>to<span style="letter-spacing: -.05pt;"> </span>an<span style="letter-spacing: -.1pt;"> </span>animal<span style="letter-spacing: -.25pt;"> </span>model<span style="letter-spacing: -.25pt;">
</span>of inflammation<span style="letter-spacing: -.5pt;"> </span>and<span style="letter-spacing: -.15pt;"> </span>oedema<span style="letter-spacing: -.3pt;">
</span>induced<span style="letter-spacing: -.3pt;"> </span>by eccentric<span style="letter-spacing: -.35pt;"> </span>exercise.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 9.75pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 11.55pt; margin-right: -1.0pt; margin-top: 0cm; mso-line-height-rule: exactly;">
<span lang="EN-US" style="font-family: "times new roman" , serif;">Experiments<span style="letter-spacing: -.5pt;"> </span>were<span style="letter-spacing: -.2pt;"> </span>performed<span style="letter-spacing: -.4pt;"> </span>on the<span style="letter-spacing: -.1pt;"> </span>soleus
muscles<span style="letter-spacing: -.3pt;"> </span>of 8 adult<span style="letter-spacing: -.2pt;"> </span>male<span style="letter-spacing: -.2pt;"> </span>Sprague<span style="letter-spacing: -.3pt;"> </span>Dawley<span style="letter-spacing: -.3pt;"> </span>rats<span style="letter-spacing: -.15pt;"> </span>(250 g average<span style="letter-spacing: -.3pt;"> </span>body weight).<span style="letter-spacing: -.3pt;"> </span>Eccentric<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "times new roman" , serif;">exercise<span style="letter-spacing: -.3pt;"> </span>was performed<span style="letter-spacing: -.4pt;"> </span>(Heap<span style="letter-spacing: -.25pt;"> </span>2006). Briefly<span style="letter-spacing: -.25pt;"> </span>Soleus<span style="letter-spacing: -.25pt;"> </span>muscle<span style="letter-spacing: -.25pt;"> </span>was indirectly<span style="letter-spacing: -.35pt;"> </span>stimulated<span style="letter-spacing: -.4pt;"> </span>during<span style="letter-spacing: -.25pt;"> </span>its<span style="letter-spacing: -.1pt;"> </span>lengthening<span style="letter-spacing: -.45pt;"> </span>phase<span style="letter-spacing: -.2pt;"> </span>when
the<span style="letter-spacing: -.1pt;"> </span>anim<span style="letter-spacing: -.1pt;">a</span>ls<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 9.75pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 11.55pt; margin-right: -1.0pt; margin-top: 0cm; mso-line-height-rule: exactly;">
<span lang="EN-US" style="font-family: "times new roman" , serif;">were<span style="letter-spacing: -.2pt;"> </span>pedalling<span style="letter-spacing: -.35pt;"> </span>on a<span style="letter-spacing: -.05pt;"> </span>custom<span style="letter-spacing: -.25pt;">
</span>made<span style="letter-spacing: -.2pt;"> </span>cycle.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 9.75pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 11.55pt; margin-right: -1.0pt; margin-top: 0cm; mso-line-height-rule: exactly;">
<span lang="EN-US" style="font-family: "times new roman" , serif;">The<span style="letter-spacing: -.15pt;">
</span>animals<span style="letter-spacing: -.3pt;"> </span>were<span style="letter-spacing: -.2pt;"> </span>divided<span style="letter-spacing: -.3pt;">
</span>randomly<span style="letter-spacing: -.35pt;"> </span>in<span style="letter-spacing: -.05pt;"> </span>two groups. In one<span style="letter-spacing: -.15pt;"> </span>the<span style="letter-spacing: -.1pt;"> </span>exercised<span style="letter-spacing: -.35pt;"> </span>legs<span style="letter-spacing: -.15pt;"> </span>was
subjected<span style="letter-spacing: -.35pt;"> </span>to<span style="letter-spacing: -.05pt;"> </span>5 min<span style="letter-spacing: -.15pt;"> </span>treatment<span style="letter-spacing: -.35pt;"> </span>with<span style="letter-spacing: -.15pt;"> </span>FLOWAVE
tip,<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "times new roman" , serif;">while<span style="letter-spacing: -.2pt;"> </span>the<span style="letter-spacing: -.1pt;"> </span>second<span style="letter-spacing: -.25pt;"> </span>group had<span style="letter-spacing: -.15pt;"> </span>the<span style="letter-spacing: -.1pt;"> </span>machine<span style="letter-spacing: -.3pt;"> </span>turned<span style="letter-spacing: -.25pt;">
</span>off as control<span style="letter-spacing: -.25pt;"> </span>group. One
hour after<span style="letter-spacing: -.15pt;"> </span>the<span style="letter-spacing: -.1pt;"> </span>end<span style="letter-spacing: -.15pt;"> </span>of
the<span style="letter-spacing: -.1pt;"> </span>treatment<span style="letter-spacing: -.35pt;"> </span>the<span style="letter-spacing: -.1pt;"> </span>animals<span style="letter-spacing: -.3pt;"> </span>were<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "times new roman" , serif;">sacrificed<span style="letter-spacing: -.35pt;"> </span>and<span style="letter-spacing: -.15pt;"> </span>the<span style="letter-spacing: -.1pt;"> </span>soleus muscle<span style="letter-spacing: -.25pt;"> </span>was taken<span style="letter-spacing: -.2pt;"> </span>off from<span style="letter-spacing: -.2pt;"> </span>the<span style="letter-spacing: -.1pt;"> </span>exercised<span style="letter-spacing: -.35pt;"> </span>and<span style="letter-spacing: -.15pt;"> </span>contralateral<span style="letter-spacing: -.45pt;"> </span>legs<span style="letter-spacing: -.15pt;"> </span>for
histology<span style="letter-spacing: -.35pt;"> </span>and<span style="letter-spacing: -.15pt;"> </span>weight<span style="letter-spacing: -.25pt;"> </span>examination.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "times new roman" , serif;">The<span style="letter-spacing: -.15pt;">
</span>wet<span style="letter-spacing: -.15pt;"> </span>and<span style="letter-spacing: -.15pt;"> </span>histological<span style="letter-spacing: -.45pt;"> </span>section<span style="letter-spacing: -.25pt;"> </span>data<span style="letter-spacing: -.15pt;"> </span>together<span style="letter-spacing: -.3pt;">
</span>suggest that<span style="letter-spacing: -.15pt;"> </span>an<span style="letter-spacing: -.1pt;"> </span>effect<span style="letter-spacing: -.2pt;"> </span>on
oedema<span style="letter-spacing: -.3pt;"> </span>re-absorption<span style="letter-spacing: -.5pt;"> </span>was obtained<span style="letter-spacing: -.35pt;"> </span>with<span style="letter-spacing: -.15pt;"> </span>Flowave<span style="letter-spacing: -.35pt;"> </span>treatm<span style="letter-spacing: -.1pt;">e</span>nt,<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "times new roman" , serif;">probably<span style="letter-spacing: -.35pt;"> </span>dues to<span style="letter-spacing: -.05pt;"> </span>a<span style="letter-spacing: -.05pt;"> </span>specific<span style="letter-spacing: -.3pt;">
</span>effect<span style="letter-spacing: -.2pt;"> </span>on interstitial<span style="letter-spacing: -.4pt;"> </span>proteins<span style="letter-spacing: -.3pt;">
</span>but<span style="letter-spacing: -.1pt;"> </span>also<span style="letter-spacing: -.15pt;"> </span>to<span style="letter-spacing: -.05pt;"> </span>a<span style="letter-spacing: -.05pt;"> </span>stimulation<span style="letter-spacing: -.45pt;"> </span>of lymphatic<span style="letter-spacing: -.4pt;"> </span>and<span style="letter-spacing: -.15pt;"> </span>bloody<span style="letter-spacing: -.25pt;">
</span>vessels from<span style="letter-spacing: -.2pt;"> </span>the<span style="letter-spacing: -.2pt;"> </span>sonorous<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "times new roman" , serif;">waves, reinforcing<span style="letter-spacing: -.4pt;"> </span>the<span style="letter-spacing: -.1pt;"> </span>effectiveness<span style="letter-spacing: -.5pt;"> </span>on the<span style="letter-spacing: -.1pt;"> </span>liquid<span style="letter-spacing: -.2pt;"> </span>drainage.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "times new roman" , serif;">In conclusion<span style="letter-spacing: -.4pt;"> </span>we obtained<span style="letter-spacing: -.35pt;"> </span>a<span style="letter-spacing: -.05pt;"> </span>direct<span style="letter-spacing: -.2pt;">
</span>measure<span style="letter-spacing: -.3pt;"> </span>of oedema<span style="letter-spacing: -.3pt;"> </span>in<span style="letter-spacing: -.05pt;"> </span>an<span style="letter-spacing: -.1pt;"> </span>animal<span style="letter-spacing: -.25pt;">
</span>model<span style="letter-spacing: -.25pt;"> </span>that<span style="letter-spacing: -.15pt;"> </span>can<span style="letter-spacing: -.15pt;"> </span>be<span style="letter-spacing: -.1pt;"> </span>used to<span style="letter-spacing: -.05pt;">
</span>estimate<span style="letter-spacing: -.3pt;"> </span>the<span style="letter-spacing: -.1pt;"> </span>efficacy<span style="letter-spacing: -.3pt;">
</span>of physical<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "times new roman" , serif;">therapies.<span style="font-size: 9.5pt;"><o:p></o:p></span></span></div>
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<a href="http://eocf.free.fr/compression/flowave_Vol16-N49-2006.pdf"><img border="0" data-original-height="416" data-original-width="870" height="191" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhGrHRVVUpPNSYrKOlqgl5ygQxbx6Jnl-bk_ziK5u-_hjq7uKaeRs8_NRDP2F_V72vICTcdtJiuuXqhOa8AhugG_cxEn1owFj4TagHefKaxba91LoAXmCPJO4gUd0tYqxctx3jTo64_E9g/s400/flowave_scinetific.jpg" width="400" /></a><a href="http://eocf.free.fr/compression/flowave_Vol16-N49-2006.pdf">http://eocf.free.fr/compression/flowave_Vol16-N49-2006.pdf</a></div>
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Seraphimhttp://www.blogger.com/profile/09830433552680718249noreply@blogger.com0tag:blogger.com,1999:blog-7803504750995977657.post-24340671850239701652017-06-27T14:26:00.000-07:002017-07-24T05:57:14.569-07:00Lymphoedème du bras<br />
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<span style="font-family: inherit; font-size: large;">LYMPHŒDÈME DU BRAS APRÈS CANCER DU SEIN : RISQUES, CONSEILS ET PRISE EN CHARGE.</span></h1>
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<span style="font-family: inherit; font-size: large;">Fiche élaborée par Agnès Bourassin- Europa Donna Forum France<br />Masseur-kinésithérapeute libérale</span><br />
<span style="font-family: inherit; font-size: large;">Secrétaire association de kinésithérapeutes AKTL<br />Enseignante DLM en école de kinésithérapie Mars 2010</span><br />
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<span style="font-family: inherit; font-size: large;">POURQUOI UN « GROS BRAS » ?</span></h2>
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<span style="font-family: inherit; font-size: large;">L'apparition du lymphœdème du bras (familièrement appelé « gros bras ») est liée à l’altération de ses voie superficielles de drainage lymphatique. Les ganglions lymphatiques, situés dans le creux de l’aisselle, représentent le passage principal des vaisseaux lymphatiques du sein, du thorax et du bras côté opéré. Le prélèvement de ces ganglions est nécessaire pour connaître le stade de l’évolution du cancer du sein. Les séquelles cicatricielles de ce geste chirurgical et les effets secondaires du traitement par radiothérapie peuvent, à court ou long terme, atténuer le bon drainage du bras. Il en résulte :</span><br />
<ul style="margin-top: 0px;">
<li><span style="font-family: inherit; font-size: large;">un déséquilibre entre l’apport de liquide nourricier, par notre sang artériel, et son drainage, par les voies de retour veineuses et lymphatiques ;</span></li>
<li><span style="font-family: inherit; font-size: large;">un déficit d’évacuation d’éléments « hydrophiles » (qui attirent l’eau) créant le lymphœdème chronique, voire évolutif ;</span></li>
<li><span style="font-family: inherit; font-size: large;">un déficit d’évacuation des déchets de notre fonctionnement cellulaire, censés être filtrés par les ganglions de l’aisselle</span></li>
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<span style="font-family: inherit; font-size: large;">QUEL RISQUE A-T-ON DE DEVELOPPER UN LYMPHŒDEME ?</span></h2>
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<span style="font-family: inherit; font-size: large;">Actuellement le risque de lymphœdème tend à diminuer grâce à l’évolution des techniques chirurgicales. Les statistiques évaluent à environ 20% le risque de développer un lymphœdème après curage axillaire. Il peut survenir de nombreuses années après les traitements mais, plus fréquemment, vers 18 mois à deux ans après la chirurgie.<br />Actuellement il n’est pas possible d’identifier les patientes présentant un risque de développer un lymphœdème.<br />Selon certaines études, la technique ciblée du « ganglion sentinelle » réduirait ce risque à 3% mais elle n’est pas applicable dans toutes les situations. Le chirurgien peut en expliquer le principe ou la raison.</span><br />
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<span style="font-family: inherit; font-size: large;">UN ŒDEME OU DES DOULEURS POSTOPERATOIRES SONT-ILS SIGNES DE LYMPHŒDEME ?</span></h2>
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<span style="font-family: inherit; font-size: large;">En post-opératoire immédiat ou durant la radiothérapie, un léger gonflement transitoire peut s’installer, pendant quelques semaines. Le plus souvent, à distance des traitements, il disparaît avec la reprise progressive des activités. Il peut être amélioré par la simple mise au repos du bras, à l’horizontale ou légèrement surélevé, ou nécessiter quelques séances de drainage lymphatique manuel chez un kinésithérapeute connaissant ces techniques qui ont évolué ces dernières années.<br />Les sensations de bras lourd ou qui « serre », peau épaisse, cartonneuse ou hypersensible ne sont pas des signes annonciateurs de lymphœdème mais, le plus souvent, des troubles de la sensibilité. Ceux-ci sont dus à l’irritation ou section de petits nerfs sensitifs lors du geste chirurgical du curage axillaire ou aux séquelles de la radiothérapie. L’équipe médicale est à la disposition des patientes pour répondre à ces interrogations, naturellement préoccupantes mais en général sans gravité.</span><br />
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<span style="font-family: inherit; font-size: large;">REPRISE D’ACTIVITE APRES LES TRAITEMENTS</span></h2>
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<span style="font-family: inherit; font-size: large;">Environ 80% des femmes n’auront jamais de lymphœdème...<br />Dans les mois qui suivent la chirurgie, il est bénéfique de reprendre progressivement une vie quotidienne « normale », et d’éviter la sédentarité. Sans aucun signe d’œdème, même transitoire, reprendre progressivement les mêmes activités physiques qu'avant l'intervention est gage de meilleure qualité de vie. Des études récentes montrent, à ce titre, que l’activité musculaire encadrée par un professionnel de santé, n’augmenterait pas le risque de développer un lymphœdème</span><br />
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<span style="font-family: inherit; font-size: large;">ANTICIPER OU REAGIR EN CAS D’APPARITION D’UN LYMPHŒDEME ?</span></h2>
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<span style="font-family: inherit; font-size: large;">Quelques facteurs déclenchants sont rapportés par des patientes concernant le début d’augmentation de volume de leur bras : excès de chaleur, application locale de boues chaudes, activité musculaire intense ou répétitive avec la main, piqûre d’insecte, traumatisme, infection cutanée…<br />Ces patientes avaient-elles des prédispositions ? Auraient-elles finalement déclenché ce lymphœdème un jour ou l’autre? Aucun spécialiste ne peut aujourd’hui répondre à cette question.<br />Des précautions, quelques connaissances sur le fonctionnement du système lymphatique et un peu de bon sens peuvent aider celles qui le souhaitent, mais la qualité de vie est à privilégier.<br />L’apparition d’un lymphœdème est en général lente, voire insidieuse en cas de surpoids général. Il peut-être localisé (doigt, main, coude, bras) ou concerner tout le membre. Vigilance et consultation médicale en cas de doute sont la règle.<br /><b>IL N’Y A PAS DE CRITERE D’URGENCE MEDICALE</b> mais le seul moyen de stopper l’évolution d’un lymphœdème ou d’en réduire le volume est une kinésithérapie spécifique.<br />Une augmentation rapide importante du volume du bras n’est pas nécessairement un lymphœdème mais peut être un début d’infection cutanée (érésipèle) ou une « phlébite » du bras (compression veineuse). Elle peut s’accompagner de douleurs, de plaques rouges sur le bras ou à proximité, de fièvre…<br /><b>IL FAUT ALORS CONSULTER SON MEDECIN TRAITANT EN URGENCE</b></span><br />
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<span style="font-family: inherit; font-size: large;">CONSEILS D’HYGIENE DE VIE</span></h2>
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<span style="font-family: inherit; font-size: large;">Le réseau lymphatique qui aboutit au creux de l’aisselle intervient à la fois sur le système circulatoire et dans la défense immunitaire (microbienne). Un risque infectieux est donc plus important dans un bras atteint de lymphœdème, car le filtrage n’est plus assuré par les ganglions de l’aisselle, véritables « usines de traitement des déchets ».<br />Voici quelques précautions et conseils concrets à observer après ablation des ganglions de l’aisselle et ce, notamment, si le bras a déjà eu tendance à gonfler ou s’il est pris en charge pour lymphœdème.<br />L’apparition du lymphœdème ou son aggravation est parfois consécutive à une infection liée à une blessure, piqûre d’insecte, coupure, brûlure... risquant de provoquer un érésipèle. Il faut donc :<br />laver à l’eau et au savon toute griffure, égratignure ou plaie sur la main ou le bras, puis mettre un antiseptique, 2 à 3 fois par jour jusqu’à la cicatrisation.<br />Mais l’idéal serait d’anticiper en :</span><br />
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<li><span style="font-family: inherit; font-size: large;">protégeant la main ou le bras (gants, vêtement protecteur) pour les activités ou situations à risque (jardinage, bricolage, ménage, cuisine, insectes…) ;</span></li>
<li><span style="font-family: inherit; font-size: large;">soignant ses ongles, cuticules, crevasses : portes d’entrée aux microbes ;</span></li>
<li><span style="font-family: inherit; font-size: large;">évitant les sports violents, une activité longue et répétitive de la main et les risques de traumatismes sur le bras.</span></li>
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<span style="font-family: inherit; font-size: large;">Si toutefois l’un de ces sports est gage d’un meilleur moral, il sera repris progressivement avec vigilance et surveillance d’un kinésithérapeute formé aux techniques de DLM.<br /><b>EN CAS DE FRISSONS OU FIEVRE, DOULEUR, CHALEUR OU GONFLEMENT CONSULTER UN MEDECIN EN URGENCE</b>.<br />L’apparition du lymphœdème ou son aggravation est aussi parfois consécutive à une compression inhabituelle du bras ou de l’épaule.<br />De nouvelles voies pouvant se créer après la chirurgie pour contourner le creux de l’aisselle, il pourrait être risqué de les comprimer trop fortement (bretelle de soutien-gorge, bandoulière de sac…)<br /><b>TOUJOURS PRESENTER L’AUTRE BRAS POUR LES PRISES DE SANG, INJECTIONS ET LA PRISE DE TENSION ARTERIELLE QUI NECESSITENT UN GARROT DU BRAS.</b></span><br />
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<span style="font-family: inherit; font-size: large;">PRISE EN CHARGE D’UN LYMPHŒDEME</span></h2>
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<span style="font-family: inherit; font-size: large;">La prise en charge d’un lymphœdème est essentiellement basée sur la kinésithérapie et la compréhension de cette pathologie. La prise de conscience par la patiente de la conduite à tenir permet de réduire l’œdème ou d’en contenir le volume et d’éviter les situations à risque.<br />Dans un premier temps le drainage lymphatique manuel (DLM) est l’essentiel des séances de kinésithérapie. De nombreuses techniques existent mais il ne s’agira jamais de « vider » l’œdème du bras. Les manipulations visant à stimuler le système lymphatique déficient ou les nouvelles voies de drainage qui pourraient s’être mises en place, il est souhaitable de les effectuer plusieurs fois par semaine au début.<br />Si le lymphœdème ne régresse pas et gêne la patiente, un bilan avec le kinésithérapeute précise le traitement intensif à envisager. Celui-ci est quotidien pendant une à trois semaines et les séances de DLM sont complétées par un bandage spécifique gardé la nuit jusqu’à la séance suivante pour conserver l’effet réducteur sur l’œdème.<br />Il existe différentes techniques selon la formation et la pratique professionnelle du kinésithérapeute et deux sortes de bandages multicouches avec des résultats similaires et validés scientifiquement, à savoir une diminution de 40% à 60% du volume en deux trois semaines :<br />des bandages multicouches, volumineux et peu fonctionnels, pratiqués en centre de prise en charge des lymphœdèmes et par certains kinésithérapeutes libéraux. Ils sont contraignants mais bien supportés jour et nuit ;<br />des bandages plus légers « élastorigides » sont envisageables à tous les stades du lymphœdème du bras. Cette technique plus récente, datant des 20 dernières années, permet un meilleur fonctionnement du bras. Pratiqués en cabinet de ville et dans quelques services hospitaliers, ces bandages nécessitent un kinésithérapeute formé à ces techniques. Ils permettent la plupart des activités quotidiennes et se révèlent très efficaces dès les premiers jours.<br />Lorsque le lymphœdème ne régresse plus (2 à 3 semaines selon l’importance initiale), le bandage est relayé par le port d’un manchon compressif prescrit SUR MESURES par le médecin (avec ou sans mitaine, attenante ou non, avec ou sans doigts, avec ou sans antiglisse). Le kinésithérapeute donne au médecin les détails nécessaires pour sa prescription. Le pharmacien orthopédiste se met en rapport avec l’un des fabricants pour en assurer la confection. S’il est bien adapté, ce manchon exerce une pression externe suffisante qui empêche la réinstallation de l’œdème lors des activités quotidiennes ou du sport. Constitué de tissu élastique, il est plus facile à porter qu’un bandage mais n’est cependant jamais aussi efficace que ce dernier. Il pourra donc être judicieux de porter un bandage de temps en temps.<br />Les bilans avec mesures du bras par le kinésithérapeute ou le médecin permettent de préciser quand il sera utile de changer de manchon afin de maintenir son efficacité (3 à 6 mois).<br />Le rythme du port du manchon, voire de ses adaptations supplémentaires, dépend de l’évolution du lymphœdème et des activités de la patiente.<br />Dans des situations paisibles (soirées, spectacle, lecture…) et lorsque le lymphœdème semble stabilisé, le manchon n’est pas obligatoire. Le masseur-kinésithérapeute peut aider à identifier les situations où il serait préférable de porter manchon ou bandage.<br />La fréquence et la nécessité de séances d’entretien de kinésithérapie sont définies par le masseur-kinésithérapeute, le médecin et la patiente.<br />En cas de longue distance en avion, il peut être préférable de porter le manchon habituel.<br />Des recommandations plus récentes préconisent d’interrompre le DLM en cas de crise d’érésipèle (infection) et de fièvre tant que le traitement d’antibiotiques n’a pas débuté. La contention sera reprise lorsque les douleurs auront diminué. Elles peuvent, dans un premier temps, nécessiter la reprise de bandages si le bras a repris du volume lors de cet épisode infectieux.</span><br />
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<span style="font-family: inherit; font-size: large;">LYMPHŒDEME ET ACTIVITE SPORTIVE</span></h2>
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<span style="font-family: inherit; font-size: large;">Comme il est dit auparavant, les activités sportives peuvent être reprises de manière modérée et progressive. Le kinésithérapeute est la personne la mieux adaptée pour répondre à vos interrogations.<br />Les activités sportives les plus fréquemment conseillées sont celles qui allient étirement et travail musculaire modéré, tels que la natation, la gymnastique douce, le yoga, le Tai Chi Chuan et, bien sûr, la marche pour la santé en général.<br />Certaines activités sportives demandent plus de vigilance de la part des thérapeutes qui effectuent des bilans avec mesures comparatives du bras en cas de doute. Ce sont, par exemple, les activités demandant une force importante des bras ou des mouvements violents, longs ou répétitifs.<br />L’absence d’activité physique, voire le repos total du bras, sont déconseillés.<br />Cependant chaque personne est unique et vivra différemment le retentissement de son lymphœdème sur son activité. Le kinésithérapeute peut aider à cibler les risques, bénéfices et adaptations de contention qui permettent de reprendre toutes les activités antérieures sans aggraver le lymphœdème.<br /><br />Lien utile <a class="Lien1" href="http://www.aktl.org/" style="color: #f33e64; font-stretch: normal; line-height: normal;" target="_blank">AKTL</a> Association française des Massseurs Kinésisthérapeutes pour la recherche et le traitement des atteintes lympho-veineuses.</span><br />
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<span style="font-family: inherit; font-size: large;"><a data-saferedirecturl="https://www.google.com/url?hl=fr&q=http://www.europadonna.fr/5.aspx?sr%3D21&source=gmail&ust=1498681401709000&usg=AFQjCNE5QcdTnjOavP_hafZ-ZJc4XB_H-w" href="http://www.europadonna.fr/5.aspx?sr=21" style="color: #1155cc; font-family: arial, sans-serif;" target="_blank" wotsearchprocessed="true">http://www.europadonna.fr/5.as<wbr></wbr>px?sr=21</a></span></div>
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<span style="font-size: large;"><a href="http://www.e-cancer.fr/Patients-et-proches/Les-cancers/Cancer-du-sein/Lymphoedeme">http://www.e-cancer.fr/Patients-et-proches/Les-cancers/Cancer-du-sein/Lymphoedeme</a></span></div>
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Exercices pour la prévention du lymphoedème</span></h2>
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<span style="font-family: inherit; font-size: large;">Prévenir l’apparition du lymphoedème requiert de nouvelles habitudes et des soins spécifiques que vous devrez vous prodiguer quotidiennement après la chirurgie, avec l’aide d’un kinésithérapeute.</span><br />
<span style="font-family: inherit; font-size: large;">Pendant les jours suivant l’opération, pour que la cicatrice axillaire ne se rétracte pas et pour faciliter la mobilité du bras opéré par la suite, essayez de rester plusieurs heures par jour avec votre bras soulevé et séparé du corps, et avec la main à hauteur de l’épaule. Pour réaliser ceci dans une position confortable, vous pouvez vous asseoir à côté d’une table sur laquelle vous aurez placé un coussin épais, et vous laisserez reposer votre bras dessus.</span><br />
<span style="font-family: inherit; font-size: large;">La nuit quand vous dormez, reposez votre bras sur un coussin comme indiqué sur les dessins, afin d’avoir le bras séparé du corps et la main légèrement en hauteur.</span><img alt="Prevenir lymphoedeme - couchee avec coussin" class="aligncenter size-full wp-image-591" height="147" src="https://i0.wp.com/www.savoirresterbelle.com/wp-content/uploads/2013/02/lymphoedeme_couchee-coussin.jpg?resize=267,147" style="border: 0px; clear: both; display: block; height: auto; margin-left: auto; margin-right: auto; max-width: 100%; outline: none;" width="267" /><br />
<span style="font-family: inherit; font-size: large;">N’ayez pas peur de déplacer le bras ou la main après l’intervention. L’immobilité provoque inflammation, rétention de liquide, douleur, et impotence fonctionnelle dues à l’intervention chirurgicale. En effet, la circulation de la lymphe repose en bonne partie sur le mouvement du corps et la contraction des muscles : il n’y a pas de pompe dans le réseau lymphatique, à la différence du réseau sanguin dont la circulation est assurée par le coeur.</span><br />
<span style="font-family: inherit; font-size: large;">Une fois que vous avez récupéré de l’intervention et uniquement avec la permission de votre médecin ou de votre kinésithérapeute, vous pourrez commencer à réaliser des exercices simples.</span><br />
<span style="font-family: inherit; font-size: large;">Commencez petit à petit. Au début, vous ne devez pas passer plus de dix minutes à faire la totalité de vos exercices, et vous devez à tout prix éviter de provoquer fatigue ou sensation de lourdeur dans le bras. Faites vos exercices de manière douce et agréable, et toujours en y associant la respiration. Ces exercices vous aideront en plus à garder mobiles votre bras et votre dos.</span><br />
<span style="font-family: inherit; font-size: large;">Habillez‑vous avec des vêtements lâches et installez‑vous sur une chaise de manière confortable. Commencez toujours par des exercices de respiration.</span><br />
<span style="font-family: inherit; font-size: large;">Réalisez les exercices cinq ou six fois, de manière lente et douce.</span></div>
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<span style="font-family: inherit; font-size: large;"><i style="outline: none;">Exercice n</i><i style="outline: none;">°</i><i style="outline: none;">1 : la respiration diaphragmatique</i></span></h3>
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<span style="font-family: inherit; font-size: large;">Imaginez mentalement le mécanisme d’un soufflet utilisé pour attiser le feu dans une cheminée : inhalez l’air profondément par le nez et remplissez vos poumons.</span><br />
<span style="font-family: inherit; font-size: large;">Ensuite, expirez entièrement l’air par la bouche, lentement et sans forcer, avec les lèvres entre‑ouvertes. Le temps d’expiration doit être le double du temps d’inspiration.</span><img alt="Prevenir lymphoedeme - exercice 1" class="aligncenter size-full wp-image-586" height="249" src="https://i2.wp.com/www.savoirresterbelle.com/wp-content/uploads/2013/02/lymphoedeme_ex1.jpg?resize=159,249" style="border: 0px; clear: both; display: block; height: auto; margin-left: auto; margin-right: auto; max-width: 100%; outline: none;" width="159" /></div>
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<span style="font-family: inherit; font-size: large;"><i style="outline: none;">Exercice n</i><i style="outline: none;">°</i><i style="outline: none;">2</i></span></h3>
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<span style="font-family: inherit; font-size: large;">Mettez vos mains l’une sur l’autre, sur le genou opposé au bras opéré.</span><br />
<span style="font-family: inherit; font-size: large;">Levez le bras opéré en l’air et en diagonale, en suivant votre bras du regard, et en soufflant à mesure que le bras se lève. Revenez doucement à la position initiale, en inspirant.</span></div>
<img alt="Prevenir lymphoedeme - exercice 2" class="aligncenter size-full wp-image-588" height="263" src="https://i2.wp.com/www.savoirresterbelle.com/wp-content/uploads/2013/02/lymphoedeme_ex2.jpg?resize=377,263" style="background-color: rgba(245, 249, 242, 0.99); border: 0px; clear: both; color: #4c5544; display: block; height: auto; margin-left: auto; margin-right: auto; max-width: 100%; outline: none;" width="377" /><br />
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<span style="font-family: inherit; font-size: large;"><i style="outline: none;">Exercice n</i><i style="outline: none;">°</i><i style="outline: none;">3</i></span></h3>
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<span style="font-family: inherit; font-size: large;">Joignez vos bras sur vos jambes et entrelacez vos mains. Montez et descendez vos bras en conservant les mains jointes. Expirez à la montée des bras, et inspirez à la descente.</span></div>
<img alt="Prevenir lymphoedeme - exercice 3" class="aligncenter size-full wp-image-589" height="259" src="https://i1.wp.com/www.savoirresterbelle.com/wp-content/uploads/2013/02/lymphoedeme_ex3.jpg?resize=323,259" style="background-color: rgba(245, 249, 242, 0.99); border: 0px; clear: both; color: #4c5544; display: block; height: auto; margin-left: auto; margin-right: auto; max-width: 100%; outline: none;" width="323" /><br />
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<span style="font-family: inherit; font-size: large;"><i style="outline: none;">Exercice n</i><i style="outline: none;">°</i><i style="outline: none;">4</i></span></h3>
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<span style="font-family: inherit; font-size: large;">Prenez les extrémités d’une serviette entre vos mains et avec les bras étirés en l’air, balancez‑les d’un côté à l’autre, en soufflant quand vous basculez les bras d’un côté et en inspirant lorsque vous revenez en position centrée. Les coudes ne doivent pas être pliés. Répétez l’exercice cinq à six fois, doucement et sans forcer sur les bras.</span></div>
<img alt="lymphoedeme_ex4" class="aligncenter size-full wp-image-590" height="265" src="https://i1.wp.com/www.savoirresterbelle.com/wp-content/uploads/2013/02/lymphoedeme_ex4.jpg?resize=431,265" style="background-color: rgba(245, 249, 242, 0.99); border: 0px; clear: both; color: #4c5544; display: block; height: auto; margin-left: auto; margin-right: auto; max-width: 100%; outline: none;" width="431" /><br />
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<b style="background-color: rgba(245, 249, 242, 0.99); color: #4c5544; outline: none;"><i style="outline: none;"><span style="font-family: inherit; font-size: large;">Vous trouverez dans le livre « <a href="http://www.savoirresterbelle.com/produit/livre-savoir-rester-belle-pendant-et-apres-les-traitements-anti-cancer-port-inclus/" style="color: #4c5544; outline: none;" title="Livre Savoir rester belle pendant et après les traitements anti-cancer (Port inclus)">Savoir rester belle pendant et après les traitements anti-cancer </a>» dix-neuf exercices de récupération supplémentaires pour prévenir le lymphoedème, ainsi que beaucoup d’autres conseils pour votre vie de tous les jours.</span></i></b><br />
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<span style="background-color: rgba(245, 249, 242, 0.99); outline: none;"><span style="outline: none;"><span style="color: #4c5544; font-size: large;"><b><i><a href="http://www.savoirresterbelle.com/prevenir-le-lymphoedeme-apres-une-chirurgie-du-sein/">http://www.savoirresterbelle.com/prevenir-le-lymphoedeme-apres-une-chirurgie-du-sein/</a></i></b></span></span></span></div>
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Seraphimhttp://www.blogger.com/profile/09830433552680718249noreply@blogger.com0tag:blogger.com,1999:blog-7803504750995977657.post-27989900259667676642017-06-27T13:57:00.000-07:002017-06-27T14:09:43.390-07:00Lymphoedème : article traduit automatiquement de l'anglais<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgkgs1py6qZ8XK7y7hG-EHhXAVSi-hZDbGbaFte6Vu1gmLVN9Zn-0PP7JwUDmxU0zcxLaA57KA2uVSB9WbiIa-AaZoEEHwK069q9068i_wylBA0eO5NZ3FF2rXGJ3ieLOAJzIUbeqdmAko/s1600/wikipedia-grand.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="900" data-original-width="1600" height="225" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgkgs1py6qZ8XK7y7hG-EHhXAVSi-hZDbGbaFte6Vu1gmLVN9Zn-0PP7JwUDmxU0zcxLaA57KA2uVSB9WbiIa-AaZoEEHwK069q9068i_wylBA0eO5NZ3FF2rXGJ3ieLOAJzIUbeqdmAko/s400/wikipedia-grand.jpg" width="400" /></a></div>
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<span style="color: #cc0000; font-size: large;">L'article Wikipedia sur le lymphoedème en anglais apporte plus d'information que son <a href="https://fr.wikipedia.org/wiki/Lymph%C5%93d%C3%A8me">équivalent</a> en français.</span><br />
<span style="font-size: large;"><span style="color: #cc0000;">Avec toutes les réserves qui peuvent être faites vous trouverez ci-dessous la traduction de l'article anglais au 27 juin 2017 qui est disponible <a href="https://en.wikipedia.org/wiki/Lymphedema">ICI</a> dans sa version originale et actualisée. Les liens pointent vers leur référence en anglais. Si vous voulez améliorer la traduction </span><span style="color: #cc0000;">contactez moi.</span></span><br />
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<span style="font-size: large;"><b>Lymphoedème</b><span class=""> , également connu sous le </span><b><span class="">lymphœdème</span></b><span class=""> et l' </span><b><span class="">oedème lymphatique</span></b><span class=""> , est une affection localisée de </span><span class="" style="background: none; color: #0b0080;"><a href="https://en.wikipedia.org/wiki/Fluid" style="background: none; color: #0b0080; text-decoration-line: none;" title="Fluide" wotsearchprocessed="true">fluide</a> </span><span class="">rétention et de </span><span class="">gonflement de </span><span class="">tissu causée par un compromis </span><a href="https://en.wikipedia.org/wiki/Lymphatic_system" style="background: none; color: #0b0080; text-decoration-line: none;" title="Système lymphatique" wotsearchprocessed="true"><span class="">système lymphatique</span></a><span class=""> , ce </span><span class="">qui revient normalement </span><a href="https://en.wikipedia.org/wiki/Interstitial_fluid" style="background: none; color: #0b0080; text-decoration-line: none;" title="Liquide interstitiel" wotsearchprocessed="true"><span class="">liquide interstitiel</span></a><span class=""> du </span><a href="https://en.wikipedia.org/wiki/Thoracic_duct" style="background: none; color: #0b0080; text-decoration-line: none;" title="Canal thoracique" wotsearchprocessed="true"><span class="">canal thoracique</span></a><span class=""> , puis la circulation sanguine. </span>La condition peut être <a href="https://en.wikipedia.org/wiki/Genetic_disorder" style="background: none; color: #0b0080; text-decoration-line: none;" title="Désordre génétique" wotsearchprocessed="true">héritée</a> ou peut être causée par un défaut de naissance, bien qu'elle soit fréquemment causée par des traitements contre le cancer et par des infections parasitaires. Bien qu'il soit incurable et progressif, un certain nombre de traitements peuvent améliorer les symptômes. Les tissus à lymphœdème présentent un risque élevé d'infection.</span></div>
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Contenu</span></h2>
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<li class="toclevel-1 tocsection-1" style="margin-bottom: 0.1em;"><a href="https://en.wikipedia.org/wiki/Lymphedema#Signs_and_symptoms" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true"><span style="font-size: large;"><span class="tocnumber" style="color: #222222; display: table-cell; padding-left: 0px; padding-right: 0.5em; text-decoration: inherit;">1</span><span class="toctext" style="display: table-cell; text-decoration: inherit;">Signes et symptômes</span></span></a></li>
<li class="toclevel-1 tocsection-2" style="margin-bottom: 0.1em;"><a href="https://en.wikipedia.org/wiki/Lymphedema#Causes" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true"><span style="font-size: large;"><span class="tocnumber" style="color: #222222; display: table-cell; padding-left: 0px; padding-right: 0.5em; text-decoration: inherit;">2</span><span class="toctext" style="display: table-cell; text-decoration: inherit;">causes</span></span></a><ul style="list-style-image: none; list-style-type: none; margin: 0px 0px 0px 2em; padding: 0px;">
<li class="toclevel-2 tocsection-3" style="margin-bottom: 0.1em;"><a href="https://en.wikipedia.org/wiki/Lymphedema#Congenital_lymphedema" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true"><span style="font-size: large;"><span class="tocnumber" style="color: #222222; display: table-cell; padding-left: 0px; padding-right: 0.5em; text-decoration: inherit;">2.1</span><span class="toctext" style="display: table-cell; text-decoration: inherit;">Linéthème congénital</span></span></a></li>
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</li>
<li class="toclevel-1 tocsection-4" style="margin-bottom: 0.1em;"><a href="https://en.wikipedia.org/wiki/Lymphedema#Physiology" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true"><span style="font-size: large;"><span class="tocnumber" style="color: #222222; display: table-cell; padding-left: 0px; padding-right: 0.5em; text-decoration: inherit;">3</span><span class="toctext" style="display: table-cell; text-decoration: inherit;">Physiologie</span></span></a></li>
<li class="toclevel-1 tocsection-5" style="margin-bottom: 0.1em;"><a href="https://en.wikipedia.org/wiki/Lymphedema#Diagnosis" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true"><span style="font-size: large;"><span class="tocnumber" style="color: #222222; display: table-cell; padding-left: 0px; padding-right: 0.5em; text-decoration: inherit;">4</span><span class="toctext" style="display: table-cell; text-decoration: inherit;">Diagnostic</span></span></a><ul style="list-style-image: none; list-style-type: none; margin: 0px 0px 0px 2em; padding: 0px;">
<li class="toclevel-2 tocsection-6" style="margin-bottom: 0.1em;"><a href="https://en.wikipedia.org/wiki/Lymphedema#Stages" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true"><span style="font-size: large;"><span class="tocnumber" style="color: #222222; display: table-cell; padding-left: 0px; padding-right: 0.5em; text-decoration: inherit;">4.1</span><span class="toctext" style="display: table-cell; text-decoration: inherit;">Etapes</span></span></a></li>
<li class="toclevel-2 tocsection-8" style="margin-bottom: 0.1em;"><a href="https://en.wikipedia.org/wiki/Lymphedema#Grades" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true"><span style="font-size: large;"><span class="tocnumber" style="color: #222222; display: table-cell; padding-left: 0px; padding-right: 0.5em; text-decoration: inherit;">4.2</span><span class="toctext" style="display: table-cell; text-decoration: inherit;">notes</span></span></a></li>
</ul>
</li>
<li class="toclevel-1 tocsection-9" style="margin-bottom: 0.1em;"><a href="https://en.wikipedia.org/wiki/Lymphedema#Treatment" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true"><span style="font-size: large;"><span class="tocnumber" style="color: #222222; display: table-cell; padding-left: 0px; padding-right: 0.5em; text-decoration: inherit;"></span><span class="toctext" style="display: table-cell; text-decoration: inherit;">Traitement</span><span class="tocnumber" style="color: #222222; display: table-cell; padding-left: 0px; padding-right: 0.5em; text-decoration: inherit;">5</span><span class="toctext" style="display: table-cell; text-decoration: inherit;"></span></span></a><ul style="list-style-image: none; list-style-type: none; margin: 0px 0px 0px 2em; padding: 0px;">
<li class="toclevel-2 tocsection-10" style="margin-bottom: 0.1em;"><a href="https://en.wikipedia.org/wiki/Lymphedema#Complete_decongestive_therapy" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true"><span style="font-size: large;"><span class="tocnumber" style="color: #222222; display: table-cell; padding-left: 0px; padding-right: 0.5em; text-decoration: inherit;">5.1</span><span class="toctext" style="display: table-cell; text-decoration: inherit;">Traitement décongestionnant complet</span></span></a></li>
<li class="toclevel-2 tocsection-11" style="margin-bottom: 0.1em;"><a href="https://en.wikipedia.org/wiki/Lymphedema#Compression" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true"><span style="font-size: large;"><span class="tocnumber" style="color: #222222; display: table-cell; padding-left: 0px; padding-right: 0.5em; text-decoration: inherit;">5.2</span><span class="toctext" style="display: table-cell; text-decoration: inherit;">Compression</span></span></a></li>
<li class="toclevel-2 tocsection-15" style="margin-bottom: 0.1em;"><a href="https://en.wikipedia.org/wiki/Lymphedema#Exercise" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true"><span style="font-size: large;"><span class="tocnumber" style="color: #222222; display: table-cell; padding-left: 0px; padding-right: 0.5em; text-decoration: inherit;">5.3</span><span class="toctext" style="display: table-cell; text-decoration: inherit;">Exercice</span></span></a></li>
<li class="toclevel-2 tocsection-16" style="margin-bottom: 0.1em;"><a href="https://en.wikipedia.org/wiki/Lymphedema#Surgery" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true"><span style="font-size: large;"><span class="tocnumber" style="color: #222222; display: table-cell; padding-left: 0px; padding-right: 0.5em; text-decoration: inherit;">5.4</span><span class="toctext" style="display: table-cell; text-decoration: inherit;">Chirurgie</span></span></a></li>
<li class="toclevel-2 tocsection-21" style="margin-bottom: 0.1em;"><a href="https://en.wikipedia.org/wiki/Lymphedema#Low_level_laser_therapy" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true"><span style="font-size: large;"><span class="tocnumber" style="color: #222222; display: table-cell; padding-left: 0px; padding-right: 0.5em; text-decoration: inherit;">5.5</span><span class="toctext" style="display: table-cell; text-decoration: inherit;">Traitement laser à faible niveau</span></span></a></li>
</ul>
</li>
<li class="toclevel-1 tocsection-22" style="margin-bottom: 0.1em;"><a href="https://en.wikipedia.org/wiki/Lymphedema#Complications" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true"><span style="font-size: large;"><span class="tocnumber" style="color: #222222; display: table-cell; padding-left: 0px; padding-right: 0.5em; text-decoration: inherit;">6</span><span class="toctext" style="display: table-cell; text-decoration: inherit;">Complications</span></span></a></li>
<li class="toclevel-1 tocsection-23" style="margin-bottom: 0.1em;"><a href="https://en.wikipedia.org/wiki/Lymphedema#See_also" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true"><span style="font-size: large;"><span class="tocnumber" style="color: #222222; display: table-cell; padding-left: 0px; padding-right: 0.5em; text-decoration: inherit;">7</span><span class="toctext" style="display: table-cell; text-decoration: inherit;">Voir aussi</span></span></a></li>
<li class="toclevel-1 tocsection-24" style="margin-bottom: 0.1em;"><a href="https://en.wikipedia.org/wiki/Lymphedema#References" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true"><span style="font-size: large;"><span class="tocnumber" style="color: #222222; display: table-cell; padding-left: 0px; padding-right: 0.5em; text-decoration: inherit;">8</span><span class="toctext" style="display: table-cell; text-decoration: inherit;">Références</span></span></a></li>
<li class="toclevel-1 tocsection-25" style="margin-bottom: 0.1em;"><a href="https://en.wikipedia.org/wiki/Lymphedema#External_links" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true"><span style="font-size: large;"><span class="tocnumber" style="color: #222222; display: table-cell; padding-left: 0px; padding-right: 0.5em; text-decoration: inherit;">9</span><span class="toctext" style="display: table-cell; text-decoration: inherit;">Liens externes</span></span></a></li>
</ul>
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<span class="mw-headline" id="Signs_and_symptoms"><span style="font-size: large;">Signes et symptômes </span></span></h2>
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<span style="font-size: large;">Le lymphœdème ne doit pas être confondu avec un œdème résultant d' <a href="https://en.wikipedia.org/wiki/Chronic_venous_insufficiency" style="background: none; color: #0b0080; text-decoration-line: none;" title="Insuffisance veineuse chronique" wotsearchprocessed="true">une insuffisance veineuse</a> , qui n'est pas un lymphoedème. Cependant, l'insuffisance veineuse non traitée peut progresser vers un trouble veineux / lymphatique combiné. L'imagerie appropriée peut identifier où se trouve le dysfonctionnement dans le système et est essentiel pour identifier la source avant que le traitement ne soit décidé.Les symptômes comprennent l'enflure, l' <a href="https://en.wikipedia.org/wiki/Edema" style="background: none; color: #0b0080; text-decoration-line: none;" title="Œdème" wotsearchprocessed="true">œdème</a> et la douleur d'une multitude de complications secondaires (pression, trouble musculo-squelettique de l'asymétrie, circulation sanguine restreinte). La plupart des patients éviteront de discuter de la douleur pour de nombreuses raisons, ce qui nécessitera une réflexion logique ou des compétences de communication à évaluer. Dans le lymphœdème avancé, il peut y avoir des changements cutanés tels que la décoloration, l' <a href="https://en.wikipedia.org/wiki/Hyperplasia" style="background: none; color: #0b0080; text-decoration-line: none;" title="Hyperplasie" wotsearchprocessed="true">hyperplasie</a> verrue (verrue) , l' <a href="https://en.wikipedia.org/wiki/Hyperkeratosis" style="background: none; color: #0b0080; text-decoration-line: none;" title="Hyperkératose" wotsearchprocessed="true">hyperkératose</a> , la <a href="https://en.wikipedia.org/wiki/Papillomatosis" style="background: none; color: #0b0080; text-decoration-line: none;" title="Papillomatose" wotsearchprocessed="true">papillomatose</a> et l' <a href="https://en.wikipedia.org/wiki/Ulcer_(dermatology)" style="background: none; color: #0b0080; text-decoration-line: none;" title="Ulcère (dermatologie)" wotsearchprocessed="true">ulcère (dermatologie)</a> .</span></div>
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<h2 style="background: none rgb(255, 255, 255); border-bottom: 1px solid rgb(162, 169, 177); font-family: "Linux Libertine", Georgia, Times, serif; font-weight: normal; line-height: 1.3; margin: 1em 0px 0.25em; overflow: hidden; padding: 0px;">
<span class="mw-headline" id="Causes"><span style="font-size: large;">Causes </span></span></h2>
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<span style="font-size: large;">Le lymphœdème affecte environ 140 millions de personnes dans le monde entier. <sup class="reference" id="cite_ref-Brorson2008_1-0" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-Brorson2008-1" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[1]</a></sup></span></div>
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<span style="font-size: large;">Le lymphœdème peut être hérité (primaire) ou causé par une lésion des vaisseaux lymphatiques (secondaire). On le voit le plus souvent après la <a href="https://en.wikipedia.org/wiki/Lymphadenectomy" style="background: none; color: #0b0080; text-decoration-line: none;" title="Lymphadénectomie" wotsearchprocessed="true">dissection des ganglions lymphatiques</a> , la <a href="https://en.wikipedia.org/wiki/Surgery" style="background: none; color: #0b0080; text-decoration-line: none;" title="Chirurgie" wotsearchprocessed="true">chirurgie</a> et / ou <a href="https://en.wikipedia.org/wiki/Radiation_therapy" style="background: none; color: #0b0080; text-decoration-line: none;" title="Radiothérapie" wotsearchprocessed="true">la radiothérapie</a> , dans lesquels des dommages au système lymphatique sont causés pendant le traitement du cancer, notamment <a href="https://en.wikipedia.org/wiki/Breast_cancer" style="background: none; color: #0b0080; text-decoration-line: none;" title="Cancer du sein" wotsearchprocessed="true">le cancer du sein</a>. Chez de nombreux patients atteints de <a href="https://en.wikipedia.org/wiki/Cancer" style="background: none; color: #0b0080; text-decoration-line: none;" title="Cancer" wotsearchprocessed="true">cancer</a> , cette condition ne se développe que dans des mois ou même des années après la fin de la thérapie. Le lymphœdème peut également être associé à des <a href="https://en.wikipedia.org/wiki/Accident" style="background: none; color: #0b0080; text-decoration-line: none;" title="Accident" wotsearchprocessed="true">accidents</a> ou à certaines maladies ou des problèmes susceptibles d'empêcher le système lymphatique de fonctionner correctement. Dans les régions tropicales du monde, une cause commune de lymphœdème secondaire est la <a href="https://en.wikipedia.org/wiki/Filariasis" style="background: none; color: #0b0080; text-decoration-line: none;" title="Filariose" wotsearchprocessed="true">filariose</a> , une infection parasitaire.<a href="https://en.wikipedia.org/wiki/Cellulitis" style="background: none; color: #0b0080; text-decoration-line: none;" title="Cellulite" wotsearchprocessed="true"></a></span></div>
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<span style="font-size: large;">Alors que la cause exacte du lymphœdème primaire est encore inconnue, elle se produit généralement en raison de ganglions lymphatiques et / ou de canaux mal développés ou manquants dans le corps. Le lymphœdème peut être présent à la naissance, se développer au début de la puberté (praecox), ou ne pas apparaître pendant plusieurs années jusqu'à l'âge adulte (tarda). Chez les hommes, le lymphœdème primaire des membres inférieurs est le plus fréquent, se produisant dans une ou les deux jambes. Certains cas de lymphœdème peuvent être associés à d'autres anomalies vasculaires.</span></div>
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<span style="font-size: large;">Le lymphœdème secondaire affecte les hommes et les femmes. Chez les femmes, il est le plus répandu dans les membres supérieurs après la chirurgie du cancer du sein, en particulier après la dissection <a class="mw-redirect" href="https://en.wikipedia.org/wiki/Axillary_lymph_node" style="background: none; color: #0b0080; text-decoration-line: none;" title="Ganglion lymphatique axillaire" wotsearchprocessed="true">des ganglions lymphatiques axillaires </a><sup class="reference" id="cite_ref-2" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-2" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[2]</a></sup> se produisant dans le bras sur le côté du corps dans lequel la chirurgie est effectuée. Le lymphœdème du sein et du tronc peut également se produire, mais ne pas être reconnu car il y a un gonflement dans la zone après la chirurgie et ses symptômes (peau d'orange et / ou un tétons inversé) peuvent être confondus avec la nécrose de graisse post-chirurgicale. <sup class="reference" id="cite_ref-3" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-3" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[3]</a></sup> Dans les pays occidentaux, le lymphœdème secondaire est le plus souvent lié au traitement du cancer. <sup class="reference" id="cite_ref-Brorson2008_1-1" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-Brorson2008-1" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[1]</a></sup>Entre 38 et 89% des patients atteints de cancer du sein souffrent de lymphoedème dû à une dissection ou à un rayonnement lymphatique axillaire. <sup class="reference" id="cite_ref-Brorson2008_1-2" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-Brorson2008-1" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[1] </a></sup><sup class="reference" id="cite_ref-4" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-4" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[4] </a></sup><sup class="reference" id="cite_ref-5" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-5" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[5] Le</a></sup> lymphoedème unilatéral se produit chez jusqu'à 41% des patients après un cancer gynécologique. <sup class="reference" id="cite_ref-Brorson2008_1-3" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-Brorson2008-1" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[1] </a></sup><sup class="reference" id="cite_ref-6" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-6" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[6]</a></sup> Pour les hommes, une incidence de 5,66% du lymphoedème a été signalée chez les patients traités avec une incidence selon que la mise en scène ou l'élimination radicale des ganglions lymphatiques a été effectuée en plus de la radiothérapie. <sup class="reference" id="cite_ref-Brorson2008_1-4" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-Brorson2008-1" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[1] </a></sup><sup class="reference" id="cite_ref-7" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-7" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[7] </a></sup><sup class="reference" id="cite_ref-8" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-8" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[8]</a></sup></span></div>
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<span style="font-size: large;">Le lymphœdème de la tête et du cou peut être causé par une chirurgie ou une radiothérapie pour le cancer de la langue ou de la gorge. Il peut également se produire dans les membres inférieurs ou l'aine après une intervention chirurgicale pour le cancer du côlon, de l'ovaire ou de l'utérus, dans lequel l'élimination des ganglions lymphatiques ou la radiothérapie est nécessaire. La chirurgie ou le traitement des cancers de la prostate, du côlon et du testicule peuvent entraîner un lymphœdème secondaire, en particulier lorsque les ganglions lymphatiques ont été enlevés ou endommagés.</span></div>
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<span style="font-size: large;">Le début du lymphœdème secondaire chez les patients qui ont subi une chirurgie du cancer a également été lié au vol de l'avion (probablement en raison de la diminution de la pression de la cabine ou de l'immobilité relative). Pour les survivants du cancer, par conséquent, porter un vêtement de compression prescrit et bien ajusté peut aider à diminuer le gonflement pendant le transport aérien.</span></div>
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<span style="font-size: large;">Certains cas de lymphœdème des membres inférieurs ont été associés à l'utilisation de <a href="https://en.wikipedia.org/wiki/Tamoxifen" style="background: none; color: #0b0080; text-decoration-line: none;" title="Tamoxifène" wotsearchprocessed="true">tamoxifène</a> , en raison des caillots sanguins et de <a href="https://en.wikipedia.org/wiki/Deep_vein_thrombosis" style="background: none; color: #0b0080; text-decoration-line: none;" title="Thrombose veineuse profonde" wotsearchprocessed="true">la thrombose veineuse profonde</a> (TVP) qui peuvent être causés par ce médicament. La résolution des caillots de sang ou de la TVP est nécessaire avant que le traitement par lymphoedème puisse être initié.</span></div>
<h3 style="background: none rgb(255, 255, 255); border-bottom: 0px; font-family: sans-serif; line-height: 1.6; margin: 0.3em 0px 0px; overflow: hidden; padding-bottom: 0px; padding-top: 0.5em;">
<span class="mw-headline" id="Congenital_lymphedema"><span style="font-size: large;">Linotype lymphatique congénital </span></span></h3>
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<span style="font-size: large;"><a class="mw-redirect" href="https://en.wikipedia.org/wiki/Congenital" style="background: none; color: #0b0080; text-decoration-line: none;" title="Congénital" wotsearchprocessed="true">Le</a> lymphœdème <a class="mw-redirect" href="https://en.wikipedia.org/wiki/Congenital" style="background: none; color: #0b0080; text-decoration-line: none;" title="Congénital" wotsearchprocessed="true">congénital</a> est un gonflement qui résulte d'anomalies du <a href="https://en.wikipedia.org/wiki/Lymphatic_system" style="background: none; color: #0b0080; text-decoration-line: none;" title="Système lymphatique" wotsearchprocessed="true">système lymphatique</a> qui sont présentes dès la naissance. Le gonflement peut être présent dans un seul membre touché, plusieurs membres, organes génitaux ou le visage. Il est parfois diagnostiqué de façon prénatale par un <a href="https://en.wikipedia.org/wiki/Nuchal_scan" style="background: none; color: #0b0080; text-decoration-line: none;" title="Numérisation Nuchal" wotsearchprocessed="true">balayage nucal</a> ou post-natally par lymphoscintigraphie. Une forme héréditaire de lymphœdème congénital s'appelle <a href="https://en.wikipedia.org/wiki/Milroy%27s_disease" style="background: none; color: #0b0080; text-decoration-line: none;" title="La maladie de Milroy" wotsearchprocessed="true">la maladie de Milroy</a> et est causée par des mutations du gène <a class="mw-redirect" href="https://en.wikipedia.org/wiki/VEGFR3" style="background: none; color: #0b0080; text-decoration-line: none;" title="VEGFR3" wotsearchprocessed="true">VEGFR3</a> . <sup class="reference" id="cite_ref-9" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-9" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[9]</a></sup> congénitale lymphoedème est souvent syndromique et est associée à un <a href="https://en.wikipedia.org/wiki/Turner_syndrome" style="background: none; color: #0b0080; text-decoration-line: none;" title="syndrome de Turner" wotsearchprocessed="true">syndrome de Turner</a> , <a href="https://en.wikipedia.org/wiki/Lymphedema%E2%80%93distichiasis_syndrome" style="background: none; color: #0b0080; text-decoration-line: none;" title="Syndrome de Lymphedema-distichiasis" wotsearchprocessed="true">syndrome lymphoedème-distichiasis</a> , <a href="https://en.wikipedia.org/wiki/Yellow_nail_syndrome" style="background: none; color: #0b0080; text-decoration-line: none;" title="Syndrome du clou jaune" wotsearchprocessed="true">syndrome des ongles jaunes</a> , et le <a class="mw-redirect" href="https://en.wikipedia.org/wiki/Klippel%E2%80%93Tr%C3%A9naunay%E2%80%93Weber_syndrome" style="background: none; color: #0b0080; text-decoration-line: none;" title="Syndrome de Klippel-Trénaunay-Weber" wotsearchprocessed="true">syndrome de Klippel-Trenaunay</a> . <sup class="reference" id="cite_ref-10" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-10" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[10]</a></sup> Dans certains cas, la condition peut parfois être associée à <a href="https://en.wikipedia.org/wiki/Congenital_heart_defect" style="background: none; color: #0b0080; text-decoration-line: none;" title="Anomalies cardiaques congénitales" wotsearchprocessed="true">un défaut cardiaque congénital</a> , entre autres choses. <sup class="reference" id="cite_ref-11" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-11" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[11]</a></sup></span></div>
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<span class="mw-headline" id="Physiology"><span style="font-size: large;">Physiologie </span></span></h2>
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<span style="font-size: large;"><a href="https://en.wikipedia.org/wiki/Lymph" style="background: none; color: #0b0080; text-decoration-line: none;" title="Lymphe" wotsearchprocessed="true">La lymphome</a> est formée à partir du fluide qui filtre hors de la circulation sanguine pour nourrir les cellules. Ce fluide retourne par <a href="https://en.wikipedia.org/wiki/Vein" style="background: none; color: #0b0080; text-decoration-line: none;" title="Veine" wotsearchprocessed="true">des </a><a href="https://en.wikipedia.org/wiki/Capillary" style="background: none; color: #0b0080; text-decoration-line: none;" title="Capillaire" wotsearchprocessed="true">capillaires </a><a href="https://en.wikipedia.org/wiki/Vein" style="background: none; color: #0b0080; text-decoration-line: none;" title="Veine" wotsearchprocessed="true">veineux</a> à la circulation sanguine par la force de l'osmose dans le sang veineux; Cependant, une partie du fluide qui contient des protéines, des débris cellulaires, des bactéries, etc. doit revenir à travers le système de collecte lymphatique pour maintenir l'équilibre des tissus. La collecte de ce liquide Prelymph est effectuée par les collecteurs lymphatiques initiaux qui sont <a href="https://en.wikipedia.org/wiki/Epithelium" style="background: none; color: #0b0080; text-decoration-line: none;" title="Épithélium" wotsearchprocessed="true">des</a> vaisseaux à l' extrémité <a href="https://en.wikipedia.org/wiki/Epithelium" style="background: none; color: #0b0080; text-decoration-line: none;" title="Épithélium" wotsearchprocessed="true">épithéliale</a> aveugle avec des ouvertures fenêtrées qui permettent aux fluides et aux particules aussi grandes que les cellules d'entrer. Une fois à l'intérieur de la <a href="https://en.wikipedia.org/wiki/Lumen_(anatomy)" style="background: none; color: #0b0080; text-decoration-line: none;" title="Lumen (anatomie)" wotsearchprocessed="true">lumière</a> des vaisseaux lymphatiques, le fluide est guidé à travers des vaisseaux de plus en plus grands, d'abord avec des valves rudimentaires pour empêcher le reflux, <a href="https://en.wikipedia.org/wiki/Lymph" style="background: none; color: #0b0080; text-decoration-line: none;" title="Lymphe" wotsearchprocessed="true">Qui se développent plus tard en valves complètes semblables à la valve veineuse. </a><a href="https://en.wikipedia.org/wiki/Lymph" style="background: none; color: #0b0080; text-decoration-line: none;" title="Lymphe" wotsearchprocessed="true">Une fois que la lymphatique entre dans les vaisseaux lymphatiques entièrement valvérants, elle est pompée par une action rythmique peristaltique par les cellules musculaires lisses dans les parois vasculaires lymphatiques. </a><a href="https://en.wikipedia.org/wiki/Lymph" style="background: none; color: #0b0080; text-decoration-line: none;" title="Lymphe" wotsearchprocessed="true">Cette action peristaltique est la principale force motrice, la lymphopie mobile dans les murs de ses vaisseaux. </a><a href="https://en.wikipedia.org/wiki/Sympathetic_nervous_system" style="background: none; color: #0b0080; text-decoration-line: none;" title="Système nerveux sympathique" wotsearchprocessed="true">La régulation de la fréquence et de la contraction est régulée par le système nerveux sympathique</a> . Le mouvement lymphatique peut être influencé par la pression de la contraction musculaire voisine, de la pression de la pression artérielle et du vide créé dans la cavité thoracique pendant la respiration, mais ces forces passives ne représentent qu'un faible pourcentage de transport lymphatique. Les fluides collectés sont pompés dans des vaisseaux continuellement plus grands et à travers des ganglions lymphatiques, qui éliminent les débris et la police du fluide pour les microbes dangereux.</span></div>
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<span class="mw-headline" id="Diagnosis"><span style="font-size: large;">Diagnostic </span></span></h2>
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<span style="font-size: large;">L'évaluation des membres inférieurs commence par une inspection visuelle. La couleur, la présence de cheveux, les veines visibles, la taille et les plaies ou les ulcérations sont notés. Le manque de cheveux peut indiquer un problème de circulation artérielle. <sup class="reference" id="cite_ref-Jarvis2004_12-0" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-Jarvis2004-12" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[12]</a></sup> Compte tenu du gonflement, la circonférence du mollet est mesurée pour référence à mesure que le temps se poursuit. L'élévation des jambes peut réduire ou éliminer le gonflement. La palpation de la cheville peut déterminer le degré de gonflement. L'évaluation comprend une vérification des impulsions poplité, <a class="mw-redirect" href="https://en.wikipedia.org/wiki/Femoral_pulse" style="background: none; color: #0b0080; text-decoration-line: none;" title="Impulsion fémorale" wotsearchprocessed="true">fémore</a> , <a class="mw-redirect" href="https://en.wikipedia.org/wiki/Posterior_tibial_pulse" style="background: none; color: #0b0080; text-decoration-line: none;" title="Pulsion du tibia postérieur" wotsearchprocessed="true">tibial postérieur</a> et dorsalis pedis. Les noeuds inguinaux peuvent être agrandis. L'élargissement des nœuds de plus de trois semaines peut indiquer une infection ou un autre processus de la maladie nécessitant d'autres soins médicaux. <sup class="reference" id="cite_ref-Jarvis2004_12-1" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-Jarvis2004-12" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[12]</a></sup></span></div>
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<span style="font-size: large;">Le diagnostic ou la détection précoce du lymphœdème est difficile. Les premiers signes peuvent être des observations subjectives telles que «mon bras se sent lourd» ou «j'ai de la difficulté à consommer des anneaux sur mes doigts». Ce symptôme peut être symptomatique du stade précoce du lymphœdème où l'accumulation de lymphome est légère et non détectable par des changements de volume ou de circonférence. Au fur et à mesure que le lymphoedème se développe, le diagnostic définitif repose généralement sur une mesure objective des différences entre le membre affecté ou à risque au niveau opposé non affecté, par exemple en volume ou en circonférence. Aucun critère généralement admis n'est définitivement diagnostiqué, mais une différence de volume de 200 ml entre les membres ou une différence de 4 cm (à un seul site de mesure ou des intervalles réguliers le long du membre) est souvent utilisée. <a href="https://en.wikipedia.org/wiki/Bioelectrical_impedance_analysis" style="background: none; color: #0b0080; text-decoration-line: none;" title="Analyse d'impédance bioélectrique" wotsearchprocessed="true">La</a> mesure de la <a href="https://en.wikipedia.org/wiki/Bioelectrical_impedance_analysis" style="background: none; color: #0b0080; text-decoration-line: none;" title="Analyse d'impédance bioélectrique" wotsearchprocessed="true">bioimpedance</a> (qui mesure la quantité de liquide dans un membre) offre une plus grande sensibilité que les méthodes existantes. <sup class="reference" id="cite_ref-13" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-13" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[13]</a></sup></span></div>
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<span style="font-size: large;">Les changements chroniques de la stase veineuse peuvent imiter le lymphoedème précoce, mais les changements dans la stase veineuse sont plus souvent bilatéraux et symétriques. <a href="https://en.wikipedia.org/wiki/Lipedema" style="background: none; color: #0b0080; text-decoration-line: none;" title="Lipedema" wotsearchprocessed="true">Le lipedème</a> peut également imiter le lymphoedème, mais le lipedema caractérise de façon caractéristique les pieds commençant brusquement au <a href="https://en.wikipedia.org/wiki/Malleolus" style="background: none; color: #0b0080; text-decoration-line: none;" title="Malleolus" wotsearchprocessed="true">malleoli médian</a>(niveau de la cheville). Le lipedème est fréquent chez les femmes en surpoids. Dans le cadre du traitement initial avant de diagnostiquer le lymphoedème, il peut être nécessaire d'exclure d'autres causes potentielles d'enflure des membres inférieurs, telles que l'insuffisance rénale, l' <a href="https://en.wikipedia.org/wiki/Hypoalbuminemia" style="background: none; color: #0b0080; text-decoration-line: none;" title="Hypoalbuminémie" wotsearchprocessed="true">hypoalbuminémie</a> , l' <a href="https://en.wikipedia.org/wiki/Heart_failure" style="background: none; color: #0b0080; text-decoration-line: none;" title="Arrêt cardiaque" wotsearchprocessed="true">insuffisance cardiaque congestive</a> , la <a href="https://en.wikipedia.org/wiki/Kidney_disease" style="background: none; color: #0b0080; text-decoration-line: none;" title="Maladie rénale" wotsearchprocessed="true">néphropathie</a>perdue de protéines , <a href="https://en.wikipedia.org/wiki/Pulmonary_hypertension" style="background: none; color: #0b0080; text-decoration-line: none;" title="Hypertension pulmonaire" wotsearchprocessed="true">l'hypertension pulmonaire</a> , l'obésité, la grossesse et <a href="https://en.wikipedia.org/wiki/Edema" style="background: none; color: #0b0080; text-decoration-line: none;" title="Œdème" wotsearchprocessed="true">Œdème</a> induit par la drogue . <sup class="reference" id="cite_ref-14" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-14" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[14]</a></sup></span></div>
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<span class="mw-headline" id="Stages"><span style="font-size: large;">Etapes </span></span></h3>
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<span style="font-size: large;">Que ce soit primaire ou secondaire, le lymphoedème se développe par étapes, de léger à sévère. Les méthodes de mise en scène sont nombreuses et incohérentes dans le monde entier. Les systèmes de mise en scène du lymphœdème vont de trois à huit étapes.</span></div>
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<span style="font-size: large;"><span class="mw-headline" id="Staging_system_of_lymphedema_to_improve_diagnosis_and_outcome">Système de stades du lymphœdème pour améliorer le diagnostic et le résultat </span><span class="mw-editsection" style="display: inline-block; font-weight: normal; line-height: 1em; margin-left: 1em; unicode-bidi: isolate; user-select: none; vertical-align: baseline; white-space: nowrap;"></span></span></h4>
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<span class="mw-headline"><span style="font-size: large;"><br /></span></span></div>
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<span style="font-size: large;">Un système de mise en scène a été approuvé par l' <a href="https://en.wikipedia.org/wiki/American_Society_of_Lymphology" style="background: none; color: #0b0080; text-decoration-line: none;" title="Société américaine de lympholie" wotsearchprocessed="true">American Society of Lymphology</a> . <sup class="reference" id="cite_ref-15" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-15" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[15]</a></sup><sup class="noprint Inline-Template Template-Fact" style="line-height: 1; white-space: nowrap;"> </sup>Ce système fournit une technique à quatre étapes qui peut être utilisée par des évaluations cliniques et de laboratoire pour diagnostiquer plus précisément et prescrire un traitement et obtenir des résultats mesurables. Les descripteurs de symptômes et la présentation clinique doivent être établis lors de l'évaluation par le médecin pour prescrire des interventions, surveiller l'efficacité et soutenir la nécessité médicale. Des évaluations supplémentaires, telles que la bioimpedance, l' <a href="https://en.wikipedia.org/wiki/Magnetic_resonance_imaging" style="background: none; color: #0b0080; text-decoration-line: none;" title="Imagerie par résonance magnétique" wotsearchprocessed="true">IRM</a> ou la <a href="https://en.wikipedia.org/wiki/CT_scan" style="background: none; color: #0b0080; text-decoration-line: none;" title="Tomodensitométrie" wotsearchprocessed="true">CT</a> , s'appuient sur une évaluation clinique (évaluation physique).</span></div>
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<span style="font-size: large;">La méthode de mise en scène la plus courante a été définie par le cinquième Comité d'experts de l' <a href="https://en.wikipedia.org/wiki/World_Health_Organization" style="background: none; color: #0b0080; text-decoration-line: none;" title="Organisation mondiale de la santé" wotsearchprocessed="true">OMS</a> sur la <a href="https://en.wikipedia.org/wiki/Filariasis" style="background: none; color: #0b0080; text-decoration-line: none;" title="Filariose" wotsearchprocessed="true">filariose</a> : <sup class="reference" id="cite_ref-pmid1441569_16-0" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-pmid1441569-16" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[16] </a></sup><sup class="reference" id="cite_ref-17" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-17" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[17]</a></sup></span></div>
<ul style="background-color: white; color: #222222; font-family: sans-serif; list-style-image: url("data:image/svg+xml,%3C%3Fxml%20version%3D%221.0%22%20encoding%3D%22UTF-8%22%3F%3E%0A%3Csvg%20xmlns%3D%22http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%22%20version%3D%221.1%22%20width%3D%225%22%20height%3D%2213%22%3E%0A%3Ccircle%20cx%3D%222.5%22%20cy%3D%229.5%22%20r%3D%222.5%22%20fill%3D%22%2300528c%22%2F%3E%0A%3C%2Fsvg%3E%0A"); margin: 0.3em 0px 0px 1.6em; padding: 0px;">
<li style="margin-bottom: 0.1em;"><span style="font-size: large;"><b>Étape 0 (latente)</b> : Les vaisseaux lymphatiques ont subi des dégâts qui ne sont pas encore apparents. La capacité de transport est suffisante pour la quantité de lymphose enlevée. Le lymphœdème n'est pas présent.</span></li>
<li style="margin-bottom: 0.1em;"><span style="font-size: large;"><b>Étape 1 (spontanément réversible)</b> : Le tissu est toujours au stade de la piqûre: lorsqu'il est pressé par le bout des doigts, la zone affectée recule et se renverse avec une élévation. Habituellement, au réveil le matin, le membre ou la zone affectée est de taille normale ou presque normale.</span></li>
<li style="margin-bottom: 0.1em;"><span style="font-size: large;"><b>Étape 2 (spontanément irréversible)</b> : le tissu a maintenant une consistance spongieuse et est considéré comme non-piqûre: lorsqu'il est pressé par le bout des doigts, la zone affectée rebondit sans indentation. <a href="https://en.wikipedia.org/wiki/Fibrosis" style="background: none; color: #0b0080; text-decoration-line: none;" title="Fibrose" wotsearchprocessed="true">La fibrose</a> trouvée au stade 2 du lymphoedème marque le début du durcissement des membres et augmente la taille.</span></li>
<li style="margin-bottom: 0.1em;"><span style="font-size: large;"><b>Étape 3 (éléphantiasis lymphostatique)</b> : à ce stade, le gonflement est irréversible et généralement le membre ou la zone affectée est sensiblement grand. Le tissu est dur (fibrotique) et ne répond pas; Certains patients envisagent de subir une chirurgie reconstructive, appelée «décollement». Cela reste controversé, cependant, étant donné que les risques peuvent l'emporter sur les bénéfices et que les dommages supplémentaires causés au système lymphatique peuvent en fait empirer le lymphome.</span></li>
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<span class="mw-headline" id="Grades"><span style="font-size: large;">Grades </span></span></h3>
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<span style="font-size: large;">Le lymphœdème peut également être catégorisé par sa gravité (habituellement référencée à une extrémité saine): </span></div>
<ul style="background-color: white; color: #222222; font-family: sans-serif; list-style-image: url("data:image/svg+xml,%3C%3Fxml%20version%3D%221.0%22%20encoding%3D%22UTF-8%22%3F%3E%0A%3Csvg%20xmlns%3D%22http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%22%20version%3D%221.1%22%20width%3D%225%22%20height%3D%2213%22%3E%0A%3Ccircle%20cx%3D%222.5%22%20cy%3D%229.5%22%20r%3D%222.5%22%20fill%3D%22%2300528c%22%2F%3E%0A%3C%2Fsvg%3E%0A"); margin: 0.3em 0px 0px 1.6em; padding: 0px;">
<li style="margin-bottom: 0.1em;"><span style="font-size: large;"><b>Grade 1</b> (œdème doux): implique les parties distales telles que l'avant bras et la main ou une jambe et un pied. La différence de circonférence est inférieure à 4 cm et d'autres changements tissulaires ne sont pas encore présents.</span></li>
<li style="margin-bottom: 0.1em;"><span style="font-size: large;"><b>2e année</b> (œdème modéré): implique un membre entier ou un quadrant correspondant du coffre. La différence de circonférence est de 4-6 cm. Les changements de tissus, tels que les piqûres, sont apparents. Le patient peut éprouver de l' <a href="https://en.wikipedia.org/wiki/Erysipelas" style="background: none; color: #0b0080; text-decoration-line: none;" title="Érésipèle" wotsearchprocessed="true">érysipèle</a> .</span></li>
<li style="margin-bottom: 0.1em;"><span style="font-size: large;"><b>Grade 3a</b> (œdème sévère): le lymphœdème est présent dans un membre et son quadrant de tronc associé. La différence circonférentielle est supérieure à 6 centimètres. Des altérations importantes de la peau, telles que la <a class="mw-redirect" href="https://en.wikipedia.org/wiki/Cornification" style="background: none; color: #0b0080; text-decoration-line: none;" title="Cornification" wotsearchprocessed="true">cornification</a> ou la <a href="https://en.wikipedia.org/wiki/Keratosis" style="background: none; color: #0b0080; text-decoration-line: none;" title="Kératose" wotsearchprocessed="true">kératose</a> , les <a class="mw-redirect" href="https://en.wikipedia.org/wiki/Cysts" style="background: none; color: #0b0080; text-decoration-line: none;" title="Les kystes" wotsearchprocessed="true">kystes</a> et / ou les <a class="mw-redirect" href="https://en.wikipedia.org/wiki/Fistulae" style="background: none; color: #0b0080; text-decoration-line: none;" title="Fistules" wotsearchprocessed="true">fistules</a> , sont présentes. En outre, le patient peut subir des attaques répétées d' <a href="https://en.wikipedia.org/wiki/Erysipelas" style="background: none; color: #0b0080; text-decoration-line: none;" title="Érésipèle" wotsearchprocessed="true">érysipèle</a> .</span></li>
<li style="margin-bottom: 0.1em;"><span style="font-size: large;"><b>Grade 3b</b> (œdème massif): les mêmes symptômes que le grade 3a, sauf que deux ou plusieurs extrémités sont affectées.</span></li>
<li style="margin-bottom: 0.1em;"><span style="font-size: large;"><b>4e année</b> (œdème gigantesque): dans ce stade du lymphœdème, les extrémités affectées sont énormes, en raison d'un blocage presque complet des voies lymphatiques.</span></li>
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<span class="mw-headline" id="Treatment"><span style="font-size: large;">Traitement </span></span></h2>
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<span style="font-size: large;">Le traitement varie selon la gravité de l'œdème et le degré de fibrose. La plupart des personnes atteintes de lymphœdème suivent un schéma de traitement quotidien. Les traitements les plus fréquents sont une combinaison de compression manuelle de massage lymphatique, de vêtements de compression ou de bandage. La physiothérapie décongestionnante complexe est un système empirique de massage lymphatique, de soins de la peau et de vêtements compressifs. Bien qu'un programme de traitement combiné soit idéal, tous les traitements peuvent être effectués individuellement.</span></div>
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<span class="mw-headline" id="Complete_decongestive_therapy"><span style="font-size: large;">Traitement décongestique complet </span></span></h3>
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<span style="font-size: large;">La CDT est un outil principal dans la gestion du lymphoedème. Il consiste en une manipulation manuelle des conduits lymphatiques, <sup class="reference" id="cite_ref-lymphnet_18-0" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-lymphnet-18" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[18]</a></sup><a href="https://en.wikipedia.org/wiki/Bandage" style="background: none; color: #0b0080; text-decoration-line: none;" title="Bandage" wotsearchprocessed="true"> bandage compressif à</a> courte étirement , exercice thérapeutique et soins de la peau. La technique a été lancée par <a href="https://en.wikipedia.org/wiki/Emil_Vodder" style="background: none; color: #0b0080; text-decoration-line: none;" title="Emil Vodder" wotsearchprocessed="true">Emil Vodder</a> dans les années 1930 pour le traitement de la <a href="https://en.wikipedia.org/wiki/Sinusitis" style="background: none; color: #0b0080; text-decoration-line: none;" title="Sinusite" wotsearchprocessed="true">sinusite</a> chronique et d'autres troubles immunitaires. Au début, la CDT implique des visites fréquentes chez un thérapeute. Une fois que le lymphoedème a diminué, une participation accrue du patient est nécessaire pour les soins continus, ainsi que l'utilisation de vêtements de compression élastique et de vêtements de mousse à écoulement directionnel non élastique.</span></div>
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<span style="font-size: large;">La manipulation manuelle des conduits lymphatiques ( <a href="https://en.wikipedia.org/wiki/Manual_lymphatic_drainage" style="background: none; color: #0b0080; text-decoration-line: none;" title="Drainage lymphatique manuel" wotsearchprocessed="true">drainage lymphatique manuel</a> ou MLD) consiste en un massage doux et rythmique pour stimuler le flux lymphatique et son retour au système de circulation sanguine. Le traitement est doux. Une session typique implique le drainage du cou, du tronc et de l'extrémité impliquée (dans cet ordre), d'environ 40 à 60 minutes. La CDT est généralement efficace sur le lymphoedème non fibrotique et moins efficace sur les jambes plus fibrotiques, bien qu'elle contribue à briser le tissu fibrotique. <sup class="noprint Inline-Template Template-Fact" style="line-height: 1; white-space: nowrap;">[ <i><a href="https://en.wikipedia.org/wiki/Wikipedia:Citation_needed" style="background: none; color: #0b0080; text-decoration-line: none;" title="Wikipedia: Citation nécessaire" wotsearchprocessed="true"><span title="Cette revendication nécessite des références à des sources fiables. (Mai 2014)">Citation requise</span></a></i> ]</sup></span></div>
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<span class="mw-headline" id="Compression"><span style="font-size: large;">Compression </span></span></h3>
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<span class="mw-headline" id="Garments"><span style="font-size: large;">Vêtements </span></span></h4>
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Manchon de compression à lymphoedèmes sur mannequin</div>
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<span style="font-size: large;"><a href="https://en.wikipedia.org/wiki/Compression_stockings" style="background: none; color: #0b0080; text-decoration-line: none;" title="Bas de compression" wotsearchprocessed="true">Des vêtements de compression élastique</a> sont portés sur le membre affecté suite à une thérapie décongestionnante complète pour maintenir la réduction de l'œdème. Les vêtements inélastiques assurent le confinement et la réduction.</span></div>
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<span class="mw-headline" id="Bandaging"><span style="font-size: large;">Bandagerie </span></span></h4>
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<span style="font-size: large;">Le bandage par compression, également appelé emballage, est l'application de couches de rembourrage et de bandages courts aux zones concernées. Les bandages à courte étirement sont préférés aux bandages extensibles (tels que ceux habituellement utilisés pour traiter les entorses), car les bandages à longue étirement ne peuvent pas produire la tension thérapeutique appropriée nécessaire pour réduire sans risque le lymphoedème et peut en fin de compte produire un effet de garrot. En activité, qu'il s'agisse d'exercices ou d'activités quotidiennes, les bandages à courte extension améliorent l'action de pompage des vaisseaux lymphatiques en augmentant leur résistance. Cela favorise le flux lymphatique et aide à adoucir les zones gonflées par les liquides.</span></div>
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<span style="font-size: large;">Une étude de 2002 a montré que les patients recevant les modalités combinées de <a href="https://en.wikipedia.org/wiki/Manual_lymphatic_drainage" style="background: none; color: #0b0080; text-decoration-line: none;" title="Drainage lymphatique manuel" wotsearchprocessed="true">drainage lymphatique manuel</a> (MLD) avec <a href="https://en.wikipedia.org/wiki/Lymphedema#Complete_decongestive_therapy" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">une thérapie décongestive complète</a> (CDT) et le pompage pneumatique avaient une réduction globale plus importante du volume des membres que les patients recevant uniquement le MLD / CDT. <sup class="reference" id="cite_ref-autogenerated2260_19-0" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-autogenerated2260-19" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[19]</a></sup></span></div>
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<span class="mw-headline" id="Intermittent_pneumatic_compression_therapy"><span style="font-size: large;">Traitement de compression pneumatique intermittent </span></span></h4>
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<span style="font-size: large;"><a href="https://en.wikipedia.org/wiki/Intermittent_pneumatic_compression" style="background: none; color: #0b0080; text-decoration-line: none;" title="Compression pneumatique intermittente" wotsearchprocessed="true">La</a> thérapie par <a href="https://en.wikipedia.org/wiki/Intermittent_pneumatic_compression" style="background: none; color: #0b0080; text-decoration-line: none;" title="Compression pneumatique intermittente" wotsearchprocessed="true">compression pneumatique intermittente</a> (IPC) utilise un manchon pneumatique à plusieurs chambres avec des cellules qui se chevauchent pour favoriser le mouvement du fluide lymphatique. La thérapie par pompe doit être utilisée en plus d'autres traitements tels que le bandage par compression et le drainage lymphatique manuel. Dans certains cas, la thérapie par pompe aide à adoucir le tissu fibrotique et, par conséquent, peut permettre un drainage lymphatique plus efficace. Cependant, les rapports relient la thérapie de la pompe à une augmentation de l'incidence de l'œdème proximal au membre affecté, comme l'œdème génital qui survient après la thérapie par pompe dans le membre inférieur. <sup class="reference" id="cite_ref-20" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-20" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[20] La</a></sup> CIB doit être utilisée en combinaison avec un traitement décongestionnant complet. <sup class="reference" id="cite_ref-autogenerated2260_19-1" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-autogenerated2260-19" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[19]</a></sup></span></div>
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<span class="mw-headline" id="Exercise"><span style="font-size: large;">Exercice </span></span></h3>
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<span style="font-size: large;">La plupart des études étudiant les effets exercés chez les patients atteints de lymphœdème ou à risque de développer un lymphœdème ont examiné les patients atteints de lymphœdème lié au cancer du sein. Dans ces études, la formation de résistance n'a pas augmenté le gonflement chez les patients atteints de lymphœdème préexistant et diminue l'œdème chez certains patients, en plus d'autres effets bénéfiques potentiels sur la santé cardiovasculaire. <sup class="reference" id="cite_ref-21" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-21" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[21] </a></sup><sup class="reference" id="cite_ref-22" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-22" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[22] </a></sup><sup class="reference" id="cite_ref-23" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-23" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[23] </a></sup><sup class="reference" id="cite_ref-24" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-24" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[24]</a></sup> En outre, la formation de résistance et d'autres formes d'exercice n'ont pas été associées à un risque accru de développer un lymphoedème chez des patients qui ont déjà reçu un traitement lié au cancer du sein. Les vêtements de compression devraient être portés pendant l'exercice (sauf l'éventuelle nage chez certains patients). <sup class="reference" id="cite_ref-25" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-25" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[25]</a></sup> Les patients qui ont ou risquent un lymphoedème doivent consulter leur médecin ou un thérapeute à lymphœdème certifié avant de commencer un régime d'exercice. La formation à la résistance n'est pas recommandée pendant la période post-opératoire immédiate chez les patients qui ont subi une dissection ganglionnaire axillaire pour le cancer du sein.</span></div>
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<span style="font-size: large;">Peu d'études examinent les effets de l'exercice dans le lymphœdème primaire ou dans le lymphœdème secondaire qui n'est pas lié au traitement du cancer du sein.</span></div>
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<span class="mw-headline" id="Surgery"><span style="font-size: large;">Chirurgie </span></span></h3>
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<span style="font-size: large;">Plusieurs interventions chirurgicales fournissent des solutions à long terme aux patients souffrant de lymphœdème. Avant la chirurgie, les patients sont généralement traités par un thérapeute physique ou ergothérapeute, formés à la prestation d'un traitement au lymphoedème pour un traitement initial conservateur de leur lymphœdème. Le CDT, le MLD et le bandage par compression sont tous des éléments utiles du traitement conservateur du lymphœdème. <sup class="reference" id="cite_ref-26" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-26" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[26]</a></sup></span></div>
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<span class="mw-headline" id="Vascularized_lymph_node_transfer"><span style="font-size: large;">Transfert de ganglion lymphatique vascularisé </span></span></h4>
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<span style="font-size: large;">Les transferts de ganglions lymphatiques vascularisés (VLNT) peuvent être un traitement efficace du bras et de l'extrémité supérieure. Les ganglions lymphatiques sont récoltés dans la région de l'aine avec leur artère et leur veine de soutien et déplacés vers l'aisselle (aisselle). Les techniques de microchirurgie relient l'artère et la veine aux vaisseaux sanguins dans l'aisselle pour fournir un soutien aux ganglions lymphatiques alors qu'ils développent leur propre apport sanguin au cours des premières semaines après la chirurgie.</span></div>
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<span style="font-size: large;">Les ganglions lymphatiques nouvellement transférés servent alors de conduit ou de filtre pour éliminer l'excès de liquide lymphatique du bras et le renvoyer à la circulation naturelle du corps.</span></div>
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<span style="font-size: large;">Cette technique de transfert de ganglions lymphatiques est habituellement réalisée avec une reconstruction de poitrine de <a href="https://en.wikipedia.org/wiki/DIEP_flap" style="background: none; color: #0b0080; text-decoration-line: none;" title="Rabat DIEP" wotsearchprocessed="true">rabat DIEP</a> . Cela permet le traitement simultané du lymphœdème du bras et la création d'un sein en une seule intervention chirurgicale. Le transfert de ganglions lymphatiques élimine l'excès de liquide lymphatique pour retourner la forme et la fonction au bras. Dans certains cas, les ganglions lymphatiques peuvent être transférés en groupe avec leur artère et leur veine de soutien, mais sans le tissu abdominal associé pour la reconstruction mammaire.</span></div>
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<span style="font-size: large;">Les transferts de ganglions lymphatiques sont plus efficaces chez les patients dont la circonférence des extrémités se réduit de façon significative avec l'emballage de compression, ce qui indique que la plupart des œdèmes sont fluides.</span></div>
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<span style="font-size: large;">VLNT améliore significativement le composant fluide du lymphoedème et diminue la quantité de thérapie par lymphoedème et l'utilisation de vêtements de compression requise. <sup class="reference" id="cite_ref-GranzowSoderberg2014_27-0" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-GranzowSoderberg2014-27" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[27]</a></sup></span></div>
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<span class="mw-headline" id="Lymphaticovenous_anastomosis"><span style="font-size: large;">Anastomose lymphoïdeuse</span></span></h4>
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<span style="font-size: large;">L' <a href="https://en.wikipedia.org/wiki/Anastomosis" style="background: none; color: #0b0080; text-decoration-line: none;" title="Anastomose" wotsearchprocessed="true">anastomose</a> lymphatique (LVA) utilise une supermicrosurgery pour relier les canaux lymphatiques affectés directement aux petites veines situées à proximité. Les lymphatiques sont minuscules, généralement de 0,1 mm à 0,8 mm de diamètre. La procédure nécessite l'utilisation de techniques spécialisées avec suture chirurgicale superfine et un microscope adapté à haute puissance.</span></div>
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<span style="font-size: large;">LVA peut être une solution efficace et à long terme pour le lymphœdème d'extrémité et de nombreux patients ont des résultats qui vont d'une amélioration modérée à une résolution presque complète. La LVA est plus efficace au début de la maladie chez les patients dont la circonférence des extrémités se réduit de manière significative avec l'emballage de compression, ce qui indique que la plupart des œdèmes sont fluides. Les patients qui ne répondent pas à la compression sont moins susceptibles de bien satisfaire la LVA, car une plus grande quantité de leur volume d'extrémité augmentée se compose de tissu fibreux, de protéines ou de graisse. Des études multiples ont montré que les LVA étaient efficaces. <sup class="reference" id="cite_ref-GranzowSoderberg2014_27-1" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-GranzowSoderberg2014-27" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[27] </a></sup><sup class="reference" id="cite_ref-ReferenceA_28-0" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-ReferenceA-28" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[28] </a></sup><sup class="reference" id="cite_ref-Campisi.2C_M.D..2C_Ph.D._2007_333.E2.80.93338_29-0" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-Campisi.2C_M.D..2C_Ph.D._2007_333.E2.80.93338-29" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[29]</a></sup></span></div>
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<span style="font-size: large;">L'anastomose lymphho-amoureuse a été introduite par BM O'Brien et ses collègues pour le traitement du lymphœdème obstructif dans les extrémités. <sup class="reference" id="cite_ref-Koshima03_30-0" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-Koshima03-30" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[30]</a></sup> En 2003, la pionnière de la supermicrosurgery Isao Koshima et ses collègues ont amélioré la chirurgie avec des techniques supermicrosurgiques et ont établi le nouveau standard en microchirurgie reconstructive. <sup class="reference" id="cite_ref-Koshima03_30-1" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-Koshima03-30" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[30] Les</a></sup> études impliquant un suivi à long terme après LVA pour le lymphoedème ont indiqué des patients ont montré une amélioration remarquable par rapport au traitement conservateur utilisant un stockage élastique continu et un pompage occasionnel. <sup class="reference" id="cite_ref-Koshima03_30-2" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-Koshima03-30" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[30]</a></sup></span></div>
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<span style="font-size: large;">Les études cliniques impliquant LVA indiquent que les résultats immédiats et à long terme ont montré des réductions significatives du volume et de l'amélioration des systèmes qui semblent durables. <sup class="reference" id="cite_ref-GranzowSoderberg2014_27-2" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-GranzowSoderberg2014-27" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[27] </a></sup><sup class="reference" id="cite_ref-ReferenceA_28-1" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-ReferenceA-28" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[28] </a></sup><sup class="reference" id="cite_ref-Campisi.2C_M.D._2006_70.E2.80.9372_31-0" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-Campisi.2C_M.D._2006_70.E2.80.9372-31" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[31]</a></sup> Une étude de 2006 comparant deux groupes de patients atteints de cancer du sein présentant un risque élevé de lymphœdème chez lesquels LVA a été utilisé pour prévenir le début du lymphœdème cliniquement évident. Les résultats ont montré une réduction statistiquement significative du nombre de patients qui ont développé un lymphocyte cliniquement significatif. <sup class="reference" id="cite_ref-Campisi.2C_M.D._2006_70.E2.80.9372_31-1" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-Campisi.2C_M.D._2006_70.E2.80.9372-31" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[31]</a></sup> D'autres études ont montré que les chirurgies de LVA réduisent la gravité du lymphoedème chez les patients atteints de cancer du sein. <sup class="reference" id="cite_ref-32" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-32" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[32] </a></sup><sup class="reference" id="cite_ref-Campisi.2C_M.D._2006_65.E2.80.9369_33-0" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-Campisi.2C_M.D._2006_65.E2.80.9369-33" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[33]</a></sup> En particulier, une étude clinique portant sur 1 000 cas de lymphoedème traités par microchirurgie de 1973 à 2006 a montré des résultats bénéfiques. <sup class="reference" id="cite_ref-Campisi.2C_M.D._2006_65.E2.80.9369_33-1" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-Campisi.2C_M.D._2006_65.E2.80.9369-33" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[33]</a></sup> Les rapports cliniques des microsurges et des physiothérapeutes ont documenté plus de 1 500 patients traités avec une chirurgie LVA sur une période de 30 ans montrant une amélioration et une efficacité significatives. <sup class="reference" id="cite_ref-Campisi.2C_M.D..2C_Ph.D._2007_333.E2.80.93338_29-1" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-Campisi.2C_M.D..2C_Ph.D._2007_333.E2.80.93338-29" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[29]</a></sup></span></div>
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<span style="font-size: large;"><a href="https://en.wikipedia.org/wiki/Indocyanine_green" style="background: none; color: #0b0080; text-decoration-line: none;" title="Indocyanine vert" wotsearchprocessed="true">La </a><a href="https://en.wikipedia.org/wiki/Fluoroscopy" style="background: none; color: #0b0080; text-decoration-line: none;" title="Fluoroscopie" wotsearchprocessed="true">fluoroscopie </a><a href="https://en.wikipedia.org/wiki/Indocyanine_green" style="background: none; color: #0b0080; text-decoration-line: none;" title="Indocyanine vert" wotsearchprocessed="true">verte d'indocyanine</a> est un outil sûr, minimalement invasif et utile pour l'évaluation chirurgicale. <sup class="reference" id="cite_ref-34" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-34" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[34]</a></sup> microchirurgiens utilisent vert indocyanine <a href="https://en.wikipedia.org/wiki/Lymphogram" style="background: none; color: #0b0080; text-decoration-line: none;" title="Lymphogramme" wotsearchprocessed="true">lymphographie</a> pour aider à des interventions chirurgicales LVA. <sup class="reference" id="cite_ref-35" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-35" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[35]</a></sup></span></div>
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<span class="mw-headline" id="Suction_assisted_lipectomy"><span style="font-size: large;">Lipectomie assistée par succion </span></span></h4>
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<span style="font-size: large;">Les personnes dont les membres ne répondent plus adéquatement à la thérapie par compression peuvent être candidates à la lipectomie assistée par aspiration (SAL). Cette procédure a été appelée <a href="https://en.wikipedia.org/wiki/Liposuction" style="background: none; color: #0b0080; text-decoration-line: none;" title="Liposuccion" wotsearchprocessed="true">liposuccion</a> pour le lymphoedème et est spécifiquement adaptée pour traiter cette condition avancée. SAL emploie une technique opératoire différente et nécessite une thérapie significative et des soins de vêtements de compression qui doivent être administrés par un thérapeute expérimenté dans la technique.</span></div>
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<span style="font-size: large;">Cette procédure a été lancée par Hakan Brorson en 1987. <sup class="reference" id="cite_ref-Brorson2008_1-5" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-Brorson2008-1" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[1]</a></sup> Des essais cliniques bien contrôlés menés de 1993 à 2014 ont montré que la SAL, combinée à une thérapie de compression contrôlée (CCT), était un traitement efficace par lymphe sans récidive. <sup class="reference" id="cite_ref-Brorson2008_1-6" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-Brorson2008-1" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[1] </a></sup><sup class="reference" id="cite_ref-GranzowSoderberg2014_27-3" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-GranzowSoderberg2014-27" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[27] </a></sup><sup class="reference" id="cite_ref-ReferenceA_28-2" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-ReferenceA-28" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[28] </a></sup><sup class="reference" id="cite_ref-36" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-36" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[36] </a></sup><sup class="reference" id="cite_ref-37" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-37" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[37] </a></sup><sup class="reference" id="cite_ref-38" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-38" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[38] </a></sup><sup class="reference" id="cite_ref-39" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-39" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[39] </a></sup><sup class="reference" id="cite_ref-40" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-40" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[40]</a></sup> Le suivi à long terme (11-13 ans) de patients atteints de lymphœdème n'a pas révélé de gonflement. <sup class="reference" id="cite_ref-Brorson2008_1-7" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-Brorson2008-1" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[1]</a></sup> La liposuccion lymphatique combinée à une thérapie de compression contrôlée était plus efficace que la thérapie de compression contrôlée seule. <sup class="reference" id="cite_ref-41" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-41" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[41] </a></sup><sup class="reference" id="cite_ref-42" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-42" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[42]</a></sup></span></div>
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<span style="font-size: large;">SAL a été affiné ces dernières années en utilisant des <a href="https://en.wikipedia.org/wiki/Cannula" style="background: none; color: #0b0080; text-decoration-line: none;" title="Canule" wotsearchprocessed="true">canules</a> vibrantes plus fines et plus efficaces que les équipements précédents. <sup class="reference" id="cite_ref-Brorson2008_1-8" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-Brorson2008-1" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[1]</a></sup> En outre, l'introduction du garrot et de la technique tumescente a entraîné une perte de sang réduite. <sup class="reference" id="cite_ref-Brorson2008_1-9" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-Brorson2008-1" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[1] </a></sup><sup class="reference" id="cite_ref-pmid17886128_43-0" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-pmid17886128-43" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[43]</a></sup></span></div>
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<span style="font-size: large;">SAL utilise des techniques spécialisées qui diffèrent des procédures classiques de liposuccion et nécessitent une formation spécifique.</span></div>
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<span style="font-size: large;"><span class="mw-headline" id="Lymphatic_vessel_grafting">Greffe de vaisseaux lymphatiques </span></span></h4>
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<span style="font-size: large;">Avec des techniques microchirurgicales avancées, les vaisseaux lymphatiques peuvent être utilisés comme greffes. Une voie lymphatique localement interrompue ou obstruée, surtout après la résection des ganglions lymphatiques, peut être reconstruite par un contournement utilisant des vaisseaux lymphatiques. Ces navires sont spécialisés dans l'élimination de la lymphe par des forces de pompage actives. Ces greffons sont reliés à des collecteurs lymphatiques principaux devant et derrière l'obstruction. La technique est surtout utilisée dans les œdèmes de bras après traitement du cancer du sein et dans les œdèmes unilatéraux des extrémités inférieures après la résection des ganglions lymphatiques et des rayonnements. La procédure est moins utilisée que les autres interventions chirurgicales, principalement en Allemagne. La méthode a été développée en 1980 par Ruediger Baumeister. <sup class="reference" id="cite_ref-44" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-44" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[44]</a></sup></span></div>
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<span style="font-size: large;">La méthode est prouvée efficace. <sup class="reference" id="cite_ref-45" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-45" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[45]</a></sup> Les études de suivi ont montré une réduction significative du volume des membres même 10 ans après la chirurgie. <sup class="reference" id="cite_ref-46" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-46" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[46]</a></sup> Les patients, qui avaient déjà été traités avec MLD et une thérapie par compression, ont obtenu une amélioration significative de la qualité de vie après avoir été traités par greffe de vaisseaux lymphatiques. <sup class="reference" id="cite_ref-47" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-47" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[47] Les</a></sup> études <a href="https://en.wikipedia.org/wiki/Sentinel_lymph_node" style="background: none; color: #0b0080; text-decoration-line: none;" title="Ganglion sentinelle" wotsearchprocessed="true">lymphocytaires</a> ont montré une amélioration durable du transport lymphatique après greffe. <sup class="reference" id="cite_ref-48" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-48" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[48]</a></sup></span></div>
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<span style="font-size: large;">La perméabilité des greffes lymphatiques a été démontrée après plus de 12 ans, en utilisant une lymphographie indirecte et une lymphographie IRM.</span></div>
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<span class="mw-headline" id="Low_level_laser_therapy"><span style="font-size: large;">Thérapie au laser de bas niveau </span></span></h3>
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<span style="font-size: large;"><a class="mw-redirect" href="https://en.wikipedia.org/wiki/Low-level_laser_therapy" style="background: none; color: #0b0080; text-decoration-line: none;" title="Thérapie au laser de bas niveau" wotsearchprocessed="true">La thérapie laser à faible niveau</a> (LLLT) a été autorisée par la <a class="mw-redirect" href="https://en.wikipedia.org/wiki/Food_and_Drug_Administration_(United_States)" style="background: none; color: #0b0080; text-decoration-line: none;" title="Food and Drug Administration (États-Unis)" wotsearchprocessed="true">Food and Drug Administration</a> (FDA) des États-Unis pour le traitement du lymphœdème en novembre 2006. <sup class="reference" id="cite_ref-49" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-49" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[49]</a></sup></span></div>
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<span style="font-size: large;">Selon l'US <a href="https://en.wikipedia.org/wiki/National_Cancer_Institute" style="background: none; color: #0b0080; text-decoration-line: none;" title="Institut national du cancer" wotsearchprocessed="true">National Cancer Institute</a> ,</span></div>
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<span style="font-size: large;">Des études suggèrent que la thérapie laser à faible niveau peut être efficace pour réduire le lymphoedème d'une manière cliniquement significative pour certaines femmes. Deux cycles de traitement au laser ont été jugés efficaces pour réduire le volume du bras affecté, <a href="https://en.wikipedia.org/wiki/Extracellular_fluid" style="background: none; color: #0b0080; text-decoration-line: none;" title="Fluide extra cellulaire" wotsearchprocessed="true">le liquide extracellulaire</a> et la dureté tissulaire chez environ un tiers des patients atteints de lymphoedème postmastectomie à 3 mois après le traitement. Les raisons suggérées pour la thérapie par laser incluent une diminution potentielle de la <a href="https://en.wikipedia.org/wiki/Fibrosis" style="background: none; color: #0b0080; text-decoration-line: none;" title="Fibrose" wotsearchprocessed="true">fibrose</a> , de la stimulation des <a class="mw-redirect" href="https://en.wikipedia.org/wiki/Macrophages" style="background: none; color: #0b0080; text-decoration-line: none;" title="Macrophages" wotsearchprocessed="true">macrophages</a> et du <a href="https://en.wikipedia.org/wiki/Immune_system" style="background: none; color: #0b0080; text-decoration-line: none;" title="Système immunitaire" wotsearchprocessed="true">système immunitaire</a> , et un rôle possible dans la stimulation de <a class="mw-redirect" href="https://en.wikipedia.org/wiki/Macrophages" style="background: none; color: #0b0080; text-decoration-line: none;" title="Macrophages" wotsearchprocessed="true">la </a><a href="https://en.wikipedia.org/wiki/Lymphangiogenesis" style="background: none; color: #0b0080; text-decoration-line: none;" title="Lymphangiogenèse" wotsearchprocessed="true">lymphangiogenèse</a> . <sup class="reference" id="cite_ref-50" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-50" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[50] </a></sup><sup class="reference" id="cite_ref-51" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-51" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[51]</a></sup></span></div>
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<span class="mw-headline" id="Complications"><span style="font-size: large;">Complications </span></span></h2>
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<span style="font-size: large;">Lorsque la déficience lymphatique devient si grande que le liquide lymphatique dépasse la capacité du système lymphatique à le transporter, une quantité anormale de liquide riche en protéines se rassemble dans les tissus. En l'absence de traitement, ce fluide stagnant et riche en protéines entraîne une augmentation des tailles de tissus en taille et en nombre, ce qui réduit la disponibilité d'oxygène. Cela entrave la cicatrisation des plaies et fournit un milieu de culture riche pour la croissance bactérienne qui peut entraîner des <a class="mw-redirect" href="https://en.wikipedia.org/wiki/Infections" style="background: none; color: #0b0080; text-decoration-line: none;" title="Infections" wotsearchprocessed="true">infections</a> : la <a href="https://en.wikipedia.org/wiki/Cellulitis" style="background: none; color: #0b0080; text-decoration-line: none;" title="Cellulite" wotsearchprocessed="true">cellulite</a> , la <a href="https://en.wikipedia.org/wiki/Lymphangitis" style="background: none; color: #0b0080; text-decoration-line: none;" title="Lymphangite" wotsearchprocessed="true">lymphangite</a> , la <a class="mw-redirect" href="https://en.wikipedia.org/wiki/Lymphadenitis" style="background: none; color: #0b0080; text-decoration-line: none;" title="Lymphadénite" wotsearchprocessed="true">lymphadénite</a> et dans les cas graves, <a href="https://en.wikipedia.org/wiki/Ulcer_(dermatology)" style="background: none; color: #0b0080; text-decoration-line: none;" title="Ulcère (dermatologie)" wotsearchprocessed="true">les ulcères cutanés</a> . Il est vital pour les patients atteints de lymphoedèmes d'être conscients des symptômes d'infection et de rechercher un traitement immédiat, car les infections récurrentes ou la cellulite, en plus de leur danger inhérent,</span></div>
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<span style="font-size: large;">Dans de rares cas, le lymphoedème peut entraîner une forme de cancer appelée <a href="https://en.wikipedia.org/wiki/Lymphangiosarcoma" style="background: none; color: #0b0080; text-decoration-line: none;" title="Lymphangiosarcome" wotsearchprocessed="true">lymphangiosarcome</a> , même si le mécanisme de la carcinogenèse n'est pas compris. Le lymphangiosarcome associé au lymphœdème s'appelle le <a class="mw-redirect" href="https://en.wikipedia.org/wiki/Stewart-Treves_syndrome" style="background: none; color: #0b0080; text-decoration-line: none;" title="Syndrome de Stewart-Treves" wotsearchprocessed="true">syndrome de Stewart-Treves</a> . Le lymphangiosarcome se produit le plus souvent dans les cas de lymphœdème de longue date. L'incidence de l'angiosarcome est estimée à 0,45% chez les patients vivant 5 ans après la mastectomie radicale. <sup class="reference" id="cite_ref-52" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-52" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[52] </a></sup><sup class="reference" id="cite_ref-53" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-53" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[53] Le</a></sup> lymphœdème est également associé à une forme de cancer de faible grade appelée <a class="mw-redirect" href="https://en.wikipedia.org/wiki/Retiform_hemangioendothelioma" style="background: none; color: #0b0080; text-decoration-line: none;" title="Réformer l'hémangioendothélome" wotsearchprocessed="true">hémangioendothéliome de retraite</a> (un angiosarcome à faible teneur). <sup class="reference" id="cite_ref-54" style="line-height: 1; unicode-bidi: isolate; white-space: nowrap;"><a href="https://en.wikipedia.org/wiki/Lymphedema#cite_note-54" style="background: none; color: #0b0080; text-decoration-line: none;" wotsearchprocessed="true">[54]</a></sup></span></div>
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<span style="font-size: large;">Étant donné que le lymphoedème est défigurant, entraînant des difficultés dans la vie quotidienne et qui peut entraîner une contrainte sévère, il peut aussi entraîner une détresse psychologique.</span></div>
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<span style="font-size: large;"><span class="mw-headline" id="See_also">Voir aussi </span></span></h2>
<ul style="background-color: white; color: #222222; font-family: sans-serif; list-style-image: url("data:image/svg+xml,%3C%3Fxml%20version%3D%221.0%22%20encoding%3D%22UTF-8%22%3F%3E%0A%3Csvg%20xmlns%3D%22http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%22%20version%3D%221.1%22%20width%3D%225%22%20height%3D%2213%22%3E%0A%3Ccircle%20cx%3D%222.5%22%20cy%3D%229.5%22%20r%3D%222.5%22%20fill%3D%22%2300528c%22%2F%3E%0A%3C%2Fsvg%3E%0A"); margin: 0.3em 0px 0px 1.6em; padding: 0px;">
<li style="margin-bottom: 0.1em;"><a href="https://en.wikipedia.org/wiki/Milroy%27s_disease" style="background: none; color: #0b0080; text-decoration-line: none;" title="La maladie de Milroy" wotsearchprocessed="true"><span style="font-size: large;">La maladie de Milroy</span></a></li>
<li style="margin-bottom: 0.1em;"><a class="mw-redirect" href="https://en.wikipedia.org/wiki/Congenital_lymphedema" style="background: none; color: #0b0080; text-decoration-line: none;" title="Linéthème congénital" wotsearchprocessed="true"><span style="font-size: large;">Linéthème congénital</span></a></li>
<li style="margin-bottom: 0.1em;"><a href="https://en.wikipedia.org/wiki/Lymphotherapy" style="background: none; color: #0b0080; text-decoration-line: none;" title="Lymphothérapie" wotsearchprocessed="true"><span style="font-size: large;">Lymphothérapie</span></a></li>
<li style="margin-bottom: 0.1em;"><a href="https://en.wikipedia.org/wiki/Waldemar_Olszewski" style="background: none; color: #0b0080; text-decoration-line: none;" title="Waldemar Olszewski" wotsearchprocessed="true"><span style="font-size: large;">Waldemar Olszewski</span></a></li>
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<span style="font-size: large;"><span class="mw-headline" id="References">Références </span></span></h2>
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<span style="color: #222222; font-family: sans-serif; font-size: large;"><a href="https://en.wikipedia.org/wiki/Lymphedema#References">https://en.wikipedia.org/wiki/Lymphedema#References</a></span><br />
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<span style="font-size: large;"><span class="mw-headline" id="External_links">Liens externes </span></span></h2>
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<li style="margin-bottom: 0.1em;"><span style="font-size: large;"><a class="external text" href="http://lymphaticnetwork.org/living-with-lymphedema/lymphedema/" rel="nofollow" style="background: linear-gradient(transparent, transparent) right center no-repeat, url("data:image/svg+xml,%3C%3Fxml%20version%3D%221.0%22%20encoding%3D%22UTF-8%22%20standalone%3D%22no%22%3F%3E%3Csvg%20xmlns%3D%22http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%22%20width%3D%2212%22%20height%3D%2212%22%3E%3Cpath%20fill%3D%22%23fff%22%20stroke%3D%22%2306c%22%20d%3D%22M1.5%204.518h5.982V10.5H1.5z%22%2F%3E%3Cpath%20d%3D%22M5.765%201H11v5.39L9.427%207.937l-1.31-1.31L5.393%209.35l-2.69-2.688%202.81-2.808L4.2%202.544z%22%20fill%3D%22%2306f%22%2F%3E%3Cpath%20d%3D%22M9.995%202.004l.022%204.885L8.2%205.07%205.32%207.95%204.09%206.723l2.882-2.88-1.85-1.852z%22%20fill%3D%22%23fff%22%2F%3E%3C%2Fsvg%3E"); color: #663366; padding-right: 13px; text-decoration-line: none;" wotsearchprocessed="true"><br /></a><a href="http://lymphaticnetwork.org/living-with-lymphedema/lymphedema/"><span style="color: #663366;"><span style="background-attachment: initial, initial; background-clip: initial, initial; background-image: linear-gradient(transparent, transparent), url("about:blank"); background-origin: initial, initial; background-position: right center; background-repeat: no-repeat, repeat; background-size: initial, initial; padding-right: 13px;">Réseau d'éducation et de recherche lymphatique (LE & RN)</span></span><div style="background: url("chrome-extension://bhmmomiinigofkjcapegjjndpbikblnp/skin/fusion/16_16/plain/r0.png") right center no-repeat !important; cursor: pointer; display: inline-block; height: 16px; margin-left: 4px !important; position: relative; visibility: visible; width: 16px;" wotsearchtarget="lymphaticnetwork.org">
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</a>
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<li style="margin-bottom: 0.1em;"><span style="font-size: large;"><a href="http://www.mayoclinic.com/health/lymphedema/DS00609/DSECTION=treatments-and-drugs"><span style="color: #663366;"><span style="background-attachment: initial, initial; background-clip: initial, initial; background-image: linear-gradient(transparent, transparent), url("about:blank"); background-origin: initial, initial; background-position: right center; background-repeat: no-repeat, repeat; background-size: initial, initial; padding-right: 13px;">Clinique Mayo</span></span><div style="background: url("chrome-extension://bhmmomiinigofkjcapegjjndpbikblnp/skin/fusion/16_16/plain/r5.png") right center no-repeat !important; cursor: pointer; display: inline-block; height: 16px; margin-left: 4px !important; position: relative; visibility: visible; width: 16px;" wotsearchtarget="mayoclinic.com">
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</a>
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Seraphimhttp://www.blogger.com/profile/09830433552680718249noreply@blogger.com0tag:blogger.com,1999:blog-7803504750995977657.post-18904853999580323872017-06-27T13:20:00.001-07:002017-06-27T13:20:43.056-07:00Le syndrome des ongles jaunes<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhdtqZl64b3RUkEOYuJmbD69JPnqU8Ueie_90KPk_MCesxLG3X6hm5HByVqjro2WfOzgG_Yt9Eh6kYaaZlCbYXmHuL9zQowsL_UUiY8tTaeh1nvZivPH6HAUZTM9zoQAtWVgBlWpuzB2wE/s1600/Figure-1.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="274" data-original-width="833" height="131" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhdtqZl64b3RUkEOYuJmbD69JPnqU8Ueie_90KPk_MCesxLG3X6hm5HByVqjro2WfOzgG_Yt9Eh6kYaaZlCbYXmHuL9zQowsL_UUiY8tTaeh1nvZivPH6HAUZTM9zoQAtWVgBlWpuzB2wE/s400/Figure-1.png" width="400" /></a></div>
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<span style="background-color: white;"><span style="font-family: inherit; font-size: large;">Le syndrome des ongles jaunes (SOJ), qu'on appelle également syndrome de Samman et White, correspond à une anomalie du drainage lymphatique. </span></span><br />
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<span style="background-color: white; font-family: Arial, Helvetica, sans-serif;"><span style="color: #cc0000; font-size: large;">Devant un lymphœdème, le syndrome des ongles jaunes ne doit pas être diagnostiqué abusivement. En effet, il est habituel qu’un lymphœdème chronique induise une modification de l’aspect des ongles incluant une teinte jaune discrète, un épaississement de l’ongle avec ralentissement de la pousse.</span></span><br />
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<span style="background-color: white; font-family: inherit; font-size: large;">Un syndrome qui dépasse le simple fait d'avoir des ongles jaunes et qui s'accompagne de manifestations diverses dont certaines peuvent s'avérer graves. </span><br />
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<span style="font-family: inherit; font-size: large;">Il associe :</span></div>
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<li><span style="font-size: large;">des ongles jaunes ou verts de croissance lente, dystrophiques, épaissis avec onycholyse, des crêtes transverses, une perte de la cuticule avec ralentissement de la pousse de l’ongle, tablette unguéale très dure et accentuation des courbures de l’ongle.</span></li>
<li><span style="font-size: large;">un lymphoedème symétrique (80% des cas), ne prenant pas le godet, plutôt des membres <, parfois des mains, visage, organes génitaux externes, qui apparaît après l’atteinte unguéale. Ce lymphœdème se révèle dans l’enfance ou chez l’adulte jeune. Il est souvent discret, limité aux chevilles</span></li>
<li><span style="font-size: large;">un épanchement pleural (signe le moins fréquent), uni- ou bilatéral, qui récidive après draînage, sous forme d’exsudats riches en protéines (>3.0 g/dL) et LDH (>200 IU/L) et < 1000 leucocytes/mm<span style="font-family: inherit; margin: 0px; padding: 0px; vertical-align: 24%;">3</span><span style="font-family: inherit;">.</span></span></li>
<li><span style="font-size: large;">possibilité de bronchectasies, bronchite chronique et sinusite.</span></li>
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<span style="font-family: inherit; font-size: large;">Des maladies associées sont rapportées : polyarthrite rhumatoïde, cancer, maladie de Waldenström ou dysglobulinémie, dysthyroïdie, atteinte rénale.</span></div>
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<span style="font-family: inherit; font-size: large;">Le Traitement associe une pleurodèse (instillation d’un agent sclérosant dans l’espace pleural), des shunts pleuro-péritonéaux ou une pleurectomie.</span></div>
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<div style="background-color: white; border: 0px; color: #333333; font-stretch: inherit; font-variant-numeric: inherit; line-height: inherit; margin-bottom: 1.846em; outline: 0px; padding: 0px; vertical-align: baseline;">
<span style="font-family: inherit; font-size: large;"><strong style="border: 0px; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">UNE ALTÉRATION DE LA CIRCULATION LYMPHATIQUE</strong><br />Le SOJ est lié à une altération de la circulation lymphatique, autrement dit une perturbation du système vasculaire qui véhicule la lymphe, ce liquide organique constitué notamment de protéines et de lymphocytes, les globules blancs chargés de l'immunité.</span></div>
<div style="background-color: white; border: 0px; color: #333333; font-stretch: inherit; font-variant-numeric: inherit; line-height: inherit; margin-bottom: 1.846em; outline: 0px; padding: 0px; vertical-align: baseline;">
<span style="font-family: inherit; font-size: large;"><strong style="border: 0px; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">DES ONGLES JAUNES</strong><br />Comme son nom l'indique, les ongles des orteils et des doigts sont jaunes. Mais pas toujours. Ils peuvent également prendre une teinte verdâtre voire carrément brune. La coloration jaunâtre est souvent plus marquée aux mains qu'aux pieds.</span></div>
<div style="background-color: white; border: 0px; color: #333333; font-stretch: inherit; font-variant-numeric: inherit; line-height: inherit; margin-bottom: 1.846em; outline: 0px; padding: 0px; vertical-align: baseline;">
<span style="font-family: inherit; font-size: large;"><strong style="border: 0px; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">… MAIS PAS SEULEMENT</strong><br />Comme on l'a vu, l'obstruction lymphatique s'accompagne d'une accumulation de la lymphe. Rien d'étonnant donc si le SOJ se manifeste également par des œdèmes des membres inférieurs, mais aussi des pleurésies (épanchements de liquide dans les plèvres).</span></div>
<div style="background-color: white; border: 0px; color: #333333; font-stretch: inherit; font-variant-numeric: inherit; line-height: inherit; margin-bottom: 1.846em; outline: 0px; padding: 0px; vertical-align: baseline;">
<span style="font-family: inherit; font-size: large;"><strong style="border: 0px; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">VITAMINE E ET KINÉSITHÉRAPIE</strong><br />Curieusement, le SOJ régresse spontanément dans 30 % des cas, sans que l'on sache exactement pourquoi. Ailleurs, la suppression d'une cause d'obstruction lymphatique permet en général la régression de la coloration des ongles. S'il n'existe pas de traitement spécifique, la prise de vitamine E et l'injection de corticoïdes dans la matrice de l'ongle peuvent améliorer les choses. La kinésithérapie respiratoire est importante lors des atteintes pulmonaires. Enfin, n'oublions pas le drainage lymphatique des membres inférieurs, essentiel pour résorber les œdèmes. Vous l'aurez compris, le recours à la kinésithérapie est essentiel.</span></div>
<div style="background-color: white; border: 0px; color: #333333; font-stretch: inherit; font-variant-numeric: inherit; line-height: inherit; margin-bottom: 1.846em; outline: 0px; padding: 0px; vertical-align: baseline;">
<span style="font-family: inherit; font-size: large;"><strong style="border: 0px; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">PIÈGES DIAGNOSTIQUES</strong><br />Attention, d’autres pathologies ou situations particulières peuvent s’accompagner d’une teinte jaunâtre des ongles, sans relation avec l’existence d’un SOJ :<br />- Onychomycose. Autrement dit une infection de l’ongle par un champignon (dermatophyte). En général, une onychomycose s’accompagne d’une atteinte des orteils ou des espaces entre les orteils.<br />- Tabac<br />- Vernis à ongles<br />- Psoriasis<br />- Certains médicaments</span></div>
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<span style="color: #333333; font-size: large;"><a href="http://www.rebelle-sante.com/belle-sant%C3%A9-n%C2%B0-101/pathologies/ongles-jaunes">http://www.rebelle-sante.com/belle-sant%C3%A9-n%C2%B0-101/pathologies/ongles-jaunes</a></span></div>
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<span style="font-size: large;"><a href="http://anabible.webethan.org/spip.php?page=print-article&id_article=4071&lang=fr">http://anabible.webethan.org/spip.php?page=print-article&id_article=4071&lang=fr</a></span></div>
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<span style="font-family: inherit; font-size: large;"><a href="http://ongles-jaunes.blogs.fr/">http://ongles-jaunes.blogs.fr/</a></span></div>
Seraphimhttp://www.blogger.com/profile/09830433552680718249noreply@blogger.com0tag:blogger.com,1999:blog-7803504750995977657.post-38651486193796941502017-06-27T13:04:00.000-07:002017-06-27T13:06:57.011-07:00Ginkgo, Mélilot : des compléments alimentaires pour la circulation veineuse et lymphatique<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjy4jLIWLFjBfAujUyANgebP-dBOYPkbU0WkmYZ-bfcLu1q4EJxHLoAQ8MrKUzLjrsrMGTmK8D1Dhn6Q3a5TiE9fYnKVBE_s3qmNKlqpuPW3awToOgVPmnGHSffBf83FrC-3xWDVJEtX8g/s1600/182.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1200" data-original-width="1600" height="298" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjy4jLIWLFjBfAujUyANgebP-dBOYPkbU0WkmYZ-bfcLu1q4EJxHLoAQ8MrKUzLjrsrMGTmK8D1Dhn6Q3a5TiE9fYnKVBE_s3qmNKlqpuPW3awToOgVPmnGHSffBf83FrC-3xWDVJEtX8g/s400/182.jpg" width="400" /></a></div>
<br />
<span style="font-family: inherit; font-size: large;"><i style="background-color: #fefdfa; color: #333333;">Ce complément alimentaire a peut-être une action sur le lymphoedème. </i><span style="color: #cc0000;"><i>Les informations données ici ne peuvent en aucun cas se substituer à un avis médical. </i></span><i style="background-color: #fefdfa; color: #333333;">Si vous l'avez testé merci d'indiquer vos appréciations personnelles en commentaire.</i></span><br />
<span style="font-family: inherit; font-size: large;"><br /></span>
<span style="font-family: inherit; font-size: large;">Circulation (Ginkgo, Mélilot)</span><br />
<span style="font-family: inherit; font-size: large;"><br /></span>
<span style="font-family: inherit; font-size: large;">Près d’un tiers des Français, dont une majorité de femmes, est touché par l’insuffisance veineuse chronique et les troubles associés.</span><br />
<span style="font-family: inherit; font-size: large;"><br /></span>
<span style="font-family: inherit; font-size: large;">Ces troubles souvent héréditaires sont renforcés par différentes situations liées à nos modes de vies : vêtements trop serrés, position assise ou debout prolongée, tabac, alcool, chauffage inadéquat.</span><br />
<span style="font-family: inherit; font-size: large;"><br /></span>
<span style="font-family: inherit; font-size: large;">EN BREF</span><br />
<span style="font-family: inherit; font-size: large;"><br /></span>
<span style="font-family: inherit; font-size: large;">Une formulation complète : <b>VEINO-LYMPHAX</b> est un complément alimentaire associant 4 extraits végétaux aux profils moléculaires uniques. Ces extraits agissent de façon complémentaire et présentent une haute biodisponibilité.</span><br />
<span style="font-family: inherit; font-size: large;"><br /></span>
<span style="font-family: inherit; font-size: large;">Les extraits de Ginkgo et de Mélilot aident à maintenir une bonne circulation veineuse.</span><br />
<span style="font-family: inherit; font-size: large;"><br /></span>
<span style="font-family: inherit; font-size: large;">Emulsifiant : lécithine de soja non OGM, gélule (gélifiant : hydroxypropylméthylcellulose), agent de charge : cellulose microcristalline, extrait de Ginkgo (Ginkgo biloba), extrait de mélilot (Melilotus officinalis), extrait de pépins de raisin (Vitis vinifera), extrait d’hydrocotyle d’Asie (Centella asiatica), anti-agglomérant : stéarate de magnésium d’origine végétale.</span><br />
<span style="font-family: inherit; font-size: large;"><br /></span>
<b><span style="font-family: inherit; font-size: large;">ANALYSE NUTRITIONNELLE MOYENNE POUR 2 GÉLULES</span></b><br />
<span style="font-family: inherit; font-size: large;"><br /></span>
<span style="font-family: inherit; font-size: large;">Extrait de Ginkgo (Ginkgo biloba) : 119 mg</span><br />
<span style="font-family: inherit; font-size: large;">Extrait de mélilot (Melilotus officinalis) : 30 mg</span><br />
<span style="font-family: inherit; font-size: large;">Extrait de pépins de raisin (Vitis vinifera) : 28 mg</span><br />
<span style="font-family: inherit; font-size: large;">Extrait d’Hydrocotyle d’Asie (Centella asiatica) : 22 mg</span><br />
<span style="font-family: inherit; font-size: large;"><br /></span>
<b><span style="font-family: inherit; font-size: large;">UTILISATION MOYENNE CONSEILLÉE</span></b><br />
<span style="font-family: inherit; font-size: large;"><br /></span>
<span style="font-family: inherit; font-size: large;">1 gélule à avaler matin et soir, avant les repas.</span><br />
<span style="font-family: inherit; font-size: large;">Cure de 3 mois, à renouveler au besoin.</span><br />
<span style="font-family: inherit; font-size: large;">Complément alimentaire destiné aux adultes.</span><br />
<span style="font-family: inherit; font-size: large;">Pour les femmes enceintes, ne pas utiliser sans avis médical.</span><br />
<span style="font-family: inherit; font-size: large;">Consultez votre médecin en cas de prise simultanée d’anticoagulants.</span><br />
<span style="font-family: inherit; font-size: large;"><br /></span>
<b><span style="font-family: inherit; font-size: large;">PRÉSENTATION</span></b><br />
<span style="font-family: inherit; font-size: large;"><br /></span>
<span style="font-family: inherit; font-size: large;">Boîte comprenant 3 blisters de 20 gélules (60 gélules).</span><br />
<span style="font-family: inherit; font-size: large;">Code ACL13 : 3401551543058</span><br />
<span style="font-family: inherit; font-size: large;">Quantité nette : 24,2 g </span><br />
<span style="font-family: inherit; font-size: large;"><b><br /></b></span>
<span style="font-family: inherit; font-size: large;"><b>LE SAVIEZ-VOUS ?</b></span><br />
<span style="font-family: inherit; font-size: large;"><br /></span>
<span style="font-family: inherit; font-size: large;">Le Ginkgo biloba est le dernier représentant de la plus ancienne famille d’arbres connue, apparue il y a plus de 270 millions d’années. Espèce très résistante et à la longévité exceptionnelle (le plus vieux spécimen au Japon est âgé de 1 250 ans), il n’a pas de prédateurs naturels, ni de parasites ou de maladies.</span><br />
<span style="font-family: inherit; font-size: large;"><br /></span>
<i><span style="font-family: inherit; font-size: large;">Ne pas dépasser la dose journalière recommandée sans avis médical. À conserver hors de portée des jeunes enfants. Ce produit est un complément alimentaire à base de ginkgo, de mélilot, de raisin et d’hydrocotyle d’Asie, il ne se substitue pas à un régime alimentaire varié et à un mode de vie sain. À conserver dans un endroit frais et sec, à l'abri de la lumière. Pour votre santé, pratiquez une activité physique régulière. <a href="http://www.mangerbouger.fr/">www.mangerbouger.fr</a></span></i><br />
<i><span style="font-family: inherit; font-size: large;">Les ingrédients soulignés dans la composition du produit sont allergènes.</span></i><br />
<i><span style="font-family: inherit; font-size: large;">Sachez que certaines mutuelles, dans le cadre de leurs contrats, peuvent proposer en partie le remboursement des compléments alimentaires. Nous vous invitons à vous renseigner auprès de votre complémentaire santé.</span></i><br />
<a href="https://www.labo-lestum.fr/fr/le-stum/veino-lymphax-13.html"><span style="font-family: inherit; font-size: large;">https://www.labo-lestum.fr/fr/le-stum/veino-lymphax-13.html</span></a><br />
<span style="font-family: inherit; font-size: large;"><br /></span>
<b><span style="font-family: inherit; font-size: large;">HE Cyprès bio</span></b><br />
<br />
<ol>
<li><span style="font-family: inherit; font-size: large;">HE de cyprès toujours vert bio : Cupressus sempervirens</span></li>
<li><span style="font-family: inherit; font-size: large;">Famille botanique des cupressacées</span></li>
<li><span style="font-family: inherit; font-size: large;">Distillation des rameaux</span></li>
<li><span style="font-family: inherit; font-size: large;">Origine : Espagne</span></li>
<li><span style="font-family: inherit; font-size: large;">Molécules principales : monoterpènes, monoterpénols, sesquiterpénols, sesquiterpènes et un peu d'esters</span></li>
</ol>
<br />
<b><span style="font-family: inherit; font-size: large;">Propriétés </span></b><br />
<br />
<ul>
<li><span style="font-family: inherit; font-size: large;">Décongestionnante des systèmes veineux et lymphatique</span></li>
<li><span style="font-family: inherit; font-size: large;">Apaisante de la toux sèche et spasmodique</span></li>
<li><span style="font-family: inherit; font-size: large;">Indications </span></li>
<li><span style="font-family: inherit; font-size: large;">Jambes lourdes, varices, hémorroïdes, oedèmes en synergie</span></li>
<li><span style="font-family: inherit; font-size: large;">Décongestionnant protatique</span></li>
<li><span style="font-family: inherit; font-size: large;">Régule la transpiration excessive</span></li>
<li><span style="font-family: inherit; font-size: large;">Traitement de la toux sèche et spasmodique</span></li>
</ul>
<br />
<b><span style="font-family: inherit; font-size: large;">SIGNES ET SYMPTÔMES</span></b><br />
<span style="font-family: inherit; font-size: large;">Les troubles circulatoires veino-lymphatiques se manifestent à travers une grande variété de signes et symptômes :</span><br />
<br />
<ul>
<li><span style="font-family: inherit; font-size: large;"><b>Troubles veineux :</b> sensation de jambes lourdes avec douleurs diffuses, crampes nocturnes au mollet, sensation de fourmillements ou d'impatiences dans les jambes, gonflement des pieds ou des chevilles, varices, varicosités (2), hémorroïdes, couperose (3)</span></li>
<li><span style="font-family: inherit; font-size: large;"><b>Troubles lymphatiques :</b> rétention d'eau, œdèmes, cellulite</span></li>
<li><span style="font-family: inherit; font-size: large;"><b>Troubles périphériques :</b> extrémités froides, acouphènes.</span></li>
</ul>
<br />
<span style="font-family: inherit; font-size: large;"><br /></span>
<b><span style="font-family: inherit; font-size: large;">PHYTO</span></b><br />
<span style="font-family: inherit; font-size: large;">La « phyto » occupe une place tellement prépondérante dans le traitement de la pathologie veineuse que les médicaments à base de plantes restent majoritaires.</span><br />
<span style="font-family: inherit; font-size: large;"><br /></span>
<b><span style="font-family: inherit; font-size: large;">Objectifs visés</span></b><br />
<span style="font-family: inherit; font-size: large;">Une prise en charge globale des problèmes liés à l'insuffisance veineuse suppose d'agir simultanément sur les paramètres suivants :</span><br />
<span style="font-family: inherit; font-size: large;">1 – Protection de la paroi veineuse, notamment en combattant l'inflammation liée aux attaques des « méchants » radicaux libres.</span><br />
<span style="font-family: inherit; font-size: large;">2 – Préservation de l'intégrité des capillaires, vaisseaux fins comme un cheveu, qui ont un rôle d'échange des nutriments et des déchets entre le sang et les cellules.</span><br />
<span style="font-family: inherit; font-size: large;">Leur inflammation ou leur perméabilité excessive est à l'origine d'œdèmes.</span><br />
<span style="font-family: inherit; font-size: large;">3 – Amélioration du tonus veineux afin d'éviter le phénomène de « stase », c'est-à-dire de stagnation du sang dans les veines des membres inférieurs, qui se traduit par jambes lourdes, œdèmes, varicosités et varices.</span><br />
<span style="font-family: inherit; font-size: large;">4 – Amélioration de la circulation lymphatique.</span><br />
<span style="font-family: inherit; font-size: large;"><br /></span>
<b><span style="font-family: inherit; font-size: large;">Associations</span></b><br />
<br />
<ul>
<li><span style="font-family: inherit; font-size: large;"><b>Varices, jambes lourdes,</b> mélanger 2 parts de cyprès, 1 part de lentique pistachier, 1 part de menthe poivrée, 1 part de patchouli et 1 part d'hélichryse italienne dans une huile végétale avec un peu de calophylle ou dans un gel de silice et appliquer sur les jambes de bas en haut uniquement.</span></li>
<li><span style="font-family: inherit; font-size: large;"><b>Oedèmes des membres inférieurs,</b> mélanger du cèprès et du cèdre de l'Atlas en friction pure ou dans un peu d'huile végétale.</span></li>
<li><span style="font-family: inherit; font-size: large;"><b>Prostatite :</b> prendre en interne 2 gouttes 3 fois par jour du mélange suivant à parts égales, cyprès, lentique pistachier et gaulthérie</span></li>
</ul>
<br />
<b><span style="color: #cc0000; font-family: inherit; font-size: large;">Les informations données ici ne peuvent en aucun cas se substituer à un avis médical. Pour tout problème de santé, veuillez consulter un professionnel de la santé.</span></b><br />
<br />
<ul>
<li><i><span style="font-family: inherit; font-size: large;">Tenir hors de portée des enfants.</span></i></li>
<li><i><span style="font-family: inherit; font-size: large;">Ne convient pas à la femme enceinte ou allaitante</span></i></li>
<li><i><span style="font-family: inherit; font-size: large;">Garder à l'abri de la chaleur et de la lumière.</span></i></li>
</ul>
<br />
<span style="font-family: inherit; font-size: large;">Découvrez les huiles essentielles et leurs bienfaits que nous proposons dans notre magasin.</span><br />
<br />
<a href="http://www.biomanie.be/fr/catalog-10/huiles-essentielles/he-cypres-bio"><span style="font-family: inherit; font-size: large;">http://www.biomanie.be/fr/catalog-10/huiles-essentielles/he-cypres-bio</span></a><br />
<br />
<span style="font-family: inherit; font-size: large;"><b><br /></b></span>
<span style="font-family: inherit; font-size: large;"><b>LA COMPLÉMENTHÉRAPIE À METTRE EN ŒUVRE</b></span><br />
<span style="font-family: inherit; font-size: large;">Voici une solution phyto permettant la prise en charge globale évoquée ci-dessus. Elle associe forme sèche (gélules) et liquide (ampoules) :</span><br />
<br />
<ul>
<li><span style="font-family: inherit; font-size: large;"><b>Veino-Lymphax</b> (Laboratoires Le Stum) : contient des extraits de ginkgo biloba, de mélilot, d'hydrocotyle et de pépins de raisin riches en proanthocyanidines (OPC), qui aident à combattre le stress oxydatif cellulaire et à renforcer la résistance capillaire.<br />Conseils d'utilisation : 1 gélule matin et soir avant le repas durant tout l'été.<br />À commander au 02 97 08 15 88 ou sur www.labo-lestum.fr</span></li>
<li><span style="font-family: inherit; font-size: large;"><b>Phytafluide </b>(Biotechnie) : contient des extraits de vigne rouge et d'hamamélis.</span></li>
<li><span style="font-family: inherit; font-size: large;">Conseils d'utilisation : 1 ampoule à diluer dans un verre d'eau 1 fois par jour durant tout l'été si nécessaire ou 20 jours par mois.</span></li>
<li><span style="font-family: inherit; font-size: large;">Au niveau local, appliquer <b>Phytafluide Gel crème </b>(Biotechnie), dont la formule associe phyto et aroma. Masser doucement les jambes matin et soir. Les produits Biotechnie sont disponibles en magasins bio.</span></li>
</ul>
<b><span style="font-family: inherit; font-size: large;">Si vous souhaitez accéder aux articles</span></b><br />
<a href="http://www.rebelle-sante.com/rebelle-sant%C3%A9-n%C2%B0-157/nutrithe%CC%81rapie/la-ronde-des-saisons-l%C3%A9t%C3%A9"><span style="font-family: inherit; font-size: large;">http://www.rebelle-sante.com/rebelle-sant%C3%A9-n%C2%B0-157/nutrithe%CC%81rapie/la-ronde-des-saisons-l%C3%A9t%C3%A9</span></a><br />
<br />Seraphimhttp://www.blogger.com/profile/09830433552680718249noreply@blogger.com0tag:blogger.com,1999:blog-7803504750995977657.post-54631814003112907862017-06-26T09:11:00.003-07:002017-06-27T02:14:24.393-07:00Lymphodème des membres : prise en charge et physiothérapie<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjaP96cCFtdgusEv_LsP7q_az6_8h1OLnaV8nh15FSrBzCxjAtzr1SQXd-VDBf6pmTenBPc0S0gH7k33Mts0oKX2hQk2g69OESRwTyXstkuMQC8cOx2ILQ6cgfteYcgg1g3rZbLEOEaC_E/s1600/lympho_text.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="280" data-original-width="898" height="123" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjaP96cCFtdgusEv_LsP7q_az6_8h1OLnaV8nh15FSrBzCxjAtzr1SQXd-VDBf6pmTenBPc0S0gH7k33Mts0oKX2hQk2g69OESRwTyXstkuMQC8cOx2ILQ6cgfteYcgg1g3rZbLEOEaC_E/s400/lympho_text.jpg" width="400" /></a></div>
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réalités en gynécologie-obstétrique # 161_Mars/Avril 2012</div>
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</v:group><![endif]--><!--[if !vml]--><span style="mso-ignore: vglayout; position: relative; z-index: 251652606;"><span style="height: 4px; left: 0px; left: 56px; position: absolute; top: -7px; width: 662px;"></span></span><!--[endif]--><span style="font-family: inherit; font-size: large;"><b><span style="color: #8bcbbd; letter-spacing: -0.1pt;">R</span><span style="color: #8bcbbd; letter-spacing: -0.1pt;">é</span><span style="color: #8bcbbd; letter-spacing: -0.1pt;">s</span><span style="color: #8bcbbd; letter-spacing: -0.1pt;">u</span><span style="color: #8bcbbd; letter-spacing: -0.1pt;">mé</span><span style="color: #8bcbbd; letter-spacing: -1.15pt;"> </span><span style="color: #8bcbbd; letter-spacing: -0.5pt;">:</span></b><span style="color: #8bcbbd; letter-spacing: -0.35pt;"> </span><i><span style="color: #1a171c; letter-spacing: -0.1pt; line-height: 120%;">L</span><span style="color: #1a171c; letter-spacing: -0.1pt; line-height: 120%;">e</span><span style="color: #1a171c; line-height: 120%;">s</span><span style="color: #1a171c; letter-spacing: -0.75pt; line-height: 120%;"> </span><span style="color: #1a171c; letter-spacing: -0.45pt; line-height: 120%;">l</span><span style="color: #1a171c; letter-spacing: -0.1pt; line-height: 120%;">y</span><span style="color: #1a171c; letter-spacing: -0.3pt; line-height: 120%;">m</span><span style="color: #1a171c; letter-spacing: -0.1pt; line-height: 120%;">phœdème</span><span style="color: #1a171c; line-height: 120%;">s<span style="letter-spacing: .3pt;"> </span><span style="letter-spacing: -.1pt;">secondaire</span>s<span style="letter-spacing: -1.0pt;"> </span></span><span style="color: #1a171c; letter-spacing: -0.1pt; line-height: 120%;">de</span><span style="color: #1a171c; line-height: 120%;">s<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 118%;">membre</span>s<span style="letter-spacing: -1.35pt;"> </span><span style="letter-spacing: -.1pt;">infé</span><span style="letter-spacing: -.05pt;">r</span><span style="letter-spacing: -.1pt;">ieur</span>s<span style="letter-spacing: -.3pt;"> </span><span style="letter-spacing: -.1pt;">e</span>t<span style="letter-spacing: -.85pt;"> </span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: -.3pt;">u</span><span style="letter-spacing: -.1pt;">pé</span><span style="letter-spacing: -.05pt;">r</span><span style="letter-spacing: -.1pt;">ieur</span>s<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: -.1pt;">so</span><span style="letter-spacing: -.3pt;">n</span>t<span style="letter-spacing: -.8pt;"> </span><span style="letter-spacing: -.2pt;">l</span><span style="letter-spacing: -.1pt;">e</span>s<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">p</span><span style="letter-spacing: -.4pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">u</span>s<span style="letter-spacing: -1.05pt;"> </span><span style="letter-spacing: -.1pt;">fréque</span><span style="letter-spacing: -.3pt;">n</span><span style="letter-spacing: -.1pt;">t</span>s<span style="letter-spacing: -.95pt;"> </span><span style="letter-spacing: -.1pt;">dan</span>s<span style="letter-spacing: -.85pt;"> </span><span style="letter-spacing: -.2pt;">l</span><span style="letter-spacing: -.1pt; mso-font-width: 115%;">e</span>s p<span style="letter-spacing: -.35pt;">a</span>ys<span style="letter-spacing: -.55pt;"> </span>oc<span style="letter-spacing: .1pt;">c</span>ide<span style="letter-spacing: -.15pt;">n</span>t<span style="letter-spacing: -.3pt;">a</span>ux.<span style="letter-spacing: -1.2pt;"> </span>Ils<span style="letter-spacing: .8pt;"> </span>so<span style="letter-spacing: -.15pt;">n</span>t<span style="letter-spacing: -.35pt;"> </span>c<span style="letter-spacing: -.3pt;">a</span>usés<span style="letter-spacing: -1.25pt;"> </span>par<span style="letter-spacing: 2.4pt;"> </span><span style="letter-spacing: -.1pt;">l</span>e<span style="letter-spacing: .8pt;"> </span>t<span style="letter-spacing: -.2pt;">r</span>a<span style="letter-spacing: -.1pt;">i</span>teme<span style="letter-spacing: -.2pt;">n</span>t<span style="letter-spacing: 1.6pt;"> </span>chirurgical<span style="letter-spacing: -1.3pt;"> </span>et<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 120%;">r</span>ad<span style="letter-spacing: -.2pt;">i</span>othé<span style="letter-spacing: -.2pt;">r</span><span style="letter-spacing: -.1pt;">a</span>pique<span style="letter-spacing: -.65pt;"> </span>des<span style="letter-spacing: 1.6pt;"> </span>cancers.<span style="letter-spacing: -1.0pt;"> </span>Ils<span style="letter-spacing: .8pt;"> </span>so<span style="letter-spacing: -.15pt;">n</span>t<span style="letter-spacing: -.35pt;"> </span>encore <span style="letter-spacing: -.1pt; mso-font-width: 122%;">i</span><span style="letter-spacing: -.1pt; mso-font-width: 128%;">n</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">s</span><span style="letter-spacing: -.1pt; mso-font-width: 126%;">u</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">ff</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">i</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">s</span><span style="letter-spacing: -.1pt; mso-font-width: 124%;">a</span><span style="letter-spacing: -.1pt; mso-font-width: 120%;">mm</span><span style="letter-spacing: -.1pt; mso-font-width: 115%;">e</span><span style="letter-spacing: -.25pt; mso-font-width: 128%;">n</span>t<span style="letter-spacing: -1.2pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 118%;">diagnostiqué</span>s<span style="letter-spacing: -1.35pt;"> </span><span style="letter-spacing: -.4pt; mso-font-width: 124%;">a</span>u<span style="letter-spacing: -1.2pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">s</span><span style="letter-spacing: -.1pt; mso-font-width: 134%;">t</span><span style="letter-spacing: -.1pt; mso-font-width: 124%;">a</span><span style="letter-spacing: -.1pt; mso-font-width: 117%;">d</span>e<span style="letter-spacing: -1.2pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">i</span><span style="letter-spacing: -.1pt; mso-font-width: 128%;">n</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">i</span><span style="letter-spacing: -.1pt; mso-font-width: 134%;">t</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">i</span><span style="letter-spacing: -.1pt; mso-font-width: 124%;">a</span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">l</span>,<span style="letter-spacing: -1.55pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 120%;">m</span><span style="letter-spacing: -.1pt; mso-font-width: 124%;">a</span>l<span style="letter-spacing: -1.2pt;"> </span><span style="letter-spacing: -.1pt;">p</span><span style="letter-spacing: -.05pt;">r</span><span style="letter-spacing: -.1pt;">i</span>s<span style="letter-spacing: 1.6pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 115%;">e</span>n<span style="letter-spacing: -1.2pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 116%;">c</span><span style="letter-spacing: -.15pt; mso-font-width: 116%;">h</span><span style="letter-spacing: -.1pt; mso-font-width: 116%;">arg</span>e<span style="letter-spacing: -1.4pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 115%;">e</span>t<span style="letter-spacing: -1.2pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 115%;">é</span><span style="letter-spacing: -.25pt; mso-font-width: 113%;">v</span><span style="letter-spacing: -.25pt; mso-font-width: 110%;">o</span><span style="letter-spacing: -.4pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.1pt; mso-font-width: 126%;">u</span><span style="letter-spacing: -.1pt; mso-font-width: 115%;">e</span><span style="letter-spacing: -.25pt; mso-font-width: 128%;">n</span>t<span style="letter-spacing: -1.2pt;"> </span><span style="letter-spacing: -.3pt;">v</span><span style="letter-spacing: -.1pt;">er</span>s<span style="letter-spacing: 1.35pt;"> </span><span style="letter-spacing: -.1pt;">de</span>s<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">s</span><span style="letter-spacing: -.1pt; mso-font-width: 134%;">t</span><span style="letter-spacing: -.1pt; mso-font-width: 124%;">a</span><span style="letter-spacing: -.1pt; mso-font-width: 117%;">d</span><span style="letter-spacing: -.1pt; mso-font-width: 115%;">e</span>s<span style="letter-spacing: -1.2pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 126%;">u</span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.1pt; mso-font-width: 134%;">t</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">i</span><span style="letter-spacing: -.1pt; mso-font-width: 120%;">m</span><span style="letter-spacing: -.1pt; mso-font-width: 115%;">e</span>s<span style="letter-spacing: -1.2pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 115%;">e</span><span style="letter-spacing: -.25pt; mso-font-width: 128%;">n</span><span style="letter-spacing: -.1pt; mso-font-width: 134%;">t</span><span style="letter-spacing: -.25pt; mso-font-width: 123%;">r</span><span style="letter-spacing: -.1pt; mso-font-width: 124%;">a</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">î</span><span style="letter-spacing: -.15pt; mso-font-width: 128%;">n</span><span style="letter-spacing: -.1pt; mso-font-width: 124%;">a</span><span style="letter-spacing: -.25pt; mso-font-width: 128%;">n</span>t <span style="letter-spacing: -.15pt;">co</span><span style="letter-spacing: -.3pt; mso-font-width: 120%;">m</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">pl</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">i</span><span style="letter-spacing: -.15pt;">c</span><span style="letter-spacing: -.25pt; mso-font-width: 124%;">a</span><span style="letter-spacing: -.15pt; mso-font-width: 134%;">t</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 110%;">o</span><span style="letter-spacing: -.15pt; mso-font-width: 128%;">n</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">s</span>,<span style="letter-spacing: -1.6pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 120%;">h</span><span style="letter-spacing: -.2pt; mso-font-width: 120%;">andic</span><span style="letter-spacing: -.3pt; mso-font-width: 120%;">a</span>p<span style="letter-spacing: -1.45pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">e</span>t<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 124%;">a</span><span style="letter-spacing: -.35pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.15pt; mso-font-width: 134%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">é</span><span style="letter-spacing: -.3pt; mso-font-width: 123%;">r</span><span style="letter-spacing: -.25pt; mso-font-width: 124%;">a</span><span style="letter-spacing: -.15pt; mso-font-width: 134%;">t</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 110%;">o</span>n<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.15pt;">l</span>a<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 111%;">q</span><span style="letter-spacing: -.15pt; mso-font-width: 126%;">u</span><span style="letter-spacing: -.15pt; mso-font-width: 124%;">a</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 134%;">t</span>é<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.15pt;">vie</span>.<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 80%;">L</span>e<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 134%;">t</span><span style="letter-spacing: -.3pt; mso-font-width: 123%;">r</span><span style="letter-spacing: -.15pt; mso-font-width: 124%;">a</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 134%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 120%;">m</span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">e</span><span style="letter-spacing: -.25pt; mso-font-width: 128%;">n</span>t<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">s</span>t<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 117%;">d</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">s</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">p</span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 128%;">n</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">s</span>é<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.15pt;">pa</span>r<span style="letter-spacing: 1.55pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 126%;">u</span>n<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 123%;">r</span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">é</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">s</span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">e</span><span style="letter-spacing: -.4pt; mso-font-width: 124%;">a</span>u<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 134%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 127%;">h</span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">é</span><span style="letter-spacing: -.3pt; mso-font-width: 123%;">r</span><span style="letter-spacing: -.25pt; mso-font-width: 124%;">a</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">p</span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">e</span><span style="letter-spacing: -.2pt; mso-font-width: 126%;">u</span><span style="letter-spacing: -.15pt; mso-font-width: 134%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">e</span>s <span style="letter-spacing: -.1pt; mso-font-width: 116%;">spé</span>c<span style="letter-spacing: -.1pt;">ialisé</span>s<span style="letter-spacing: -1.35pt;">
</span><span style="letter-spacing: -.1pt;">do</span><span style="letter-spacing: -.3pt;">n</span>t<span style="letter-spacing: -.25pt;"> </span><span style="letter-spacing: -.2pt;">l</span>e<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 120%;">kinés</span><span style="letter-spacing: -.25pt; mso-font-width: 120%;">i</span><span style="letter-spacing: -.1pt; mso-font-width: 120%;">thé</span><span style="letter-spacing: -.3pt; mso-font-width: 120%;">r</span><span style="letter-spacing: -.25pt; mso-font-width: 120%;">a</span><span style="letter-spacing: -.1pt; mso-font-width: 120%;">pe</span><span style="letter-spacing: -.2pt; mso-font-width: 120%;">u</span><span style="letter-spacing: -.1pt; mso-font-width: 120%;">t</span>e<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.1pt;">es</span>t<span style="letter-spacing: -1.35pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.1pt; mso-font-width: 80%;">’</span><span style="letter-spacing: -.1pt; mso-font-width: 124%;">a</span><span style="letter-spacing: -.1pt;">cteu</span>r<span style="letter-spacing: -.75pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 118%;">p</span><span style="letter-spacing: -.05pt; mso-font-width: 118%;">r</span><span style="letter-spacing: -.1pt; mso-font-width: 118%;">in</span>c<span style="letter-spacing: -.3pt;">i</span><span style="letter-spacing: -.1pt;">pal</span>.<span style="letter-spacing: -1.2pt;"> </span><span style="letter-spacing: -.1pt;">I</span>l<span style="letter-spacing: -.1pt;"> co</span><span style="letter-spacing: -.3pt; mso-font-width: 116%;">m</span><span style="letter-spacing: -.1pt; mso-font-width: 116%;">po</span><span style="letter-spacing: -.05pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.1pt; mso-font-width: 116%;">t</span>e<span style="letter-spacing: -1.2pt;"> </span><span style="letter-spacing: -.45pt;">d</span>u<span style="letter-spacing: -.55pt;"> </span><span style="letter-spacing: -.1pt;">d</span><span style="letter-spacing: -.3pt;">r</span><span style="letter-spacing: -.1pt;">ai</span><span style="letter-spacing: -.15pt;">n</span><span style="letter-spacing: -.1pt;">ag</span>e<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.45pt;">l</span><span style="letter-spacing: -.1pt;">y</span><span style="letter-spacing: -.3pt;">m</span><span style="letter-spacing: -.1pt;">p</span><span style="letter-spacing: -.15pt;">h</span><span style="letter-spacing: -.25pt;">a</span><span style="letter-spacing: -.1pt;">tiqu</span>e<span style="letter-spacing: 1.3pt;"> </span><span style="letter-spacing: -.15pt;">m</span><span style="letter-spacing: -.1pt;">a</span><span style="letter-spacing: -.45pt;">n</span><span style="letter-spacing: -.1pt;">ue</span>l<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 95%;">(</span><span style="letter-spacing: -.1pt; mso-font-width: 97%;">D</span><span style="letter-spacing: -.1pt; mso-font-width: 80%;">L</span><span style="letter-spacing: -.1pt; mso-font-width: 105%;">M</span><span style="letter-spacing: -.1pt; mso-font-width: 95%;">)</span>, <span style="letter-spacing: -.15pt; mso-font-width: 112%;">s</span><span style="letter-spacing: -.15pt; mso-font-width: 126%;">u</span><span style="letter-spacing: -.6pt; mso-font-width: 122%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 113%;">v</span>i<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 113%;">b</span><span style="letter-spacing: -.15pt; mso-font-width: 124%;">a</span><span style="letter-spacing: -.15pt; mso-font-width: 128%;">n</span><span style="letter-spacing: -.15pt; mso-font-width: 117%;">d</span><span style="letter-spacing: -.15pt; mso-font-width: 124%;">a</span><span style="letter-spacing: -.15pt; mso-font-width: 111%;">g</span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">e</span>s<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 123%;">r</span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">é</span><span style="letter-spacing: -.45pt; mso-font-width: 117%;">d</span><span style="letter-spacing: -.15pt; mso-font-width: 126%;">u</span><span style="letter-spacing: -.15pt;">cteur</span>s<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.4pt; mso-font-width: 124%;">a</span>u<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 117%;">d</span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">é</span><span style="letter-spacing: -.2pt; mso-font-width: 113%;">b</span><span style="letter-spacing: -.2pt; mso-font-width: 126%;">u</span><span style="letter-spacing: -.15pt; mso-font-width: 134%;">t</span>,<span style="letter-spacing: -1.65pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 111%;">q</span><span style="letter-spacing: -.15pt; mso-font-width: 126%;">u</span>i<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">s</span><span style="letter-spacing: -.15pt; mso-font-width: 110%;">o</span><span style="letter-spacing: -.3pt; mso-font-width: 128%;">n</span>t<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 123%;">r</span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">e</span><span style="letter-spacing: -.3pt; mso-font-width: 120%;">m</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">pl</span><span style="letter-spacing: -.15pt; mso-font-width: 124%;">a</span><span style="letter-spacing: -.15pt;">cé</span>s<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 128%;">n</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">s</span><span style="letter-spacing: -.15pt; mso-font-width: 126%;">u</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 134%;">t</span>e<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.15pt;">pa</span>r<span style="letter-spacing: 1.55pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 126%;">u</span><span style="letter-spacing: -.15pt; mso-font-width: 128%;">n</span>e<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 110%;">o</span><span style="letter-spacing: -.1pt; mso-font-width: 123%;">r</span><span style="letter-spacing: -.15pt; mso-font-width: 134%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 127%;">h</span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">è</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">s</span>e<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.15pt;">co</span><span style="letter-spacing: -.3pt; mso-font-width: 120%;">m</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">p</span><span style="letter-spacing: -.15pt; mso-font-width: 123%;">r</span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">ss</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 110%;">o</span><span style="letter-spacing: -.15pt; mso-font-width: 128%;">n</span>.<span style="letter-spacing: -1.55pt;"> </span><span style="letter-spacing: -.15pt;">I</span>l<span style="letter-spacing: -.6pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">s</span>t<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.15pt;">co</span><span style="letter-spacing: -.3pt; mso-font-width: 120%;">m</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">p</span><span style="letter-spacing: -.25pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">é</span><span style="letter-spacing: -.15pt; mso-font-width: 134%;">t</span>é <span style="letter-spacing: -.2pt;">pa</span>r<span style="letter-spacing: 1.4pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.2pt; mso-font-width: 80%;">’</span><span style="letter-spacing: -.3pt; mso-font-width: 124%;">a</span><span style="letter-spacing: -.2pt; mso-font-width: 119%;">pp</span><span style="letter-spacing: -.2pt; mso-font-width: 123%;">r</span><span style="letter-spacing: -.2pt; mso-font-width: 115%;">e</span><span style="letter-spacing: -.35pt; mso-font-width: 128%;">n</span><span style="letter-spacing: -.2pt; mso-font-width: 134%;">t</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">i</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">ss</span><span style="letter-spacing: -.2pt; mso-font-width: 124%;">a</span><span style="letter-spacing: -.2pt; mso-font-width: 111%;">g</span>e<span style="letter-spacing: -1.4pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 117%;">d</span><span style="letter-spacing: -.2pt; mso-font-width: 80%;">’</span><span style="letter-spacing: -.45pt; mso-font-width: 124%;">a</span><span style="letter-spacing: -.25pt; mso-font-width: 126%;">u</span><span style="letter-spacing: -.2pt; mso-font-width: 134%;">t</span><span style="letter-spacing: -.2pt; mso-font-width: 110%;">o</span><span style="letter-spacing: -.2pt; mso-font-width: 113%;">b</span><span style="letter-spacing: -.2pt; mso-font-width: 124%;">a</span><span style="letter-spacing: -.2pt; mso-font-width: 128%;">n</span><span style="letter-spacing: -.2pt; mso-font-width: 117%;">d</span><span style="letter-spacing: -.2pt; mso-font-width: 124%;">a</span><span style="letter-spacing: -.2pt; mso-font-width: 111%;">g</span><span style="letter-spacing: -.2pt; mso-font-width: 115%;">e</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">s</span>,<span style="letter-spacing: -1.75pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 117%;">d</span><span style="letter-spacing: -.2pt; mso-font-width: 80%;">’</span><span style="letter-spacing: -.45pt; mso-font-width: 124%;">a</span><span style="letter-spacing: -.25pt; mso-font-width: 126%;">u</span><span style="letter-spacing: -.2pt; mso-font-width: 134%;">t</span><span style="letter-spacing: -.2pt; mso-font-width: 110%;">o</span><span style="letter-spacing: -.2pt; mso-font-width: 117%;">d</span><span style="letter-spacing: -.35pt; mso-font-width: 123%;">r</span><span style="letter-spacing: -.2pt; mso-font-width: 124%;">a</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">i</span><span style="letter-spacing: -.25pt; mso-font-width: 128%;">n</span><span style="letter-spacing: -.2pt; mso-font-width: 124%;">a</span><span style="letter-spacing: -.2pt; mso-font-width: 111%;">g</span><span style="letter-spacing: -.2pt; mso-font-width: 115%;">e</span>s<span style="letter-spacing: -1.4pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 115%;">e</span>t<span style="letter-spacing: -1.4pt;"> </span><span style="letter-spacing: -.2pt;">d</span>e<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 120%;">m</span><span style="letter-spacing: -.2pt; mso-font-width: 115%;">e</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">s</span><span style="letter-spacing: -.2pt; mso-font-width: 126%;">u</span><span style="letter-spacing: -.2pt; mso-font-width: 123%;">r</span><span style="letter-spacing: -.2pt; mso-font-width: 115%;">e</span>s<span style="letter-spacing: -1.4pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 117%;">d</span><span style="letter-spacing: -.2pt; mso-font-width: 80%;">’</span><span style="letter-spacing: -.55pt; mso-font-width: 127%;">h</span><span style="letter-spacing: -.45pt; mso-font-width: 113%;">y</span><span style="letter-spacing: -.2pt; mso-font-width: 111%;">g</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">i</span><span style="letter-spacing: -.2pt; mso-font-width: 115%;">è</span><span style="letter-spacing: -.2pt; mso-font-width: 128%;">n</span>e<span style="letter-spacing: -1.4pt;"> </span><span style="letter-spacing: -.2pt;">d</span>e<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.2pt;">vi</span>e<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 124%;">a</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">f</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">i</span>n<span style="letter-spacing: -1.4pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 117%;">d</span><span style="letter-spacing: -.6pt; mso-font-width: 80%;">’</span><span style="letter-spacing: -.4pt; mso-font-width: 115%;">é</span><span style="letter-spacing: -.2pt; mso-font-width: 113%;">v</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">i</span><span style="letter-spacing: -.2pt; mso-font-width: 134%;">t</span><span style="letter-spacing: -.2pt; mso-font-width: 115%;">e</span>r<span style="letter-spacing: -1.4pt;"> </span><span style="letter-spacing: -.3pt;">l</span><span style="letter-spacing: -.2pt;">e</span>s<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.2pt;">co</span><span style="letter-spacing: -.35pt; mso-font-width: 120%;">m</span><span style="letter-spacing: -.2pt; mso-font-width: 119%;">pl</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">i</span><span style="letter-spacing: -.2pt;">c</span><span style="letter-spacing: -.3pt; mso-font-width: 124%;">a</span><span style="letter-spacing: -.2pt; mso-font-width: 134%;">t</span><span style="letter-spacing: -.35pt; mso-font-width: 122%;">i</span><span style="letter-spacing: -.2pt; mso-font-width: 110%;">o</span><span style="letter-spacing: -.2pt; mso-font-width: 128%;">n</span>s</span><span style="line-height: 120%;"> </span></i></span><i><span lang="EN-US" style="color: #1a171c; font-family: inherit; font-size: large; letter-spacing: -0.1pt;">infectieuse</span><span lang="EN-US" style="color: #1a171c; font-family: inherit; font-size: large;">s<span style="letter-spacing: -1.05pt;"> </span><span style="letter-spacing: -.1pt;">e</span>t<span style="letter-spacing: -1.0pt;"> </span></span><span lang="EN-US" style="color: #1a171c; font-family: inherit; font-size: large; letter-spacing: -0.2pt;">l</span><span lang="EN-US" style="color: #1a171c; font-family: inherit; font-size: large; letter-spacing: -0.1pt;">e</span><span lang="EN-US" style="color: #1a171c; font-family: inherit; font-size: large;">s<span style="letter-spacing: 0.65pt;"> </span><span style="letter-spacing: -0.1pt;">source</span>s<span style="letter-spacing: -1.3pt;"> </span><span style="letter-spacing: -0.1pt;">d</span><span style="letter-spacing: -0.1pt;">’</span><span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: -0.1pt;">gg</span><span style="letter-spacing: -0.25pt;">r</span><span style="letter-spacing: -0.55pt;">a</span><span style="letter-spacing: -0.35pt;">v</span><span style="letter-spacing: -0.25pt;">a</span><span style="letter-spacing: -0.1pt;">t</span><span style="letter-spacing: -0.25pt;">i</span><span style="letter-spacing: -0.1pt;">o</span>n<span style="letter-spacing: -1pt;"> </span><span style="letter-spacing: -0.1pt;">d</span>e<span style="letter-spacing: 0.5pt;"> </span><span style="letter-spacing: -0.1pt;">l</span>a<span style="letter-spacing: 0.6pt;"> </span><span style="letter-spacing: -0.2pt;">m</span><span style="letter-spacing: -0.1pt;">aladi</span>e<span style="letter-spacing: -1.35pt;"> </span><span style="letter-spacing: -0.1pt;">e</span>t<span style="letter-spacing: -1.3pt;"> </span><span style="letter-spacing: -0.1pt;">d</span>e<span style="letter-spacing: 0.5pt;"> </span><span style="letter-spacing: -0.1pt;">rendr</span>e<span style="letter-spacing: -1.4pt;"> </span><span style="letter-spacing: -0.2pt;">l</span>e<span style="letter-spacing: 0.2pt;"> </span><span style="letter-spacing: -0.1pt;">p</span><span style="letter-spacing: -0.3pt;">a</span><span style="letter-spacing: -0.1pt;">tie</span><span style="letter-spacing: -0.3pt;">n</span>t<span style="letter-spacing: -1.6pt;"> </span><span style="letter-spacing: -0.2pt;">l</span>e<span style="letter-spacing: 0.2pt;"> </span><span style="letter-spacing: -0.1pt;">p</span><span style="letter-spacing: -0.5pt;">l</span><span style="letter-spacing: -0.1pt;">u</span>s<span style="letter-spacing: -1.45pt;"> </span><span style="letter-spacing: -0.5pt;">a</span><span style="letter-spacing: -0.25pt;">u</span><span style="letter-spacing: -0.1pt;">tonom</span>e<span style="letter-spacing: -1.25pt;">
</span><span style="letter-spacing: -0.1pt;">p</span><span style="letter-spacing: -0.1pt;">o</span><span style="letter-spacing: -0.1pt;">ss</span><span style="letter-spacing: -0.1pt;">i</span><span style="letter-spacing: -0.1pt;">b</span><span style="letter-spacing: -0.2pt;">l</span><span style="letter-spacing: -0.1pt;">e</span>.</span></i></div>
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<div align="right" class="MsoNormal" style="line-height: 110%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -1.55pt; margin-right: -.95pt; margin-top: 0cm; text-align: right; text-indent: 27.7pt;">
<span style="text-align: left; text-indent: 27.7pt;"><br /></span></div>
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<span style="font-family: inherit; font-size: large;"><br /></span></div>
<div class="MsoNormal" style="line-height: 110%; margin: 0cm -2.5pt 0.0001pt 0cm; text-align: left;">
<span style="color: #1a171c; font-family: inherit; font-size: large;"><span style="letter-spacing: -0.2px;">Les lymphœdèmes atteignent les membres supérieurs, les membres inférieurs [1] et/ou les organes génitaux. Ils sont soit primaires et font partie des maladies rares, soit secondaires aux traitements de cancers</span></span></div>
<div class="MsoNormal" style="line-height: 110%; margin: 0cm -2.5pt 0.0001pt 0cm; text-align: left;">
<span style="color: #1a171c; font-family: inherit; font-size: large;"><span style="letter-spacing: -0.2px;">et ce sont les plus fréquents.</span></span></div>
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<span style="color: #1a171c; font-family: inherit; font-size: large;"><span style="letter-spacing: -0.2px; line-height: 110%;"></span></span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 110%; margin: 0cm -2.5pt 0.0001pt 0cm; text-align: left;">
<span style="font-family: inherit; font-size: large;"><span style="color: #1a171c; letter-spacing: -0.15pt; line-height: 110%;">Le</span><span style="color: #1a171c; line-height: 110%;">s<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">lymphœdème</span>s<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.15pt;">secondaire</span>s<span style="letter-spacing: -.25pt;"> </span><span style="letter-spacing: -.15pt;">[2</span>]<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">c</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">h</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">n</span>t<span style="letter-spacing: -1.4pt;"> </span>:</span><span style="line-height: 110%;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="line-height: 110%; margin: 0.05pt -2.5pt 0.0001pt 0cm; text-align: left;">
<span style="font-family: inherit; font-size: large;"><span style="color: #1a171c; line-height: 110%;">–<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: -.15pt;">l</span>e<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 114%;">membr</span>e<span style="letter-spacing: -1.05pt;"> </span><span style="letter-spacing: -.15pt;">supérieu</span>r<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: -.15pt;">(incidenc</span>e<span style="letter-spacing: -.15pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 111%;">1</span>5 à<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.05pt;">2</span>8<span style="letter-spacing: .7pt;"> </span>%<span style="letter-spacing: 1.75pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 115%;">aprè</span>s <span style="letter-spacing: -.05pt;">u</span>n<span style="letter-spacing: 2.25pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 113%;">curag</span>e<span style="letter-spacing: -.2pt;"> </span><span style="letter-spacing: -.05pt;">axillair</span>e<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.05pt;">e</span>t<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 111%;">2,</span>5 à<span style="letter-spacing: 1.25pt;"> </span>8<span style="letter-spacing: .3pt;"> </span>%<span style="letter-spacing: 2.25pt;"> </span>après<span style="letter-spacing: .5pt;"> </span>la<span style="letter-spacing: 1.7pt;">
</span>technique<span style="letter-spacing: .65pt;"> </span>du <span style="letter-spacing: .5pt;"> </span>ganglion <span style="letter-spacing: -.15pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">ti</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">ll</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">e</span>)<span style="letter-spacing: -1.35pt;"> </span>;</span><span style="line-height: 110%;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="line-height: 110%; margin: 0.05pt -2.55pt 0.0001pt 0cm; text-align: left;">
<span style="font-family: inherit; font-size: large;"><span style="color: #1a171c; line-height: 110%;">–<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: -.05pt;">l</span>e<span style="letter-spacing: 1.3pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 114%;">membr</span>e<span style="letter-spacing: -.15pt;"> </span><span style="letter-spacing: -.05pt;">inférieu</span>r<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.05pt;">aprè</span>s<span style="letter-spacing: .3pt;"> </span><span style="letter-spacing: -.05pt;">cance</span>r<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">d</span>e <span style="letter-spacing: -.05pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.05pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.05pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.05pt; mso-font-width: 114%;">s</span>,<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.05pt;">d</span>e<span style="letter-spacing: 1.8pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.05pt; mso-font-width: 111%;">ov</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.05pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.05pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">e</span>,<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.05pt;">de</span>s <span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">organe</span>s<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.05pt;">gé</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 119%;">i</span>- taux <span style="letter-spacing: .85pt;"> </span>externes,<span style="letter-spacing: .3pt;"> </span>du
<span style="letter-spacing: .35pt;"> </span>côlon<span style="letter-spacing: .25pt;"> </span>et<span style="letter-spacing: 1.55pt;"> </span>du <span style="letter-spacing: .35pt;"> </span>rectum,
<span style="letter-spacing: -.15pt;">o</span>u<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: -.15pt;">l</span>a<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 113%;">vessi</span>e<span style="letter-spacing: -1.05pt;"> </span><span style="letter-spacing: -.15pt;">(leu</span>r<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 117%;">incidenc</span>e<span style="letter-spacing: -1.1pt;"> </span><span style="letter-spacing: -.15pt;">es</span>t<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.15pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">n</span>s <span style="letter-spacing: -.15pt;">bie</span>n<span style="letter-spacing: 1.55pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 117%;">connu</span>e<span style="letter-spacing: -1.15pt;"> </span><span style="letter-spacing: -.15pt;">e</span>t<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.15pt;">vari</span>e<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .55pt;"> </span>1<span style="letter-spacing: -.4pt;"> </span>à<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.15pt;">4</span>9<span style="letter-spacing: .5pt;"> </span>%<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.15pt;">ave</span>c<span style="letter-spacing: 1.05pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">u</span>n <span style="letter-spacing: -.1pt; mso-font-width: 116%;">déla</span>i<span style="letter-spacing: -.15pt;"> </span><span style="letter-spacing: -.1pt;">d</span>e<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 116%;">survenu</span>e <span style="letter-spacing: -.1pt;">cour</span>t<span style="letter-spacing: -.3pt;"> </span><span style="letter-spacing: -.1pt;">d</span>e<span style="letter-spacing: 1.5pt;"> </span>4<span style="letter-spacing: .55pt;"> </span>à<span style="letter-spacing: .55pt;"> </span>7<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.1pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.1pt;">)</span>. <span style="letter-spacing: .1pt;">Ce</span>s<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 114%;">lymphœdème</span>s<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: .1pt;">secondaire</span>s <span style="letter-spacing: .1pt;">s</span><span style="letter-spacing: .1pt; mso-font-width: 111%;">o</span><span style="letter-spacing: .1pt; mso-font-width: 122%;">n</span>t plus<span style="letter-spacing: .75pt;"> </span>souvent<span style="letter-spacing: .3pt;"> </span>accompagnés<span style="letter-spacing: -.85pt;"> </span>d’atteintes des <span style="letter-spacing: .2pt;"> </span>organes
génitaux<span style="letter-spacing: .55pt;"> </span>externes<span style="letter-spacing: .75pt;"> </span>que <span style="letter-spacing: .25pt;"> </span>les primaires,<span style="letter-spacing: .3pt;"> </span>avec
<span style="letter-spacing: .2pt;"> </span>présence<span style="letter-spacing: .3pt;"> </span>de<span style="letter-spacing: 1.95pt;"> </span>vésicules <span style="letter-spacing: .1pt;">lymphatique</span>s<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: .1pt;">pourvoyeuse</span>s <span style="letter-spacing: .1pt;">d</span>e<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 119%;">l</span><span style="letter-spacing: .1pt; mso-font-width: 111%;">y</span><span style="letter-spacing: .2pt; mso-font-width: 114%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 116%;">phorrhée</span>s<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: .05pt;">e</span>t<span style="letter-spacing: 2.05pt;"> </span><span style="letter-spacing: .05pt;">d</span>e <span style="letter-spacing: .3pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 115%;">complication</span>s<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 119%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 122%;">n</span><span style="letter-spacing: .05pt;">fe</span><span style="letter-spacing: .15pt; mso-font-width: 112%;">c</span><span style="letter-spacing: .1pt; mso-font-width: 115%;">tieuses</span>.<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: .1pt;">D</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">’</span><span style="letter-spacing: .1pt; mso-font-width: 112%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 122%;">u</span><span style="letter-spacing: .1pt; mso-font-width: 119%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 116%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 112%;">e</span>s <span style="letter-spacing: -.95pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 114%;">cause</span>s<span style="letter-spacing: 1.05pt;"> </span><span style="letter-spacing: .1pt;">d</span>e <span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 119%;">l</span><span style="letter-spacing: .1pt; mso-font-width: 111%;">y</span><span style="letter-spacing: .1pt; mso-font-width: 114%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 122%;">ph</span><span style="letter-spacing: .15pt; mso-font-width: 115%;">œ</span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">dème</span>s<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.15pt;">secondaire</span>s<span style="letter-spacing: -1.05pt;"> </span><span style="letter-spacing: -.15pt;">d</span>u<span style="letter-spacing: 1.05pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 113%;">membr</span>e<span style="letter-spacing: -1.1pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.15pt;">férieu</span>r <span style="letter-spacing: -.15pt;">son</span>t<span style="letter-spacing: 2.2pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.15pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.15pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.15pt;">ffisanc</span>e<span style="letter-spacing: -.25pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 116%;">veineus</span>e<span style="letter-spacing: -.6pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">c</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">h</span><span style="letter-spacing: -.15pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.15pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 111%;">q</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">e</span>, <span style="letter-spacing: -.15pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.15pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.15pt; mso-font-width: 111%;">ob</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.15pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">it</span>é<span style="letter-spacing: -.5pt;"> </span><span style="letter-spacing: -.15pt;">e</span>t<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.15pt;">l</span>a<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.15pt;">filariose</span>.</span><span style="line-height: 110%;"><o:p></o:p></span></span></div>
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<span style="font-family: inherit; font-size: large;"><o:p></o:p></span></div>
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</span></span><!--[endif]--><span style="font-family: inherit; font-size: large;"><span style="color: #618b29;">P<span style="letter-spacing: .15pt;">r</span>ise<span style="letter-spacing: -.4pt;"> </span></span><span style="color: #618b29;">en<span style="letter-spacing: -.65pt;"> </span>char<span style="letter-spacing: -.1pt;">g</span>e du<span style="letter-spacing: .55pt;"> </span>l<span style="letter-spacing: .15pt;">y</span>mphœdème</span><o:p></o:p></span></div>
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<span style="font-family: inherit; font-size: large;"><span style="color: #1a171c; letter-spacing: -0.2pt; line-height: 110%;">Ell</span><span style="color: #1a171c; line-height: 110%;">e<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 114%;">comport</span>e<span style="letter-spacing: -1.05pt;"> </span><span style="letter-spacing: -.2pt;">troi</span>s<span style="letter-spacing: 1.35pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.2pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.2pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.2pt; mso-font-width: 119%;">t</span>s<span style="letter-spacing: -1.55pt;"> </span>:<span style="letter-spacing: -1.05pt;"> </span><span style="letter-spacing: -.2pt;">l</span>e<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.2pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.2pt;">gnos</span><span style="letter-spacing: -.15pt;">tic</span>,<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: -.15pt;">l</span>e<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 116%;">bila</span>n<span style="letter-spacing: -.75pt;"> </span><span style="letter-spacing: -.15pt;">e</span>t<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.15pt;">le</span>s<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">it</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 114%;">s</span>.</span><span style="line-height: 110%;"><o:p></o:p></span></span></div>
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<span style="font-family: inherit; font-size: large;"><span style="color: #1a171c;">1.<span style="letter-spacing: -.15pt;"> </span></span><span style="color: #1a171c;">Le<span style="letter-spacing: -.75pt;"> </span>diagnostic</span><o:p></o:p></span></div>
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<span style="font-family: inherit; font-size: large;"><span style="color: #1a171c; letter-spacing: -0.3pt; line-height: 110%;">I</span><span style="color: #1a171c; line-height: 110%;">l<span style="letter-spacing: -.15pt;"> </span><span style="letter-spacing: -.3pt;">es</span>t<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: -.35pt; mso-font-width: 117%;">essentiellemen</span>t<span style="letter-spacing: -1.05pt;"> </span><span style="letter-spacing: -.35pt;">cliniqu</span>e<span style="letter-spacing: -.75pt;">
</span><span style="letter-spacing: -.3pt;">mais</span>,<span style="letter-spacing: 2.0pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">n</span>s <span style="letter-spacing: -.35pt; mso-font-width: 116%;">certain</span>s<span style="letter-spacing: -.55pt;"> </span><span style="letter-spacing: -.3pt;">cas</span>,<span style="letter-spacing: 1.3pt;"> </span><span style="letter-spacing: -.3pt;">i</span>l<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: -.3pt;">es</span>t<span style="letter-spacing: 1.05pt;"> </span><span style="letter-spacing: -.35pt; mso-font-width: 115%;">nécessair</span>e<span style="letter-spacing: -.55pt;"> </span><span style="letter-spacing: -.3pt;">d</span>e<span style="letter-spacing: 1.05pt;"> </span><span style="letter-spacing: -.3pt;">fair</span>e<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">un</span>e <span style="letter-spacing: -.15pt; mso-font-width: 116%;">lymphoscintigraphi</span>e<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: -.15pt;">isotopiqu</span>e<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.15pt;">e</span>t<span style="letter-spacing: 1.4pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">un</span>e <span style="letter-spacing: -.3pt;">IRM</span>. <span style="letter-spacing: -.35pt; mso-font-width: 115%;">Aprè</span>s<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.35pt;">diagnostic</span>,<span style="letter-spacing: -.95pt;"> </span><span style="letter-spacing: -.35pt;">souven</span>t<span style="letter-spacing: -.6pt;"> </span><span style="letter-spacing: -.3pt;">fai</span>t<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.3pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.25pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.4pt; mso-font-width: 111%;">v</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.4pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">n</span>t<span style="letter-spacing: -1.4pt;"> </span><span style="letter-spacing: -.4pt;">e</span>n<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.4pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.4pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.4pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.4pt; mso-font-width: 111%;">o</span>n<span style="letter-spacing: -1.4pt;"> </span><span style="letter-spacing: -.4pt;">d</span>e<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.4pt;">l</span>a<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: -.4pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">éc</span><span style="letter-spacing: -.4pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">nn</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.4pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.4pt; mso-font-width: 114%;">ss</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">c</span>e<span style="letter-spacing: -1.4pt;"> </span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">d</span>e <span style="letter-spacing: -.3pt;">l</span>a<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.35pt; mso-font-width: 115%;">pathologie</span>,<span style="letter-spacing: -.65pt;"> </span><span style="letter-spacing: -.3pt;">i</span>l<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.3pt;">fau</span>t<span style="letter-spacing: 1.6pt;"> </span><span style="letter-spacing: -.35pt; mso-font-width: 116%;">oriente</span>r<span style="letter-spacing: -.5pt;"> </span><span style="letter-spacing: -.3pt;">r</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.3pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">n</span>t <span style="letter-spacing: -.2pt;">l</span>e<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 118%;">patien</span>t<span style="letter-spacing: -.35pt;"> </span><span style="letter-spacing: -.2pt;">ver</span>s<span style="letter-spacing: 1.85pt;"> </span><span style="letter-spacing: -.2pt;">u</span>n<span style="letter-spacing: 1.9pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 115%;">résea</span>u<span style="letter-spacing: -.35pt;"> </span><span style="letter-spacing: -.2pt;">d</span>e<span style="letter-spacing: 1.35pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">h</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.2pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.2pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">e</span>s <span style="letter-spacing: -.05pt; mso-font-width: 115%;">spécialisé</span>s<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: -.05pt;">comportan</span>t<span style="letter-spacing: 1.4pt;"> </span><span style="letter-spacing: -.05pt;">de</span>s
<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">ec</span><span style="letter-spacing: -.05pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">n</span>s <span style="letter-spacing: -.35pt;">généraliste</span>s<span style="letter-spacing: -.85pt;"> </span><span style="letter-spacing: -.3pt;">e</span>t<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.35pt; mso-font-width: 116%;">spécialistes</span>,<span style="letter-spacing: -1.05pt;"> </span><span style="letter-spacing: -.3pt;">de</span>s<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 111%;">k</span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.3pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">it</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">h</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.3pt; mso-font-width: 116%;">rapeutes</span>,<span style="letter-spacing: -.3pt;"> </span><span style="letter-spacing: -.25pt;">de</span>s<span style="letter-spacing: 1.75pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 115%;">infirmières</span>,<span style="letter-spacing: -.35pt;"> </span><span style="letter-spacing: -.25pt;">de</span>s<span style="letter-spacing: 1.75pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.25pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.25pt;">gothér</span><span style="letter-spacing: -.35pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.4pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.4pt; mso-font-width: 114%;">s</span>,<span style="letter-spacing: -1.4pt;"> </span><span style="letter-spacing: -.4pt;">de</span>s<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">ph</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.4pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.4pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">ac</span><span style="letter-spacing: -.4pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">n</span>s<span style="letter-spacing: -1.4pt;"> </span><span style="letter-spacing: -.4pt;">e</span>t<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: -.4pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.4pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.4pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">h</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.4pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.4pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.4pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.4pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.4pt; mso-font-width: 114%;">s</span>,<span style="letter-spacing: -1.4pt;"> </span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">e</span>s <span style="letter-spacing: -.35pt; mso-font-width: 118%;">pédicure</span>s<span style="letter-spacing: -1.3pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.3pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.3pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.3pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.3pt;">gues</span>,<span style="letter-spacing: -.95pt;"> </span><span style="letter-spacing: -.3pt;">de</span>s<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: -.35pt; mso-font-width: 114%;">laboratoire</span>s<span style="letter-spacing: -.95pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">e</span>t <span style="letter-spacing: -.25pt;">industriel</span>s<span style="letter-spacing: -.25pt;"> </span><span style="letter-spacing: -.2pt;">d</span>e<span style="letter-spacing: 1.55pt;"> </span><span style="letter-spacing: -.2pt;">l</span>a<span style="letter-spacing: 1.05pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 116%;">compressio</span>n<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.25pt;">ains</span>i<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 111%;">q</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">u</span>e <span style="letter-spacing: -.3pt;">de</span>s<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: -.35pt; mso-font-width: 115%;">association</span>s<span style="letter-spacing: -.9pt;"> </span><span style="letter-spacing: -.3pt;">d</span>e<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">ti</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.3pt; mso-font-width: 114%;">s</span>.</span><span style="line-height: 110%;"><o:p></o:p></span></span></div>
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<span style="font-family: inherit; font-size: large;"><span style="color: #1a171c;">2.<span style="letter-spacing: -.65pt;"> </span>Le<span style="letter-spacing: -.75pt;"> </span>bilan</span><o:p></o:p></span></div>
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<span style="font-family: inherit; font-size: large;"><span style="color: #1a171c; letter-spacing: -0.05pt; line-height: 110%;">I</span><span style="color: #1a171c; line-height: 110%;">l<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: -.05pt;">ser</span>a <span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.05pt;">fai</span>t<span style="letter-spacing: 2.0pt;"> </span><span style="letter-spacing: -.05pt;">pa</span>r
<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.05pt;">l</span>e<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 116%;">médeci</span>n<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.05pt;">e</span>t<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: -.05pt;">l</span>e<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 111%;">k</span><span style="letter-spacing: -.05pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.05pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.25pt; mso-font-width: 116%;">thérapeut</span>e<span style="letter-spacing: -.2pt;"> </span><span style="letter-spacing: -.25pt;">spécialisé</span>s<span style="letter-spacing: -.85pt;"> </span><span style="letter-spacing: -.25pt;">pou</span>r<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.2pt;">e</span>n<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 117%;">défini</span>r<span style="letter-spacing: -.8pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 119%;">l</span>e <span style="letter-spacing: -.25pt; mso-font-width: 116%;">stade</span>,<span style="letter-spacing: -.65pt;"> </span><span style="letter-spacing: -.2pt;">le</span>s<span style="letter-spacing: 1.15pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 116%;">éventuelle</span>s<span style="letter-spacing: -.5pt;"> </span><span style="letter-spacing: -.25pt;">complications</span>,<span style="letter-spacing: -.65pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">e</span>s <span style="letter-spacing: -.2pt; mso-font-width: 112%;">affection</span>s<span style="letter-spacing: -.5pt;"> </span><span style="letter-spacing: -.2pt;">associées</span>,<span style="letter-spacing: -.3pt;"> </span><span style="letter-spacing: -.2pt;">le</span>s<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 114%;">problème</span>s<span style="letter-spacing: -.55pt;"> </span><span style="letter-spacing: -.2pt;">f</span><span style="letter-spacing: -.2pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">c</span><span style="letter-spacing: -.25pt; mso-font-width: 117%;">tionnel</span>s<span style="letter-spacing: -.25pt;"> </span><span style="letter-spacing: -.2pt;">e</span>t<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: -.2pt;">le</span>s<span style="letter-spacing: 1.3pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 115%;">déficience</span>s<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: -.25pt;">présenté</span>s<span style="letter-spacing: .1pt;">
</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">a</span>r </span><span style="color: #1a171c; letter-spacing: -0.2pt; line-height: 110%;">l</span><span style="color: #1a171c; line-height: 110%;">e <span style="letter-spacing: -.25pt; mso-font-width: 118%;">patien</span>t<span style="letter-spacing: -1.2pt;"> </span><span style="letter-spacing: -.2pt;">ave</span>c<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 117%;">leur</span>s<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.25pt;">incidence</span>s<span style="letter-spacing: -1.15pt;"> </span><span style="letter-spacing: -.2pt;">a</span>u<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 111%;">q</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.2pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.2pt; mso-font-width: 119%;">ti</span><span style="letter-spacing: -.25pt; mso-font-width: 118%;">dien</span>.<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -1.2pt;">L</span><span style="letter-spacing: -.2pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.2pt; mso-font-width: 111%;">vo</span><span style="letter-spacing: -.2pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.2pt; mso-font-width: 119%;">ti</span><span style="letter-spacing: -.2pt; mso-font-width: 111%;">o</span>n<span style="letter-spacing: -.15pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 117%;">naturell</span>e<span style="letter-spacing: -.3pt;"> </span><span style="letter-spacing: -.2pt;">d</span>u<span style="letter-spacing: 1.85pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.2pt; mso-font-width: 111%;">y</span><span style="letter-spacing: -.2pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">ph</span><span style="letter-spacing: -.3pt; mso-font-width: 115%;">œ</span><span style="letter-spacing: -.25pt; mso-font-width: 115%;">dèm</span>e<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: -.2pt;">s</span>e<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.2pt;">fai</span>t<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: -.2pt;">e</span>n<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: -.2pt;">troi</span>s <span style="letter-spacing: .05pt;"> </span><b><span style="letter-spacing: -.2pt;">stade</span>s </b><span style="letter-spacing: -.25pt; mso-font-width: 116%;">selo</span>n<span style="letter-spacing: -.55pt;"> </span><span style="letter-spacing: -.2pt;">l</span>a<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.5pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">è</span><span style="letter-spacing: -.3pt; mso-font-width: 116%;">r</span>e<span style="letter-spacing: -1.2pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">c</span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.3pt; mso-font-width: 114%;">ss</span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.3pt;">ficatio</span>n<span style="letter-spacing: -1.2pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.3pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.3pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.3pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.3pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">é</span>e<span style="letter-spacing: -1.2pt;"> </span><span style="letter-spacing: -.3pt;">pa</span>r<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.3pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.3pt;">IS</span>L<span style="letter-spacing: -1.2pt;"> </span><span style="letter-spacing: -.3pt;">[3</span><span style="letter-spacing: .45pt;">]</span>:</span></span></div>
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<span style="font-family: inherit; font-size: large;"><span style="color: #1a171c; line-height: 110%;">–<span style="letter-spacing: .05pt;"> </span><b><span style="letter-spacing: -.15pt;">stad</span>e<span style="letter-spacing: 1.4pt;"> </span>I<span style="letter-spacing: -1.4pt;"> </span>:<span style="letter-spacing: -.1pt;"> </span></b><span style="letter-spacing: -.15pt; mso-font-width: 115%;">augmentatio</span>n<span style="letter-spacing: -.65pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 114%;">volum</span>e<span style="letter-spacing: -.6pt;"> </span><span style="letter-spacing: -.15pt;">s</span><span style="letter-spacing: -.15pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">t</span>- <span style="letter-spacing: -.2pt; mso-font-width: 119%;">ténuan</span>t<span style="letter-spacing: -.9pt;"> </span>à
<span style="letter-spacing: -.15pt;">l</span>a<span style="letter-spacing: .45pt;">
</span><span style="letter-spacing: -.15pt; mso-font-width: 116%;">surélévatio</span>n<span style="letter-spacing: -.85pt;"> </span><span style="letter-spacing: -.15pt;">d</span>u<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.15pt; mso-font-width: 111%;">b</span><span style="letter-spacing: -.15pt; mso-font-width: 116%;">r</span>e<span style="letter-spacing: -1.35pt;"> </span>;</span><span style="line-height: 110%;"><o:p></o:p></span></span></div>
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<span style="font-family: inherit; font-size: large;"><span style="color: #1a171c; line-height: 110%;">–<span style="letter-spacing: .6pt;"> </span><b><span style="letter-spacing: -.1pt;">stad</span>e<span style="letter-spacing: 2.0pt;"> </span><span style="letter-spacing: -.1pt;">I</span>I<span style="letter-spacing: -1.3pt;"> </span>:<span style="letter-spacing: .5pt;"> </span></b><span style="letter-spacing: -.1pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.1pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">v</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">ti</span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">o</span>n<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.1pt;">n</span>e<span style="letter-spacing: 1.55pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">rédui</span>t<span style="letter-spacing: -.35pt;"> </span><span style="letter-spacing: -.1pt;">plu</span>s<span style="letter-spacing: -.2pt;"> </span><span style="letter-spacing: -.1pt;">l</span>e
<span style="letter-spacing: -.15pt; mso-font-width: 114%;">volum</span>e<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: -.15pt;">e</span>t<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.15pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">œ</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">è</span><span style="letter-spacing: -.15pt; mso-font-width: 114%;">m</span>e<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.15pt;">es</span>t<span style="letter-spacing: 1.05pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">toujour</span>s<span style="letter-spacing: -.6pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.15pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.1pt; mso-font-width: 114%;">s</span><span style="letter-spacing: .05pt;">sible</span>. <span style="letter-spacing: 1.4pt;"> </span><span style="letter-spacing: .05pt;">I</span>l<span style="letter-spacing: 1.45pt;"> </span><span style="letter-spacing: .05pt;">s</span>e<span style="letter-spacing: 1.95pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 118%;">produi</span>t<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: .05pt;">de</span>s
<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 114%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 111%;">o</span><span style="letter-spacing: .05pt; mso-font-width: 122%;">d</span><span style="letter-spacing: .05pt; mso-font-width: 119%;">i</span><span style="letter-spacing: .05pt;">fication</span>s <span style="letter-spacing: .1pt; mso-font-width: 115%;">cutanée</span>s<span style="letter-spacing: 1.25pt;"> </span>à<span style="letter-spacing: 2.0pt;">
</span><span style="letter-spacing: .1pt;">typ</span>e <span style="letter-spacing: 1.7pt;"> </span><span style="letter-spacing: .1pt;">d</span>e <span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 111%;">fibros</span>e<span style="letter-spacing: 1.35pt;"> </span><span style="letter-spacing: .1pt;">(sign</span>e
<span style="letter-spacing: 1.7pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 122%;">d</span>e <span style="letter-spacing: -.15pt;">Stemmer</span>)<span style="letter-spacing: -.6pt;"> </span><span style="letter-spacing: -.15pt;">e</span>t<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.15pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.15pt;">graissemen</span>t<span style="letter-spacing: -1.35pt;"> </span>;</span><span style="line-height: 110%;"><o:p></o:p></span></span></div>
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<span style="font-family: inherit; font-size: large;"><span style="color: #1a171c; line-height: 110%;">–<span style="letter-spacing: -.65pt;"> </span><b><span style="letter-spacing: -.3pt;">stad</span>e<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.3pt;">II</span>I<span style="letter-spacing: -1.65pt;"> </span>:<span style="letter-spacing: -1.2pt;"> </span></b><span style="letter-spacing: -.3pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">ph</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">ti</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.3pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">i</span>s<span style="letter-spacing: -1.2pt;"> </span><span style="letter-spacing: -.3pt;">ave</span>c<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.3pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.3pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">iti</span><span style="letter-spacing: -.3pt; mso-font-width: 111%;">o</span>n du <span style="letter-spacing: .8pt;"> </span>caractère<span style="letter-spacing: .5pt;"> </span>dépressible<span style="letter-spacing: 1.4pt;"> </span>de <span style="letter-spacing: .25pt;"> </span>l’œdème, <span style="letter-spacing: -.2pt; mso-font-width: 118%;">apparitio</span>n<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: 1.4pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 116%;">trouble</span>s<span style="letter-spacing: -.5pt;"> </span><span style="letter-spacing: -.15pt;">trophique</span>s<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">c</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.2pt;">né</span>s<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 114%;">(papillomes</span>,<span style="letter-spacing: -.55pt;"> </span><span style="letter-spacing: -.25pt;">vésicules</span>)<span style="letter-spacing: -1.1pt;"> </span><span style="letter-spacing: -.2pt;">e</span>t<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">un</span><span style="letter-spacing: -.2pt;">guéaux</span>.</span><span style="line-height: 110%;"><o:p></o:p></span></span></div>
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<span style="font-family: inherit; font-size: large;"><b><span style="color: #1a171c; letter-spacing: -1.15pt; line-height: 110%;">L</span></b><b><span style="color: #1a171c; letter-spacing: -0.15pt; line-height: 110%;">’</span></b><b><span style="color: #1a171c; letter-spacing: -0.15pt; line-height: 110%;">i</span></b><b><span style="color: #1a171c; letter-spacing: -0.15pt; line-height: 110%;">n</span></b><b><span style="color: #1a171c; letter-spacing: -0.15pt; line-height: 110%;">terrogatoir</span></b><b><span style="color: #1a171c; line-height: 110%;">e</span></b><b><span style="color: #1a171c; letter-spacing: -0.25pt; line-height: 110%;"> </span></b><span style="color: #1a171c; letter-spacing: -0.2pt; line-height: 110%;">repren</span><span style="color: #1a171c; line-height: 110%;">d<span style="letter-spacing: -.55pt;"> </span></span><span style="color: #1a171c; letter-spacing: -0.15pt; line-height: 110%;">l</span><span style="color: #1a171c; letter-spacing: -0.15pt; line-height: 110%;">’</span><span style="color: #1a171c; letter-spacing: -0.15pt; line-height: 110%;">h</span><span style="color: #1a171c; letter-spacing: -0.15pt; line-height: 110%;">i</span><span style="color: #1a171c; letter-spacing: -0.15pt; line-height: 110%;">s</span><span style="color: #1a171c; letter-spacing: -0.15pt; line-height: 110%;">t</span><span style="color: #1a171c; letter-spacing: -0.15pt; line-height: 110%;">o</span><span style="color: #1a171c; letter-spacing: -0.15pt; line-height: 110%;">i</span><span style="color: #1a171c; letter-spacing: -0.15pt; line-height: 110%;">r</span><span style="color: #1a171c; line-height: 110%;">e</span><span style="color: #1a171c; letter-spacing: -0.25pt; line-height: 110%;"> </span><span style="color: #1a171c; letter-spacing: -0.15pt; line-height: 110%;">d</span><span style="color: #1a171c; line-height: 110%;">e<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">l</span>a <span style="letter-spacing: -.05pt; mso-font-width: 115%;">maladie</span>, <span style="letter-spacing: -.05pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.05pt; mso-font-width: 111%;">x</span><span style="letter-spacing: -.05pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.05pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.05pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.05pt; mso-font-width: 111%;">o</span>n<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.05pt;">d</span>u <span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.05pt; mso-font-width: 111%;">y</span><span style="letter-spacing: -.05pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">ph</span><span style="letter-spacing: -.05pt; mso-font-width: 115%;">œ</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">è</span><span style="letter-spacing: -.05pt; mso-font-width: 114%;">m</span>e <span style="letter-spacing: .15pt;">a</span>u<span style="letter-spacing: 1.65pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 114%;">cour</span>s <span style="letter-spacing: .15pt;">d</span>u<span style="letter-spacing: 2.15pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 114%;">temps</span>,<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: .15pt;">le</span>s<span style="letter-spacing: 1.65pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 112%;">a</span><span style="letter-spacing: .15pt; mso-font-width: 122%;">n</span><span style="letter-spacing: .15pt; mso-font-width: 119%;">t</span><span style="letter-spacing: .15pt; mso-font-width: 112%;">écé</span><span style="letter-spacing: .15pt; mso-font-width: 122%;">d</span><span style="letter-spacing: .15pt; mso-font-width: 112%;">e</span><span style="letter-spacing: .15pt; mso-font-width: 122%;">n</span><span style="letter-spacing: .15pt; mso-font-width: 119%;">t</span>s <span style="letter-spacing: -.15pt; mso-font-width: 115%;">médicaux</span>,<span style="letter-spacing: -1.1pt;"> </span><span style="letter-spacing: -.15pt;">chirurgicau</span>x<span style="letter-spacing: -1.05pt;"> </span><span style="letter-spacing: -.15pt;">e</span>t
<span style="letter-spacing: -.15pt;">le</span>s<span style="letter-spacing: .5pt;">
</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">c</span><span style="letter-spacing: -.15pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.15pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">li</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">c</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.25pt; mso-font-width: 116%;">tions</span>.<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.2pt;">I</span>l<span style="letter-spacing: -.55pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 115%;">recherch</span>e<span style="letter-spacing: -1.05pt;"> </span><span style="letter-spacing: -.2pt;">de</span>s<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: -.2pt;">facteur</span>s<span style="letter-spacing: -1.05pt;"> </span><span style="letter-spacing: -.2pt;">d</span>e<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.2pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.2pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.2pt; mso-font-width: 111%;">q</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">u</span>e<span style="letter-spacing: -1.6pt;"> </span>:
<span style="letter-spacing: -.25pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.25pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.25pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.25pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.25pt; mso-font-width: 114%;">s</span>,<span style="letter-spacing: -1.1pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.25pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.25pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.25pt; mso-font-width: 119%;">it</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">é</span>,<span style="letter-spacing: -1.1pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.25pt; mso-font-width: 111%;">v</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.25pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.25pt; mso-font-width: 114%;">s</span>e<span style="letter-spacing: -1.1pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">h</span><span style="letter-spacing: -.25pt; mso-font-width: 111%;">y</span><span style="letter-spacing: -.25pt;">giène</span>, <span style="letter-spacing: -.15pt;">e</span>t<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 114%;">évalu</span>e<span style="letter-spacing: -.6pt;"> </span><span style="letter-spacing: -.15pt;">l</span>a<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 116%;">qualit</span>é<span style="letter-spacing: -.75pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 111%;">v</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">e</span>.</span><span style="line-height: 110%;"><o:p></o:p></span></span></div>
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<span style="font-family: inherit; font-size: large;"><b><span style="color: #1a171c; letter-spacing: -0.5pt; line-height: 110%;">L</span></b><b><span style="color: #1a171c; letter-spacing: 0.5pt; line-height: 110%;">’</span></b><b><span style="color: #1a171c; letter-spacing: 0.5pt; line-height: 110%;">e</span></b><b><span style="color: #1a171c; letter-spacing: 0.5pt; line-height: 110%;">xa</span></b><b><span style="color: #1a171c; letter-spacing: 0.5pt; line-height: 110%;">m</span></b><b><span style="color: #1a171c; letter-spacing: 0.5pt; line-height: 110%;">e</span></b><b><span style="color: #1a171c; line-height: 110%;">n</span></b><b><span style="color: #1a171c; line-height: 110%;"> <span style="letter-spacing: .55pt; mso-font-width: 109%;">cliniqu</span>e </span></b><span style="color: #1a171c; letter-spacing: 0.5pt; line-height: 110%;">es</span><span style="color: #1a171c; line-height: 110%;">t<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: .5pt; mso-font-width: 112%;">c</span><span style="letter-spacing: .5pt; mso-font-width: 111%;">o</span><span style="letter-spacing: .5pt; mso-font-width: 114%;">m</span><span style="letter-spacing: .5pt; mso-font-width: 122%;">p</span><span style="letter-spacing: .5pt; mso-font-width: 119%;">l</span><span style="letter-spacing: .5pt; mso-font-width: 112%;">e</span><span style="letter-spacing: .5pt; mso-font-width: 119%;">t</span>. <b><span style="letter-spacing: -.85pt; mso-font-width: 91%;">L</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">’</span><span style="letter-spacing: .15pt; mso-font-width: 119%;">i</span><span style="letter-spacing: .15pt; mso-font-width: 109%;">n</span><span style="letter-spacing: .15pt; mso-font-width: 114%;">s</span><span style="letter-spacing: .15pt; mso-font-width: 109%;">p</span><span style="letter-spacing: .15pt; mso-font-width: 112%;">ec</span><span style="letter-spacing: .15pt;">tio</span>n </b><span style="letter-spacing: .15pt;">not</span>e <span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: .15pt;">l</span>a
<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 117%;">localisatio</span>n<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: .15pt;">d</span>e <span style="letter-spacing: -.2pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.2pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.2pt; mso-font-width: 115%;">œ</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">è</span><span style="letter-spacing: -.2pt; mso-font-width: 114%;">m</span>e<span style="letter-spacing: -1.0pt;"> </span><span style="letter-spacing: -.2pt;">e</span>t<span style="letter-spacing: -.05pt;"> </span><span style="letter-spacing: -.2pt;">so</span>n<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 116%;">extensio</span>n<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.2pt;">su</span>r<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: -.2pt;">l</span>e<span style="letter-spacing: -.05pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.2pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.2pt; mso-font-width: 111%;">b</span><span style="letter-spacing: -.2pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">e</span>, <span style="letter-spacing: .2pt;">l</span>a<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: .25pt; mso-font-width: 114%;">couleu</span>r<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: .25pt;">cutanée</span>,
<span style="letter-spacing: .2pt; mso-font-width: 119%;">l</span><span style="letter-spacing: .2pt; mso-font-width: 83%;">’</span><span style="letter-spacing: .2pt; mso-font-width: 112%;">a</span><span style="letter-spacing: .2pt; mso-font-width: 122%;">u</span><span style="letter-spacing: .2pt;">gmentatio</span>n <span style="letter-spacing: -.05pt;">de</span>s <span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 115%;">sillon</span>s<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: -.05pt;">transverse</span>s<span style="letter-spacing: .5pt;"> </span>à<span style="letter-spacing: 1.45pt;">
</span><span style="letter-spacing: -.05pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.05pt; mso-font-width: 111%;">v</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.05pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.05pt;">-pied</span>, <span style="letter-spacing: .05pt;">l</span>a<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 115%;">présenc</span>e <span style="letter-spacing: .05pt; mso-font-width: 122%;">d</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">’</span><span style="letter-spacing: .05pt; mso-font-width: 122%;">un</span>e<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 114%;">hyperkératose</span>, <span style="letter-spacing: .05pt; mso-font-width: 122%;">d</span>e papillomatose<span style="letter-spacing: .85pt;"> </span>et<span style="letter-spacing: 2.15pt;"> </span>vésicules,<span style="letter-spacing: .9pt;"> </span>de <span style="letter-spacing: .4pt;"> </span>signes
de surinfection<span style="letter-spacing: .45pt;"> </span>cutanée,<span style="letter-spacing: .45pt;"> </span>de
mycoses, <span style="letter-spacing: .2pt; mso-font-width: 122%;">d</span><span style="letter-spacing: .2pt; mso-font-width: 83%;">’</span><span style="letter-spacing: .2pt; mso-font-width: 111%;">o</span><span style="letter-spacing: .2pt; mso-font-width: 122%;">n</span><span style="letter-spacing: .2pt;">gle</span>s<span style="letter-spacing: .3pt;"> </span><span style="letter-spacing: .25pt; mso-font-width: 115%;">incarnés</span>, <span style="letter-spacing: .2pt; mso-font-width: 122%;">d</span><span style="letter-spacing: .2pt; mso-font-width: 83%;">’</span><span style="letter-spacing: .2pt; mso-font-width: 112%;">a</span><span style="letter-spacing: .2pt; mso-font-width: 122%;">n</span><span style="letter-spacing: .2pt; mso-font-width: 111%;">o</span><span style="letter-spacing: .2pt; mso-font-width: 114%;">m</span><span style="letter-spacing: .2pt; mso-font-width: 112%;">a</span><span style="letter-spacing: .2pt; mso-font-width: 119%;">li</span><span style="letter-spacing: .2pt; mso-font-width: 112%;">e</span>s<span style="letter-spacing: .3pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 122%;">d</span><span style="letter-spacing: .2pt; mso-font-width: 112%;">e</span>s <span style="letter-spacing: -.2pt; mso-font-width: 112%;">ongles</span>,<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.2pt;">d</span>e<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 114%;">télangiectasies</span>,<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: -.2pt;">d</span>e<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 113%;">varices</span>.<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: -.2pt;">L</span>a
<b><span style="letter-spacing: -.2pt; mso-font-width: 113%;">palpatio</span>n<span style="letter-spacing: -1.15pt;"> </span></b><span style="letter-spacing: -.2pt; mso-font-width: 113%;">perme</span>t<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.2pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">pp</span><span style="letter-spacing: -.2pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">éc</span><span style="letter-spacing: -.2pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">e</span>r<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: -.2pt;">l</span>a<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.2pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.25pt; mso-font-width: 116%;">ratur</span>e<span style="letter-spacing: -.35pt;"> </span><span style="letter-spacing: -.25pt;">cutané</span>e<span style="letter-spacing: -.4pt;">
</span><span style="letter-spacing: -.2pt;">e</span>t<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.2pt;">l</span>a<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 116%;">textur</span>e<span style="letter-spacing: -.5pt;"> </span><span style="letter-spacing: -.2pt;">d</span>e<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.2pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.2pt; mso-font-width: 115%;">œ</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">è</span><span style="letter-spacing: -.2pt; mso-font-width: 114%;">m</span>e<span style="letter-spacing: -1.5pt;"> </span>:
<span style="letter-spacing: -.2pt;">mo</span>u<span style="letter-spacing: 2.15pt;">
</span><span style="letter-spacing: -.25pt; mso-font-width: 118%;">prenan</span>t<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: -.2pt;">l</span>e<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: -.2pt;">godet</span>, <span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 119%;">induré</span>,<span style="letter-spacing: -.65pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.2pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.2pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.2pt; mso-font-width: 119%;">ti</span><span style="letter-spacing: -.2pt; mso-font-width: 111%;">q</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">e</span>, <span style="letter-spacing: -.1pt; mso-font-width: 113%;">engraissé</span>,<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.1pt;">o</span>u<span style="letter-spacing: 1.75pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 113%;">fibreu</span>x<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.1pt;">ave</span>c<span style="letter-spacing: 2.2pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 115%;">présenc</span>e<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">d</span>u <span style="letter-spacing: -.2pt;">sign</span>e<span style="letter-spacing: 1.7pt;"> </span><span style="letter-spacing: -.2pt;">d</span>e<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 113%;">Stemme</span><span style="letter-spacing: -.8pt; mso-font-width: 113%;">r</span>.<span style="letter-spacing: -.75pt;"> </span><span style="letter-spacing: -.2pt;">I</span>l<span style="letter-spacing: -.25pt;"> </span><span style="letter-spacing: -.2pt;">ser</span>a<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: -.2pt;">fai</span>t<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: -.2pt;">de</span>s<span style="letter-spacing: 1.25pt;"> </span><b><span style="letter-spacing: -.2pt; mso-font-width: 106%;">m</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.2pt; mso-font-width: 109%;">n</span><span style="letter-spacing: -.2pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.2pt; mso-font-width: 109%;">u</span><span style="letter-spacing: -.25pt;">ration</span>s<span style="letter-spacing: 1.3pt;">
</span></b><span style="letter-spacing: -.3pt; mso-font-width: 116%;">centimétriques</span>,<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 111%;">vo</span><span style="letter-spacing: -.25pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.25pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.25pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.25pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.25pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.25pt; mso-font-width: 111%;">q</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">e</span>s<span style="letter-spacing: -1.1pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">e</span>t <span style="letter-spacing: -.25pt; mso-font-width: 114%;">photographique</span>s<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.25pt;">comparatives</span>.<span style="letter-spacing: -.85pt;"> </span><span style="letter-spacing: -.2pt;">L</span>e<span style="letter-spacing: -.35pt;"> </span><b><span style="letter-spacing: -.2pt;">bila</span>n <span style="letter-spacing: -.2pt;">morphologiqu</span>e<span style="letter-spacing: -1.0pt;"> </span></b><span style="letter-spacing: -.2pt; mso-font-width: 109%;">appréci</span>e<span style="letter-spacing: 1.6pt;"> </span><span style="letter-spacing: -.2pt;">le</span>s<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.2pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.2pt; mso-font-width: 119%;">lit</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">ud</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">e</span>s <span style="letter-spacing: -.25pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.25pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.25pt; mso-font-width: 119%;">ti</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">c</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.25pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.25pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.25pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.25pt; mso-font-width: 114%;">s</span>,<span style="letter-spacing: -1.15pt;"> </span><span style="letter-spacing: -.25pt;">l</span>a<span style="letter-spacing: -.2pt;"> </span><span style="letter-spacing: -.25pt;">forc</span>e<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 116%;">musculaire</span>,<span style="letter-spacing: -1.2pt;"> </span><span style="letter-spacing: -.25pt;">l</span>e<span style="letter-spacing: -.2pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.25pt;">fici</span>t <span style="letter-spacing: -.25pt; mso-font-width: 115%;">sensiti</span>f<span style="letter-spacing: -.85pt;"> </span><span style="letter-spacing: -.2pt;">e</span>t<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.2pt;">fonctionnel</span>.</span><span style="line-height: 110%;"><o:p></o:p></span></span></div>
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<span style="font-family: inherit; font-size: large;"><span style="color: #1a171c; letter-spacing: -0.15pt; line-height: 110%;">L</span><span style="color: #1a171c; line-height: 110%;">e<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 116%;">lymphœdèm</span>e<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: -.15pt;">es</span>t<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: -.15pt;">un</span>e <span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">maladi</span>e<span style="letter-spacing: -.05pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">c</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">h</span><span style="letter-spacing: -.15pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.05pt; mso-font-width: 111%;">o</span><span style="letter-spacing: .05pt; mso-font-width: 116%;">nique</span>, <span style="letter-spacing: .05pt;">i</span>l<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: .05pt;">es</span>t<span style="letter-spacing: 1.75pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 114%;">nécessair</span>e<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 122%;">d</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">’</span><span style="letter-spacing: .05pt; mso-font-width: 112%;">éc</span><span style="letter-spacing: .05pt; mso-font-width: 111%;">o</span><span style="letter-spacing: .05pt; mso-font-width: 122%;">u</span><span style="letter-spacing: .05pt; mso-font-width: 119%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 112%;">e</span>r<span style="letter-spacing: .3pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 119%;">l</span>e <span style="letter-spacing: -.3pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">ti</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">t</span>,<span style="letter-spacing: -1.2pt;"> </span><span style="letter-spacing: -.3pt;">d</span>e<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.3pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.3pt;">forme</span>r<span style="letter-spacing: -1.2pt;"> </span><span style="letter-spacing: -.3pt;">su</span>r<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.3pt;">s</span>a<span style="letter-spacing: -.25pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">i</span>e<span style="letter-spacing: -1.2pt;"> </span><span style="letter-spacing: -.3pt;">e</span>t<span style="letter-spacing: -.25pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">e</span>s <span style="letter-spacing: -.3pt; mso-font-width: 111%;">objectif</span>s<span style="letter-spacing: -1.05pt;"> </span><span style="letter-spacing: -.25pt;">d</span>u<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 116%;">traitemen</span>t<span style="letter-spacing: -1.05pt;"> </span><span style="letter-spacing: -.25pt;">d</span>e<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.25pt;">faço</span>n<span style="letter-spacing: 1.45pt;"> </span>à<span style="letter-spacing: -.5pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.25pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">e</span>r <span style="letter-spacing: -.3pt; mso-font-width: 115%;">celui-c</span>i<span style="letter-spacing: -.5pt;"> </span><span style="letter-spacing: -.25pt;">e</span>n<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 115%;">fonctio</span>n<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.25pt;">d</span>u<span style="letter-spacing: 1.75pt;"> </span><span style="letter-spacing: -.25pt;">degr</span>é<span style="letter-spacing: 2.2pt;"> </span><span style="letter-spacing: -.25pt;">d</span>e<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.25pt; mso-font-width: 111%;">v</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.25pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.25pt; mso-font-width: 119%;">it</span>é <span style="letter-spacing: -.3pt; mso-font-width: 117%;">cl</span><span style="letter-spacing: -.25pt; mso-font-width: 117%;">iniqu</span>e<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.2pt;">mai</span>s<span style="letter-spacing: 2.25pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 117%;">auss</span>i<span style="letter-spacing: -.6pt;"> </span><span style="letter-spacing: -.2pt;">d</span>e<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: -.2pt;">c</span>e<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 111%;">q</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.2pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.2pt; mso-font-width: 119%;">i</span>l<span style="letter-spacing: -.2pt;"> souhaite</span>, <span style="letter-spacing: -.3pt;">d</span>e<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.3pt;">so</span>n<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: -.3pt;">éta</span>t<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: -.35pt; mso-font-width: 114%;">psychologique</span>,<span style="letter-spacing: -1.1pt;"> </span><span style="letter-spacing: -.3pt;">ca</span>r<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.3pt;">i</span>l<span style="letter-spacing: -.3pt;"> es</span>t<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">éce</span><span style="letter-spacing: -.25pt; mso-font-width: 114%;">s</span></span><span style="color: #1a171c; letter-spacing: -0.25pt; line-height: 110%;">sair</span><span style="color: #1a171c; line-height: 110%;">e<span style="letter-spacing: 1.95pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.25pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.25pt; mso-font-width: 111%;">ob</span><span style="letter-spacing: -.25pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.25pt; mso-font-width: 119%;">i</span>r<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: -.25pt;">so</span>n<span style="letter-spacing: 1.55pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 117%;">adhésio</span>n<span style="letter-spacing: -.6pt;"> </span><span style="letter-spacing: -.25pt;">e</span>t<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.25pt;">s</span>a<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">c</span><span style="letter-spacing: -.25pt; mso-font-width: 111%;">oo</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.3pt; mso-font-width: 117%;">ratio</span>n<span style="letter-spacing: -1.1pt;"> </span><span style="letter-spacing: -.3pt;">pou</span>r<span style="letter-spacing: -.85pt;"> </span><span style="letter-spacing: -.25pt;">u</span>n<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 116%;">traitemen</span>t<span style="letter-spacing: -.8pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">c</span><span style="letter-spacing: -.25pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.25pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.25pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.25pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.25pt;">gnant</span>.</span></span></div>
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<span style="font-family: inherit; font-size: large;"><span style="color: #1a171c;">3.<span style="letter-spacing: -.85pt;"> </span>Le<span style="letter-spacing: -.75pt;"> </span>t<span style="letter-spacing: -.15pt;">r</span>a<span style="letter-spacing: -.1pt;">i</span>teme<span style="letter-spacing: -.1pt;">n</span>t</span><o:p></o:p></span></div>
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<span style="font-family: inherit; font-size: large;"><span style="color: #1a171c; letter-spacing: -0.25pt; line-height: 110%;">I</span><span style="color: #1a171c; line-height: 110%;">l<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.25pt;">fai</span>t<span style="letter-spacing: 1.6pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 118%;">appe</span>l<span style="letter-spacing: -.15pt;"> </span><span style="letter-spacing: -.3pt;">principalemen</span>t<span style="letter-spacing: -.15pt;"> </span>à<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: -.25pt;">l</span>a<span style="letter-spacing: 1.1pt;"> </span><b><span style="letter-spacing: -.25pt; mso-font-width: 109%;">ph</span><span style="letter-spacing: -.25pt; mso-font-width: 111%;">y</span><span style="letter-spacing: -.25pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.25pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.25pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.45pt; mso-font-width: 110%;">thérapi</span>e<span style="letter-spacing: -.8pt;"> </span><span style="letter-spacing: -.45pt;">décongestiv</span>e<span style="letter-spacing: -.35pt;"> </span><span style="letter-spacing: -.45pt;">complex</span>e<span style="letter-spacing: -.25pt;"> </span></b><span style="letter-spacing: -.4pt;">[4-8</span>]<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.4pt; mso-font-width: 111%;">q</span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">u</span>i <span style="letter-spacing: -.35pt; mso-font-width: 114%;">associ</span>e<span style="letter-spacing: -.7pt;"> </span><span style="letter-spacing: -.3pt;">DL</span>M<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.3pt;">e</span>t<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">c</span><span style="letter-spacing: -.3pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">ti</span><span style="letter-spacing: -.3pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.3pt; mso-font-width: 139%;">/</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">c</span><span style="letter-spacing: -.3pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.3pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.3pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.3pt; mso-font-width: 114%;">ss</span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.3pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">n</span>. <span style="letter-spacing: -.25pt;">Ell</span>e<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: -.25pt;">es</span>t<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 114%;">réalisé</span>e<span style="letter-spacing: -.05pt;"> </span><span style="letter-spacing: -.25pt;">pa</span>r<span style="letter-spacing: 2.0pt;"> </span><span style="letter-spacing: -.25pt;">u</span>n<span style="letter-spacing: 2.05pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 111%;">k</span><span style="letter-spacing: -.25pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.25pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.25pt; mso-font-width: 119%;">it</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">h</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.25pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.25pt; mso-font-width: 119%;">t</span>e <span style="letter-spacing: -.4pt;">bie</span>n<span style="letter-spacing: 1.8pt;"> </span><span style="letter-spacing: -.4pt;">form</span>é<span style="letter-spacing: 1.8pt;"> </span><span style="letter-spacing: -.4pt;">au</span>x<span style="letter-spacing: 1.3pt;"> </span><span style="letter-spacing: -.45pt; mso-font-width: 117%;">diverse</span>s<span style="letter-spacing: -1.2pt;"> </span><span style="letter-spacing: -.45pt;">technique</span>s<span style="letter-spacing: -.6pt;"> </span>à<span style="letter-spacing: -.15pt;">
</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">c</span><span style="letter-spacing: -.4pt; mso-font-width: 111%;">ô</span><span style="letter-spacing: -.4pt; mso-font-width: 119%;">t</span>é <span style="letter-spacing: -.4pt;">d</span>u<span style="letter-spacing: 1.4pt;"> </span><span style="letter-spacing: -.45pt; mso-font-width: 116%;">traitemen</span>t<span style="letter-spacing: -.45pt;"> médica</span>l<span style="letter-spacing: -.8pt;">
</span><span style="letter-spacing: -.4pt;">de</span>s<span style="letter-spacing: 1.35pt;"> </span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">c</span><span style="letter-spacing: -.4pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.4pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.4pt; mso-font-width: 119%;">li</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">ca</span><span style="letter-spacing: -.4pt; mso-font-width: 119%;">ti</span><span style="letter-spacing: -.4pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.4pt; mso-font-width: 114%;">s</span>. <span style="letter-spacing: -1.2pt;">L</span><span style="letter-spacing: -.2pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.2pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.2pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.2pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">nn</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">c</span>e<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 118%;">pou</span>r<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: -.2pt;">l</span>e<span style="letter-spacing: 1.8pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 111%;">k</span><span style="letter-spacing: -.2pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.2pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.2pt; mso-font-width: 119%;">it</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">h</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.2pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.2pt; mso-font-width: 119%;">t</span>e <span style="letter-spacing: -.35pt;">ser</span>a<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: -.4pt; mso-font-width: 114%;">formulé</span>e<span style="letter-spacing: -.6pt;"> </span><span style="letter-spacing: -.4pt;">ains</span><span style="letter-spacing: .55pt;">i</span>:<span style="letter-spacing: -.45pt;"> </span><b><span style="letter-spacing: -.35pt;">pris</span>e<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: -.35pt;">e</span>n<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.35pt;">charg</span>e<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: -.35pt; mso-font-width: 109%;">d</span><span style="letter-spacing: -.35pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.35pt; mso-font-width: 109%;">u</span>n <span style="letter-spacing: -.25pt; mso-font-width: 110%;">lymphœdèm</span>e<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.25pt;">d</span>u<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: -.25pt;">membre</span>…<span style="letter-spacing: 1.95pt;"> </span></b><span style="letter-spacing: -.25pt;">I</span>l<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.25pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.25pt; mso-font-width: 114%;">s</span>t<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">a</span>s <span style="letter-spacing: -.35pt; mso-font-width: 115%;">nécessair</span>e<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.3pt;">d</span>e<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: -.35pt; mso-font-width: 115%;">spécifie</span>r<span style="letter-spacing: -.55pt;"> </span><span style="letter-spacing: -.3pt;">l</span>e<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: -.35pt; mso-font-width: 117%;">quantitati</span>f<span style="letter-spacing: -.6pt;"> </span><span style="letter-spacing: -.3pt;">e</span>t<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">l</span>e <span style="letter-spacing: -.45pt; mso-font-width: 111%;">q</span><span style="letter-spacing: -.45pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.45pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.45pt; mso-font-width: 119%;">lit</span><span style="letter-spacing: -.45pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.45pt; mso-font-width: 119%;">ti</span>f<span style="letter-spacing: -1.55pt;"> </span><span style="letter-spacing: -.45pt;">d</span>e<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: -.45pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.45pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.45pt; mso-font-width: 112%;">ac</span><span style="letter-spacing: -.45pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.45pt; mso-font-width: 112%;">e</span>,<span style="letter-spacing: -1.55pt;"> </span><span style="letter-spacing: -.45pt; mso-font-width: 112%;">c</span><span style="letter-spacing: -.45pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.45pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.45pt; mso-font-width: 114%;">s</span>t<span style="letter-spacing: -1.55pt;"> </span><span style="letter-spacing: -.45pt;">a</span>u<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: -.45pt; mso-font-width: 111%;">k</span><span style="letter-spacing: -.45pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.45pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.45pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.45pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.45pt; mso-font-width: 119%;">it</span><span style="letter-spacing: -.45pt; mso-font-width: 122%;">h</span><span style="letter-spacing: -.45pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.45pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.45pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.45pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.45pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.45pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.45pt; mso-font-width: 119%;">t</span>e <span style="letter-spacing: -.4pt;">d</span>e<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: -.45pt; mso-font-width: 118%;">défini</span>r<span style="letter-spacing: -.9pt;"> </span><span style="letter-spacing: -.4pt;">so</span>n<span style="letter-spacing: 1.45pt;"> </span><span style="letter-spacing: -.45pt; mso-font-width: 114%;">programm</span>e<span style="letter-spacing: -.8pt;"> </span><span style="letter-spacing: -.4pt;">e</span>t<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.4pt;">d</span>e<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: -.4pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.4pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.4pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.4pt; mso-font-width: 114%;">ss</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">e</span>r <span style="letter-spacing: -.4pt;">ave</span>c<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: -.4pt;">l</span>e<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: -.4pt; mso-font-width: 111%;">b</span><span style="letter-spacing: -.4pt; mso-font-width: 119%;">il</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">a</span>n<span style="letter-spacing: -1.05pt;"> </span><span style="letter-spacing: -.4pt;">a</span>u<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: -.4pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">ec</span><span style="letter-spacing: -.4pt; mso-font-width: 119%;">i</span>n<span style="letter-spacing: -1.05pt;"> </span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.4pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.4pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">c</span><span style="letter-spacing: -.4pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.4pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.4pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.9pt; mso-font-width: 116%;">r</span>.</span><span style="line-height: 110%;"><o:p></o:p></span></span></div>
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<span style="font-family: inherit; font-size: large;"><b><span style="color: #1a171c; letter-spacing: 0.15pt; line-height: 110%;">L</span></b><b><span style="color: #1a171c; line-height: 110%;">e <span style="letter-spacing: .15pt;">bu</span>t<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: .15pt;">d</span>u<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 106%;">traitemen</span>t<span style="letter-spacing: .25pt;"> </span></span></b><span style="color: #1a171c; letter-spacing: 0.15pt; line-height: 110%;">es</span><span style="color: #1a171c; line-height: 110%;">t<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: .15pt;">d</span>e<span style="letter-spacing: 1.55pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 116%;">r</span><span style="letter-spacing: .15pt; mso-font-width: 112%;">é</span><span style="letter-spacing: .15pt; mso-font-width: 122%;">du</span><span style="letter-spacing: .15pt; mso-font-width: 119%;">i</span><span style="letter-spacing: .15pt; mso-font-width: 116%;">r</span>e l’œdème, d’empêcher l’évolution vers <span style="letter-spacing: .05pt;">u</span>n
<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 116%;">éléphantiasi</span>s<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt;">e</span>t<span style="letter-spacing: 1.75pt;"> </span><span style="letter-spacing: .05pt;">le</span>s<span style="letter-spacing: 2.25pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 112%;">c</span><span style="letter-spacing: .05pt; mso-font-width: 111%;">o</span><span style="letter-spacing: .05pt; mso-font-width: 114%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 122%;">p</span><span style="letter-spacing: .05pt; mso-font-width: 119%;">li</span><span style="letter-spacing: .05pt; mso-font-width: 112%;">ca</span><span style="letter-spacing: .05pt; mso-font-width: 119%;">ti</span><span style="letter-spacing: .05pt; mso-font-width: 111%;">o</span><span style="letter-spacing: .05pt; mso-font-width: 122%;">n</span>s <span style="letter-spacing: -.1pt; mso-font-width: 115%;">(infection</span>,<span style="letter-spacing: -.6pt;"> </span><span style="letter-spacing: -.1pt;">neuropathie</span>,<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.1pt;">surcharg</span>e<span style="letter-spacing: -.55pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.1pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">culaire</span>,<span style="letter-spacing: -.2pt;"> </span><span style="letter-spacing: -.15pt;">artériopathie</span>,<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">ca</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">cé</span><span style="letter-spacing: -.15pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">ti</span><span style="letter-spacing: -.15pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.15pt;">…)</span>. <span style="letter-spacing: -.15pt;">I</span>l <span style="letter-spacing: -.15pt;">es</span>t<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 117%;">adapt</span>é<span style="letter-spacing: -.85pt;"> </span><span style="letter-spacing: -.15pt;">e</span>n<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">fonctio</span>n<span style="letter-spacing: -.8pt;"> </span><span style="letter-spacing: -.15pt;">d</span>u<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">e</span>.</span><span style="line-height: 110%;"><o:p></o:p></span></span></div>
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<span style="font-family: inherit; font-size: large;"><span style="color: #8bcbbd;">l<span style="letter-spacing: -5.15pt;"> </span></span><b><i><span style="color: #1a171c; letter-spacing: -0.85pt;">L</span></i></b><b><i><span style="color: #1a171c; letter-spacing: -0.1pt;">ymphœdèm</span></i></b><b><i><span style="color: #1a171c;">e<span style="letter-spacing: -.55pt;">
</span></span></i></b><b><i><span style="color: #1a171c; letter-spacing: -0.1pt;">d</span></i></b><b><i><span style="color: #1a171c; letter-spacing: -0.1pt;">é</span></i></b><b><i><span style="color: #1a171c; letter-spacing: -0.1pt;">b</span></i></b><b><i><span style="color: #1a171c; letter-spacing: -0.1pt;">u</span></i></b><b><i><span style="color: #1a171c; letter-spacing: -0.1pt;">t</span></i></b><b><i><span style="color: #1a171c; letter-spacing: -0.1pt;">a</span></i></b><b><i><span style="color: #1a171c; letter-spacing: -0.1pt;">n</span></i></b><b><i><span style="color: #1a171c;">t</span></i></b><o:p></o:p></span></div>
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<span style="font-family: inherit; font-size: large;"><span style="color: #1a171c; letter-spacing: -0.3pt; line-height: 110%;">Un</span><span style="color: #1a171c; line-height: 110%;">e<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.3pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">h</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">è</span><span style="letter-spacing: -.3pt; mso-font-width: 114%;">s</span>e<span style="letter-spacing: -1.2pt;"> </span><span style="letter-spacing: -.3pt;">d</span>e<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.3pt;">jou</span>r<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">é</span>e<span style="letter-spacing: -1.2pt;"> </span><span style="letter-spacing: -.3pt;">ser</span>a<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.3pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.3pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">c</span><span style="letter-spacing: -.3pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">it</span>e <span style="letter-spacing: -.35pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.35pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.35pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.35pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.35pt; mso-font-width: 111%;">b</span><span style="letter-spacing: -.35pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.35pt; mso-font-width: 112%;">é</span>e<span style="letter-spacing: -1.35pt;"> </span><span style="letter-spacing: -.35pt;">e</span>t<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.35pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.35pt; mso-font-width: 114%;">ss</span><span style="letter-spacing: -.35pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.35pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.35pt; mso-font-width: 119%;">ti</span>e<span style="letter-spacing: -1.35pt;"> </span><span style="letter-spacing: -.35pt;">d</span>e<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.35pt; mso-font-width: 112%;">c</span><span style="letter-spacing: -.35pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.35pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.35pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.35pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.35pt; mso-font-width: 119%;">il</span>s<span style="letter-spacing: -1.35pt;"> </span><span style="letter-spacing: -.35pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.35pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.35pt; mso-font-width: 122%;">h</span><span style="letter-spacing: -.35pt; mso-font-width: 111%;">y</span><span style="letter-spacing: -.35pt;">giène</span>. <span style="letter-spacing: -.25pt;">Ell</span>e<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: -.25pt;">ser</span>a<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 115%;">contrôlé</span>e<span style="letter-spacing: -.95pt;"> </span><span style="letter-spacing: -.25pt;">tou</span>s<span style="letter-spacing: 1.7pt;"> </span><span style="letter-spacing: -.25pt;">le</span>s<span style="letter-spacing: .7pt;"> </span>6<span style="letter-spacing: -.25pt;"> mois</span>.</span><span style="line-height: 110%;"><o:p></o:p></span></span></div>
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<span style="font-family: inherit; font-size: large;"><span style="color: #1a171c; letter-spacing: -0.25pt; line-height: 110%;">E</span><span style="color: #1a171c; line-height: 110%;">n<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: -.25pt;">ca</span>s<span style="letter-spacing: 1.15pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.25pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">éc</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">h</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">pp</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.25pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">n</span>t<span style="letter-spacing: -.3pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">h</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.25pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.25pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.25pt; mso-font-width: 119%;">ti</span><span style="letter-spacing: -.25pt; mso-font-width: 111%;">q</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">u</span>e<span style="letter-spacing: -1.6pt;"> </span>:<span style="letter-spacing: -.3pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 119%;">l</span>e <span style="letter-spacing: -.4pt;">rôl</span>e<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: -.4pt;">d</span>u<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.4pt; mso-font-width: 111%;">k</span><span style="letter-spacing: -.4pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.4pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.4pt; mso-font-width: 119%;">it</span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">h</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.4pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.4pt; mso-font-width: 119%;">t</span>e<span style="letter-spacing: -1.4pt;"> </span><span style="letter-spacing: -.4pt;">es</span>t<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.4pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.4pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.4pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.4pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.4pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">n</span>t<span style="letter-spacing: -1.4pt;"> </span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.4pt;">fi</span>n <span style="letter-spacing: -.3pt;">d</span>e<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: -.35pt; mso-font-width: 115%;">réalise</span>r<span style="letter-spacing: -.9pt;"> </span><span style="letter-spacing: -.3pt;">u</span>n<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: -.3pt;">DL</span>M<span style="letter-spacing: -.25pt;"> </span><span style="letter-spacing: -.3pt;">pa</span>r<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: -.35pt; mso-font-width: 115%;">semaine</span>,<span style="letter-spacing: -.9pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.3pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">iti</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">e</span>r <span style="letter-spacing: -.4pt;">l</span>e<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.4pt; mso-font-width: 119%;">ti</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">n</span>t<span style="letter-spacing: -1.4pt;"> </span><span style="letter-spacing: -.4pt;">au</span>x<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.4pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.4pt; mso-font-width: 111%;">ob</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">nd</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.4pt;">ges</span>,<span style="letter-spacing: -1.4pt;"> </span><span style="letter-spacing: -.4pt;">d</span>e<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">c</span><span style="letter-spacing: -.4pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.4pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.4pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.4pt; mso-font-width: 119%;">li</span><span style="letter-spacing: -.4pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.4pt; mso-font-width: 112%;">e</span>r <span style="letter-spacing: -.3pt;">le</span>s<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.35pt; mso-font-width: 115%;">mesure</span>s<span style="letter-spacing: -.95pt;"> </span><span style="letter-spacing: -.3pt;">d</span>e<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.35pt; mso-font-width: 117%;">préventio</span>n<span style="letter-spacing: -.95pt;"> </span><span style="letter-spacing: -.3pt;">d</span>u<span style="letter-spacing: 1.15pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.3pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.3pt; mso-font-width: 111%;">b</span><span style="letter-spacing: -.3pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">e</span>.</span><span style="line-height: 110%;"><o:p></o:p></span></span></div>
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<span style="font-family: inherit; font-size: large;"><span style="color: #8bcbbd;">l<span style="letter-spacing: -5.15pt;"> </span></span><b><i><span style="color: #1a171c; letter-spacing: -0.85pt;">L</span></i></b><b><i><span style="color: #1a171c; letter-spacing: -0.1pt;">ymphœdèm</span></i></b><b><i><span style="color: #1a171c;">e<span style="letter-spacing: -.55pt;">
</span></span></i></b><b><i><span style="color: #1a171c; letter-spacing: -0.1pt;">d</span></i></b><b><i><span style="color: #1a171c;">e<span style="letter-spacing: 1.4pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 121%;">stad</span>e<span style="letter-spacing: -.9pt;"> </span><span style="letter-spacing: -.1pt;">I</span>I</span></i></b><o:p></o:p></span></div>
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<span style="font-family: inherit; font-size: large;"><span style="color: #1a171c; letter-spacing: -0.15pt; line-height: 110%;">Le</span><span style="color: #1a171c; line-height: 110%;">s<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: -.15pt;">DL</span>M<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 116%;">seron</span>t<span style="letter-spacing: -.5pt;"> </span><span style="letter-spacing: -.15pt;">plu</span>s<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.15pt;">réguliers</span>,<span style="letter-spacing: -1.1pt;"> </span>à<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.15pt; mso-font-width: 111%;">o</span>n <span style="letter-spacing: -.1pt;">d</span>e<span style="letter-spacing: 1.5pt;"> </span>1<span style="letter-spacing: .55pt;"> </span>à<span style="letter-spacing: .55pt;"> </span>3<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: -.1pt;">pa</span>r<span style="letter-spacing: 2.0pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 115%;">semain</span>e<span style="letter-spacing: -.25pt;"> </span><span style="letter-spacing: -.1pt;">ave</span>c<span style="letter-spacing: 2.0pt;"> </span><span style="letter-spacing: -.1pt;">pos</span>e <span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.1pt;">d</span>e<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">b</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.25pt; mso-font-width: 122%;">n</span>dages <span style="letter-spacing: .85pt;"> </span>réducteurs.<span style="letter-spacing: .95pt;"> </span>Après réduction<span style="letter-spacing: 1.05pt;"> </span>de <span style="letter-spacing: -.15pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.15pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">œ</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">è</span><span style="letter-spacing: -.15pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">e</span>,<span style="letter-spacing: -.55pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.15pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.15pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.15pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">h</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">è</span><span style="letter-spacing: -.15pt; mso-font-width: 114%;">s</span>e<span style="letter-spacing: -.55pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 116%;">définitiv</span>e<span style="letter-spacing: -.9pt;"> </span><span style="letter-spacing: -.15pt;">ser</span>a<span style="letter-spacing: 1.4pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">p</span>tée.<span style="letter-spacing: 2.15pt;"> </span>Les<span style="letter-spacing: 1.4pt;"> </span>contrôles<span style="letter-spacing: .35pt;"> </span>sont
<span style="letter-spacing: .65pt;"> </span>plus<span style="letter-spacing: .1pt;"> </span>fréquents, <span style="letter-spacing: -.15pt;">tou</span>s<span style="letter-spacing: 1.55pt;"> </span><span style="letter-spacing: -.15pt;">le</span>s<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: -.15pt;">2-</span>3<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.15pt;">moi</span>s<span style="letter-spacing: 1.55pt;"> </span><span style="letter-spacing: -.15pt;">jusqu’</span>à<span style="letter-spacing: -.9pt;"> </span><span style="letter-spacing: -.15pt;">l</span>a<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.15pt; mso-font-width: 111%;">b</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">ili</span><span style="letter-spacing: -.15pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">ti</span><span style="letter-spacing: -.15pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">n</span>.</span><span style="line-height: 110%;"><o:p></o:p></span></span></div>
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<span style="font-family: inherit; font-size: large;"><span style="color: #8bcbbd;">l<span style="letter-spacing: -5.15pt;"> </span></span><b><i><span style="color: #1a171c; letter-spacing: -0.85pt;">L</span></i></b><b><i><span style="color: #1a171c; letter-spacing: -0.1pt;">ymphœdèm</span></i></b><b><i><span style="color: #1a171c;">e<span style="letter-spacing: -.55pt;">
</span></span></i></b><b><i><span style="color: #1a171c; letter-spacing: -0.1pt;">d</span></i></b><b><i><span style="color: #1a171c;">e<span style="letter-spacing: 1.4pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 121%;">stad</span>e<span style="letter-spacing: -.9pt;"> </span><span style="letter-spacing: -.1pt;">II</span>I</span></i></b><o:p></o:p></span></div>
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<span style="font-family: inherit; font-size: large;"><span style="color: #1a171c; letter-spacing: -0.05pt; line-height: 110%;">I</span><span style="color: #1a171c; line-height: 110%;">l<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 115%;">nécessit</span>e<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.05pt;">un</span>e <span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 116%;">pris</span>e<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.05pt;">e</span>n<span style="letter-spacing: 1.8pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">charg</span>e<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.05pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">e</span>n<span style="letter-spacing: -.15pt;">sive</span>,<span style="letter-spacing: 2.15pt;"> </span><span style="letter-spacing: -.15pt;">soi</span>t<span style="letter-spacing: 1.9pt;"> </span><span style="letter-spacing: -.15pt;">e</span>n<span style="letter-spacing: 1.4pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">ambulatoir</span>e<span style="letter-spacing: -.3pt;"> </span><span style="letter-spacing: -.15pt;">pa</span>r<span style="letter-spacing: 1.9pt;"> </span><span style="letter-spacing: -.15pt;">u</span>n<span style="letter-spacing: 1.95pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 111%;">k</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.15pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">thérapeut</span>e<span style="letter-spacing: -.2pt;"> </span><span style="letter-spacing: -.15pt;">libéra</span>l<span style="letter-spacing: -1.05pt;">
</span><span style="letter-spacing: -.15pt;">bie</span>n<span style="letter-spacing: 1.7pt;"> </span><span style="letter-spacing: -.15pt;">form</span>é<span style="letter-spacing: 1.7pt;"> </span>à<span style="letter-spacing: -.25pt;"> </span><span style="letter-spacing: -.15pt;">ce</span>s<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">ec</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">h</span></span></span><span style="color: #1a171c; font-family: inherit; font-size: large; letter-spacing: 0.05pt; line-height: 110%;">niques</span><span style="color: #1a171c; font-family: inherit; font-size: large; line-height: 110%;">,<span style="letter-spacing: .45pt;"> </span></span><span style="color: #1a171c; font-family: inherit; font-size: large; letter-spacing: 0.05pt; line-height: 110%;">soi</span><span style="color: #1a171c; font-family: inherit; font-size: large; line-height: 110%;">t
<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: .05pt;">pa</span>r <span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: .05pt;">u</span>n
<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 115%;">servic</span>e <span style="letter-spacing: .05pt;">spécialis</span>é
<span style="letter-spacing: -.15pt;">selo</span>n<span style="letter-spacing: -1.05pt;"> </span><span style="letter-spacing: -.15pt;">u</span>n<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 114%;">protocol</span>e<span style="letter-spacing: -.95pt;"> </span><span style="letter-spacing: -.15pt;">thérapeutiqu</span>e<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.15pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">éc</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">i</span>s <span style="letter-spacing: -.15pt;">qu</span>i<span style="letter-spacing: 1.45pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">comport</span>e<span style="letter-spacing: -.9pt;"> </span><span style="letter-spacing: -.15pt;">deu</span>x<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">e</span>s<span style="letter-spacing: -1.35pt;"> </span>:</span></div>
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<span style="font-family: inherit; font-size: large;"><b><span style="color: #c4db99; letter-spacing: 0.1pt; line-height: 110%;">>></span></b><b><span style="color: #c4db99; line-height: 110%;">><span style="letter-spacing: 1.65pt;"> </span></span></b><b><span style="color: #1a171c; letter-spacing: 0.1pt; line-height: 110%;">L</span></b><b><span style="color: #1a171c; line-height: 110%;">a<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: .1pt;">phas</span>e
<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 112%;">initial</span>e<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: .1pt;">dit</span>e<span style="letter-spacing: 2.15pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 119%;">i</span><span style="letter-spacing: .1pt; mso-font-width: 109%;">n</span><span style="letter-spacing: .1pt;">tensiv</span><span style="letter-spacing: .15pt; mso-font-width: 112%;">e</span></span></b><span style="color: #1a171c; line-height: 110%;">, </span><span style="color: #1a171c; letter-spacing: 0.1pt; line-height: 110%;">destiné</span><span style="color: #1a171c; line-height: 110%;">e<span style="letter-spacing: .1pt;"> </span></span><span style="color: #1a171c; line-height: 110%;">à<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">réduir</span>e<span style="letter-spacing: .3pt;"> </span><span style="letter-spacing: .1pt;">l</span>e<span style="letter-spacing: 1.4pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 114%;">volum</span>e<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: .1pt;">d</span>u <span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 119%;">l</span><span style="letter-spacing: .1pt; mso-font-width: 111%;">y</span><span style="letter-spacing: .15pt; mso-font-width: 114%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 114%;">phœdèm</span>e<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: .05pt;">(quell</span>e<span style="letter-spacing: -.15pt;">
</span><span style="letter-spacing: .05pt;">qu</span>e <span style="letter-spacing: .05pt;">soi</span>t<span style="letter-spacing: 2.25pt;"> </span><span style="letter-spacing: .05pt;">s</span>a<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 119%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 111%;">o</span><span style="letter-spacing: .05pt; mso-font-width: 112%;">ca</span><span style="letter-spacing: .05pt; mso-font-width: 119%;">li</span><span style="letter-spacing: .05pt; mso-font-width: 114%;">s</span>a<span style="letter-spacing: .05pt;">tio</span>n<span style="letter-spacing: 1.5pt;"> </span>:<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 112%;">membre</span>,<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: .05pt;">sein</span>, <span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 115%;">partie</span>s<span style="letter-spacing: .3pt;"> </span><span style="letter-spacing: .05pt;">g</span><span style="letter-spacing: .05pt; mso-font-width: 112%;">é</span><span style="letter-spacing: .05pt; mso-font-width: 122%;">n</span><span style="letter-spacing: .05pt; mso-font-width: 119%;">it</span><span style="letter-spacing: .05pt; mso-font-width: 112%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 119%;">l</span><span style="letter-spacing: .05pt; mso-font-width: 112%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 114%;">s</span>) grâce<span style="letter-spacing: 2.0pt;"> </span>à<span style="letter-spacing: .6pt;"> </span>l’association<span style="letter-spacing: .1pt;"> </span>de<span style="letter-spacing: 1.55pt;"> </span>soins<span style="letter-spacing: -.05pt;"> </span>de<span style="letter-spacing: 1.55pt;"> </span>peau, <span style="letter-spacing: .1pt;">d</span>e<span style="letter-spacing: 2.0pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">préventio</span>n<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: .1pt;">de</span>s
<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 112%;">mycoses</span>,<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: .1pt;">d</span>e<span style="letter-spacing: 2.0pt;"> </span><span style="letter-spacing: .1pt;">DLM</span>, de<span style="letter-spacing: .9pt;"> </span>bandages<span style="letter-spacing: -1.15pt;"> </span>réducteurs,<span style="letter-spacing: .15pt;"> </span>peu<span style="letter-spacing: 1.9pt;"> </span>ou<span style="letter-spacing: .95pt;"> </span>pas<span style="letter-spacing: 1.4pt;"> </span>du <span style="letter-spacing: .1pt;">tou</span>t <span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 114%;">élastiques</span>,<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: .1pt;">multicouches</span>,<span style="letter-spacing: 1.05pt;"> </span><span style="letter-spacing: .1pt;">g</span><span style="letter-spacing: .1pt; mso-font-width: 112%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 116%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 122%;">d</span><span style="letter-spacing: .1pt; mso-font-width: 112%;">é</span>s</span></span></div>
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<span style="font-family: inherit; font-size: large;"><span style="color: #1a171c; font-family: inherit;">24<span style="letter-spacing: 1.15pt;"> </span>heures<span style="letter-spacing: -.05pt;"> </span>sur<span style="letter-spacing: 2.1pt;"> </span>24<span style="letter-spacing: 1.15pt;"> </span>et<span style="letter-spacing: 1.1pt;"> </span>d’exe<span style="letter-spacing: -.3pt; mso-font-width: 116%;">r</span></span><span style="color: #1a171c; font-family: inherit; letter-spacing: -0.05pt; line-height: 110%;">cice</span><span style="color: #1a171c; font-family: inherit; line-height: 110%;">s<span style="letter-spacing: 1.65pt;"> </span><span style="letter-spacing: -.05pt;">sou</span>s<span style="letter-spacing: 1.7pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 113%;">bandages</span>.<span style="letter-spacing: -1.0pt;"> </span><span style="letter-spacing: -.05pt;">Cett</span>e<span style="letter-spacing: 1.15pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 116%;">phas</span>e<span style="letter-spacing: -.95pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">éce</span><span style="letter-spacing: -.05pt; mso-font-width: 114%;">s</span>site<span style="letter-spacing: 2.1pt;"> </span>5<span style="letter-spacing: .7pt;"> </span>jours
<span style="letter-spacing: .4pt;"> </span>par<span style="letter-spacing: 2.15pt;"> </span>semaine<span style="letter-spacing: -.5pt;"> </span>pendant<span style="letter-spacing: .65pt;">
</span>1<span style="letter-spacing: .7pt;"> </span>à<span style="letter-spacing: .7pt;"> </span>6 <span style="letter-spacing: .15pt; mso-font-width: 114%;">semaines</span>.<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .15pt;">E</span>n<span style="letter-spacing: 1.95pt;"> </span><span style="letter-spacing: .15pt;">fi</span>n <span style="letter-spacing: .15pt;"> d</span>e <span style="letter-spacing: .15pt;"> réductio</span>n<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 114%;">m</span><span style="letter-spacing: .15pt; mso-font-width: 112%;">a</span><span style="letter-spacing: .15pt; mso-font-width: 111%;">x</span><span style="letter-spacing: .2pt; mso-font-width: 119%;">i</span><span style="letter-spacing: .2pt;">mal</span>e <span style="letter-spacing: 1.45pt;"> </span><span style="letter-spacing: .2pt;">d</span>e
<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 119%;">l</span><span style="letter-spacing: .2pt; mso-font-width: 83%;">’</span><span style="letter-spacing: .2pt; mso-font-width: 115%;">œ</span><span style="letter-spacing: .2pt; mso-font-width: 122%;">d</span><span style="letter-spacing: .2pt; mso-font-width: 112%;">è</span><span style="letter-spacing: .2pt; mso-font-width: 114%;">m</span><span style="letter-spacing: .2pt; mso-font-width: 112%;">e</span>, <span style="letter-spacing: -.95pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 119%;">l</span><span style="letter-spacing: .2pt; mso-font-width: 83%;">’</span><span style="letter-spacing: .2pt; mso-font-width: 111%;">o</span><span style="letter-spacing: .2pt; mso-font-width: 116%;">r</span><span style="letter-spacing: .2pt; mso-font-width: 119%;">t</span><span style="letter-spacing: .2pt; mso-font-width: 122%;">h</span><span style="letter-spacing: .2pt; mso-font-width: 112%;">è</span><span style="letter-spacing: .2pt; mso-font-width: 114%;">s</span>e <span style="letter-spacing: -.95pt;"> </span><span style="letter-spacing: .2pt;">d</span>e
<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 112%;">c</span><span style="letter-spacing: .2pt; mso-font-width: 111%;">o</span><span style="letter-spacing: .3pt; mso-font-width: 114%;">m</span></span><span style="color: #1a171c; font-family: inherit; letter-spacing: 0.15pt; line-height: 110%;">pressio</span><span style="color: #1a171c; font-family: inherit; line-height: 110%;">n<span style="letter-spacing: 1.35pt;"> </span><span style="letter-spacing: .15pt;">définitiv</span>e</span><span style="color: #1a171c; font-family: inherit; line-height: 110%;"><span style="letter-spacing: 1.6pt;"> </span><span style="letter-spacing: .15pt;">ser</span>a
<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 114%;">m</span><span style="letter-spacing: .15pt; mso-font-width: 119%;">i</span><span style="letter-spacing: .15pt; mso-font-width: 114%;">s</span>e en<span style="letter-spacing: .8pt;"> </span>place.<span style="letter-spacing: -.8pt;"> </span>Au<span style="letter-spacing: .8pt;"> </span>membre<span style="letter-spacing: -1.2pt;"> </span>inférieu<span style="letter-spacing: -.55pt;">r</span>,<span style="letter-spacing: -.45pt;"> </span>la<span style="letter-spacing: .3pt;"> </span>co<span style="letter-spacing: -.05pt; mso-font-width: 114%;">m</span>pression<span style="letter-spacing: -.65pt;"> </span>peut<span style="letter-spacing: -.15pt;"> </span>être<span style="letter-spacing: 1.85pt;"> </span>très<span style="letter-spacing: 1.85pt;"> </span>forte,<span style="letter-spacing: 2.15pt;"> </span>jusqu’à<span style="letter-spacing: -.05pt;"> </span>la classe<span style="letter-spacing: -.85pt;"> </span>8<span style="letter-spacing: -.15pt;"> </span>par<span style="letter-spacing: 1.3pt;"> </span>superposition<span style="letter-spacing: -.95pt;"> </span>de<span style="letter-spacing: .8pt;"> </span>deux<span style="letter-spacing: -.85pt;"> </span>bas. Au<span style="letter-spacing: 1.5pt;"> </span>cours<span style="letter-spacing: -.3pt;"> </span>de<span style="letter-spacing: 1.5pt;"> </span>cette <span style="letter-spacing: .2pt;"> </span>période,<span style="letter-spacing: -.05pt;"> </span>les<span style="letter-spacing: 1.5pt;"> </span>compl<span style="letter-spacing: .05pt;">i</span><span style="letter-spacing: -.05pt; mso-font-width: 115%;">cation</span>s<span style="letter-spacing: -1.0pt;"> </span><span style="letter-spacing: -.05pt;">cutanées</span>,<span style="letter-spacing: -.9pt;"> </span><span style="letter-spacing: -.05pt;">ulcérations</span>,<span style="letter-spacing: -.7pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">h</span><span style="letter-spacing: -.05pt; mso-font-width: 111%;">y</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.05pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.05pt; mso-font-width: 111%;">k</span><span style="letter-spacing: .05pt; mso-font-width: 112%;">é</span>ratoses<span style="letter-spacing: -.65pt;"> </span>et<span style="letter-spacing: .45pt;"> </span>mycoses<span style="letter-spacing: -.6pt;"> </span>sont<span style="letter-spacing: 1.95pt;"> </span>traitées.<span style="letter-spacing: -.7pt;"> </span>En<span style="letter-spacing: .5pt;">
</span>cas de<span style="letter-spacing: .8pt;"> </span>papillomatose<span style="letter-spacing: -.8pt;"> </span>invalidante,<span style="letter-spacing: -.25pt;"> </span>une<span style="letter-spacing: 1.8pt;"> </span>pr<span style="letter-spacing: .05pt; mso-font-width: 112%;">é</span>paration<span style="letter-spacing: -.35pt;"> </span>à<span style="letter-spacing: .35pt;">
</span>la<span style="letter-spacing: .8pt;"> </span>chirurgie<span style="letter-spacing: -.15pt;"> </span>de<span style="letter-spacing: 1.3pt;"> </span>résection<span style="letter-spacing: -.15pt;"> </span>est <span style="letter-spacing: -.1pt; mso-font-width: 111%;">effectuée</span>.<span style="letter-spacing: -.7pt;"> </span><span style="letter-spacing: -1.1pt;">L</span><span style="letter-spacing: -.1pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">pp</span><span style="letter-spacing: -.1pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">ti</span><span style="letter-spacing: -.1pt; mso-font-width: 114%;">ss</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.1pt;">g</span>e<span style="letter-spacing: -.8pt;"> </span><span style="letter-spacing: -.1pt;">de</span>s<span style="letter-spacing: 1.15pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.1pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.05pt; mso-font-width: 119%;">i</span><span style="letter-spacing: .1pt;">nage</span>s <span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .1pt;">e</span>t<span style="letter-spacing: 1.55pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 113%;">autobandage</span>s<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .1pt;">es</span>t<span style="letter-spacing: 2.05pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 111%;">effectué</span>.<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: .1pt;">I</span>l est<span style="letter-spacing: .95pt;"> </span>donné<span style="letter-spacing: -.45pt;"> </span>aussi<span style="letter-spacing: -.8pt;"> </span>des<span style="letter-spacing: 1.45pt;"> </span>mesures<span style="letter-spacing: -.55pt;"> </span>d’hygiène <span style="letter-spacing: .15pt;">d</span>e
<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: .15pt;">vi</span>e <span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 116%;">ains</span>i<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 111%;">q</span><span style="letter-spacing: .15pt; mso-font-width: 122%;">u</span><span style="letter-spacing: .15pt; mso-font-width: 83%;">’</span><span style="letter-spacing: .15pt; mso-font-width: 122%;">un</span>e<span style="letter-spacing: 1.05pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 113%;">sensibilisatio</span>n<span style="letter-spacing: 2.05pt;"> </span>à <span style="letter-spacing: .1pt;">l</span>a<span style="letter-spacing: 1.6pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 114%;">nécessit</span>é<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 122%;">d</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">’</span><span style="letter-spacing: .1pt; mso-font-width: 122%;">un</span>e<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">pris</span>e<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: .1pt;">e</span>n<span style="letter-spacing: 2.1pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 111%;">charg</span>e<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 122%;">d</span>e <span style="letter-spacing: .1pt; mso-font-width: 119%;">l</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">’</span><span style="letter-spacing: .1pt; mso-font-width: 111%;">ob</span><span style="letter-spacing: .1pt; mso-font-width: 112%;">é</span><span style="letter-spacing: .1pt; mso-font-width: 114%;">s</span><span style="letter-spacing: .1pt; mso-font-width: 119%;">it</span>é<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: .1pt;">e</span>t<span style="letter-spacing: 1.5pt;"> </span>à<span style="letter-spacing: 1.05pt;"> </span><span style="letter-spacing: .1pt;">l</span>a<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 115%;">repris</span>e<span style="letter-spacing: .3pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 122%;">d</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">’</span><span style="letter-spacing: .1pt; mso-font-width: 122%;">un</span>e<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 112%;">ac</span><span style="letter-spacing: .1pt; mso-font-width: 119%;">ti</span><span style="letter-spacing: .1pt; mso-font-width: 111%;">v</span><span style="letter-spacing: .1pt; mso-font-width: 119%;">it</span>é physique<span style="letter-spacing: -.4pt;"> </span>adaptée.</span></span></div>
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<span style="font-family: inherit; font-size: large;"><b><span style="color: #c4db99; letter-spacing: -0.1pt; line-height: 110%;">>></span></b><b><span style="color: #c4db99; line-height: 110%;">><span style="letter-spacing: .1pt;"> </span></span></b><b><span style="color: #1a171c; letter-spacing: -0.1pt; line-height: 110%;">L</span></b><b><span style="color: #1a171c; line-height: 110%;">a<span style="letter-spacing: -.85pt;"> </span><span style="letter-spacing: -.1pt;">phas</span>e<span style="letter-spacing: 1.55pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 109%;">d</span><span style="letter-spacing: -.1pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.1pt; mso-font-width: 109%;">n</span><span style="letter-spacing: -.1pt;">tretie</span>n<span style="letter-spacing: -.85pt;"> </span></span></b><span style="color: #1a171c; letter-spacing: -0.1pt; line-height: 110%;">vis</span><span style="color: #1a171c; line-height: 110%;">e<span style="letter-spacing: 1.15pt;"> </span>à<span style="letter-spacing: -.3pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.05pt;">ni</span>r<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: -.05pt;">l</span>e<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 115%;">volum</span>e<span style="letter-spacing: -1.2pt;"> </span><span style="letter-spacing: -.05pt;">réduit</span>,<span style="letter-spacing: -.4pt;">
</span><span style="letter-spacing: -.05pt;">voir</span>e<span style="letter-spacing: 1.65pt;"> </span>à<span style="letter-spacing: -.25pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.05pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.05pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.05pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.05pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.05pt; mso-font-width: 111%;">v</span><span style="letter-spacing: -.05pt; mso-font-width: 116%;">r</span>e la<span style="letter-spacing: .95pt;"> </span>réduction<span style="letter-spacing: .05pt;"> </span>volumétrique<span style="letter-spacing: -.75pt;"> </span>grâce<span style="letter-spacing: 1.9pt;"> </span>à<span style="letter-spacing: .5pt;"> </span>une orthèse<span style="letter-spacing: -.7pt;"> </span>de<span style="letter-spacing: .8pt;"> </span>compression<span style="letter-spacing: -.95pt;"> </span>portée<span style="letter-spacing: -.95pt;">
</span>réguli<span style="letter-spacing: .05pt; mso-font-width: 112%;">è</span>rement<span style="letter-spacing: -.4pt;"> </span>le<span style="letter-spacing: .75pt;">
</span>jou<span style="letter-spacing: -.5pt;">r</span>,<span style="letter-spacing: 2.0pt;"> </span>l’application<span style="letter-spacing: -.2pt;"> </span>des<span style="letter-spacing: 1.75pt;"> </span>règles <span style="letter-spacing: .2pt; mso-font-width: 122%;">d</span><span style="letter-spacing: .2pt; mso-font-width: 83%;">’</span><span style="letter-spacing: .2pt; mso-font-width: 122%;">h</span><span style="letter-spacing: .2pt; mso-font-width: 111%;">y</span><span style="letter-spacing: .2pt;">gièn</span>e <span style="letter-spacing: .2pt;">d</span>e<span style="letter-spacing: 1.45pt;"> </span><span style="letter-spacing: .2pt;">vi</span>e<span style="letter-spacing: 1.45pt;"> </span><span style="letter-spacing: .2pt;">e</span>t<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 122%;">d</span><span style="letter-spacing: .2pt; mso-font-width: 83%;">’</span><span style="letter-spacing: .2pt; mso-font-width: 112%;">a</span><span style="letter-spacing: .2pt; mso-font-width: 122%;">u</span><span style="letter-spacing: .2pt; mso-font-width: 119%;">t</span><span style="letter-spacing: .2pt; mso-font-width: 111%;">o</span><span style="letter-spacing: .2pt;">-soins</span>, <span style="letter-spacing: .2pt; mso-font-width: 112%;">e</span>n <span style="letter-spacing: .1pt; mso-font-width: 116%;">particulie</span>r<span style="letter-spacing: .3pt;"> </span><span style="letter-spacing: .1pt;">l</span>a<span style="letter-spacing: 1.4pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 115%;">réalisatio</span>n<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: .1pt;">d</span>e<span style="letter-spacing: 1.9pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 111%;">b</span><span style="letter-spacing: .1pt; mso-font-width: 112%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 122%;">nd</span><span style="letter-spacing: .1pt; mso-font-width: 112%;">a</span><span style="letter-spacing: .1pt;">ge</span>s</span><span style="line-height: 110%;"> </span><span style="color: #1a171c; letter-spacing: 0.15pt; line-height: 110%;">pe</span><span style="color: #1a171c; line-height: 110%;">u <span style="letter-spacing: 1.15pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 115%;">élastique</span>s<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: .15pt;">multicouche</span>s<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: .15pt;">pou</span>r<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 119%;">l</span>a <span style="letter-spacing: -.05pt; mso-font-width: 121%;">nui</span>t<span style="letter-spacing: -1.2pt;"> </span><span style="letter-spacing: -.05pt;">o</span>u<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.05pt;">l</span>e<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.05pt;">por</span>t<span style="letter-spacing: 1.7pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">un</span>e<span style="letter-spacing: -.75pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 115%;">orthès</span>e<span style="letter-spacing: -1.05pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 106%;">M</span><span style="letter-spacing: -.05pt; mso-font-width: 111%;">ob</span><span style="letter-spacing: -.05pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.05pt; mso-font-width: 116%;">r</span>m<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: .2pt;">e</span>t<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: .2pt;">de</span>s<span style="letter-spacing: 1.55pt;"> </span><span style="letter-spacing: .2pt;">DL</span>M<span style="letter-spacing: .1pt;"> </span>à<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: .2pt;">un</span>e<span style="letter-spacing: 2.05pt;"> </span><span style="letter-spacing: .2pt;">fréquenc</span>e moindre.
La<span style="letter-spacing: .5pt;"> </span>surveillance<span style="letter-spacing: .4pt;"> </span>médicale de ces<span style="letter-spacing: .8pt;"> </span>patients<span style="letter-spacing: -.95pt;"> </span>doit<span style="letter-spacing: 1.8pt;"> </span>se<span style="letter-spacing: .3pt;"> </span>faire<span style="letter-spacing: 1.25pt;"> </span>tous<span style="letter-spacing: 1.8pt;"> </span>les<span style="letter-spacing: .8pt;"> </span>deux<span style="letter-spacing: -.45pt;"> </span>à trois<span style="letter-spacing: 2.1pt;"> </span>mois<span style="letter-spacing: 2.15pt;"> </span>jusqu’à<span style="letter-spacing: -.3pt;"> </span>obtenir<span style="letter-spacing: -.55pt;"> </span>une<span style="letter-spacing: 2.15pt;"> </span>stabilité <span style="letter-spacing: .1pt;">d</span>e<span style="letter-spacing: 1.85pt;"> </span><span style="letter-spacing: .1pt;">leu</span>r
<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 114%;">œdème</span>.<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: .1pt;">I</span>l<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 115%;">convien</span>t<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: .1pt;">d</span>e<span style="letter-spacing: 1.85pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 112%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 122%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 111%;">o</span><span style="letter-spacing: .15pt; mso-font-width: 122%;">u</span>veler <span style="letter-spacing: .4pt;"> </span>aussi<span style="letter-spacing: .15pt;"> </span>souvent<span style="letter-spacing: .15pt;"> </span>que<span style="letter-spacing: 2.2pt;"> </span>nécessaire<span style="letter-spacing: .1pt;"> </span>les
orthèses<span style="letter-spacing: -.4pt;"> </span>de<span style="letter-spacing: 1.1pt;"> </span>compression<span style="letter-spacing: -1.15pt;"> </span>pour<span style="letter-spacing: -.4pt;"> </span>qu’elles <span style="letter-spacing: .1pt; mso-font-width: 112%;">resten</span>t<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: .1pt;">efficaces</span>.<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: .1pt;">S</span>i<span style="letter-spacing: 1.35pt;"> </span><span style="letter-spacing: .1pt;">le</span>s<span style="letter-spacing: 1.9pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 114%;">mesure</span>s<span style="letter-spacing: .3pt;"> </span><span style="letter-spacing: .1pt;">s</span><span style="letter-spacing: .1pt; mso-font-width: 119%;">t</span><span style="letter-spacing: .1pt; mso-font-width: 112%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 122%;">n</span><span style="letter-spacing: .1pt; mso-font-width: 118%;">dar</span>d<span style="letter-spacing: .3pt;"> </span><span style="letter-spacing: .1pt;">n</span>e<span style="letter-spacing: 2.15pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">permetten</span>t<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: .1pt;">pa</span>s <span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 122%;">d</span><span style="letter-spacing: .1pt; mso-font-width: 83%;">’</span><span style="letter-spacing: .1pt; mso-font-width: 112%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 122%;">pp</span><span style="letter-spacing: .1pt; mso-font-width: 112%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 116%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 112%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 119%;">ill</span><span style="letter-spacing: .1pt; mso-font-width: 112%;">e</span>r <span style="letter-spacing: .15pt;">le</span>s <span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 116%;">patients</span>,<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: .15pt;">c</span>e<span style="letter-spacing: 1.75pt;"> </span><span style="letter-spacing: .15pt;">qu</span>i <span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: .15pt;">es</span>t
<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: .15pt;">l</span>e<span style="letter-spacing: 1.75pt;"> </span><span style="letter-spacing: .15pt;">ca</span>s <span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 117%;">dan</span>s<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 119%;">l</span>a <span style="letter-spacing: .35pt;">grand</span>e<span style="letter-spacing: .3pt;"> </span><span style="letter-spacing: .35pt;">majorit</span>é <span style="letter-spacing: .3pt;">de</span>s<span style="letter-spacing: 2.2pt;"> </span><span style="letter-spacing: .3pt;">gro</span>s<span style="letter-spacing: 1.7pt;"> </span><span style="letter-spacing: .3pt; mso-font-width: 119%;">l</span><span style="letter-spacing: .3pt; mso-font-width: 111%;">y</span><span style="letter-spacing: .3pt; mso-font-width: 114%;">m</span><span style="letter-spacing: .3pt; mso-font-width: 122%;">ph</span><span style="letter-spacing: .3pt; mso-font-width: 115%;">œ</span>dèmes,<span style="letter-spacing: -.4pt;"> </span>celles-ci<span style="letter-spacing: -.9pt;"> </span>doivent<span style="letter-spacing: .1pt;"> </span>être<span style="letter-spacing: 1.7pt;"> </span>faites<span style="letter-spacing: 2.2pt;"> </span>par des<span style="letter-spacing: 1.95pt;"> </span>pharmaciens<span style="letter-spacing: 1.1pt;"> </span>formés<span style="letter-spacing: -.6pt;"> </span>aux<span style="letter-spacing: 1.95pt;"> </span>prises<span style="letter-spacing: -.3pt;"> </span>de mesures.</span></span></div>
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<span style="line-height: 110%;"><span style="color: #1a171c; font-size: large;"><b>exemples de prescription d’orthèses sur mesure :</b></span></span></div>
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<span style="font-family: inherit; font-size: large;"><span style="color: #1a171c; line-height: 110%;">–<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: -.1pt;">Pou</span>r
<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.1pt;">l</span>e<span style="letter-spacing: 1.3pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">membr</span>e<span style="letter-spacing: .85pt;"> </span><b><span style="letter-spacing: -.1pt;">supérieu</span>r<span style="letter-spacing: -.55pt;">
</span></b><span style="letter-spacing: -.1pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.1pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">i</span>t<span style="letter-spacing: -1.3pt;"> </span>:<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">u</span>r <span style="letter-spacing: -.3pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.3pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.3pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">e</span>,<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.3pt;">u</span>n<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">c</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">h</span><span style="letter-spacing: -.3pt; mso-font-width: 111%;">o</span>n<span style="letter-spacing: -1.25pt;"> </span><span style="letter-spacing: -.3pt;">d</span>e<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.3pt;">forc</span>e<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: -.3pt;">3</span>,<span style="letter-spacing: -.5pt;"> </span><span style="letter-spacing: -.3pt;">ave</span>c<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: -.3pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.3pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.3pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.35pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.2pt;">glisse</span>,<span style="letter-spacing: 1.95pt;">
</span><span style="letter-spacing: -.25pt; mso-font-width: 117%;">plu</span>s<span style="letter-spacing: -.6pt;"> </span><span style="letter-spacing: -.25pt;">mitain</span>e<span style="letter-spacing: -1.1pt;">
</span><span style="letter-spacing: -.2pt;">e</span>t<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 116%;">pouc</span>e<span style="letter-spacing: -.95pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.2pt; mso-font-width: 119%;">tt</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.2pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.2pt; mso-font-width: 114%;">s</span>.</span><span style="line-height: 110%;"><o:p></o:p></span></span></div>
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<span style="font-family: inherit; font-size: large;"><span style="color: #1a171c; line-height: 110%;">–<span style="letter-spacing: -.25pt;"> </span><span style="letter-spacing: -.05pt;">Pou</span>r<span style="letter-spacing: 1.65pt;"> </span><span style="letter-spacing: -.05pt;">l</span>e<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 108%;">membr</span>e<span style="letter-spacing: .65pt;"> </span><b><span style="letter-spacing: -.05pt;">inférieu</span>r<span style="letter-spacing: -.75pt;"> </span></b><span style="letter-spacing: -.05pt;">g</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">c</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">h</span>e<span style="letter-spacing: -1.2pt;"> </span>:<span style="letter-spacing: -.75pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">u</span>r <span style="letter-spacing: .05pt; mso-font-width: 114%;">mesure</span>,<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: .05pt;">u</span>n <span style="letter-spacing: .05pt;"> ba</span>s<span style="letter-spacing: 1.75pt;">
</span><span style="letter-spacing: .05pt; mso-font-width: 114%;">cuiss</span>e<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: .05pt;">antiglisse</span>,<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 122%;">p</span><span style="letter-spacing: .05pt; mso-font-width: 119%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 112%;">e</span>d <span style="letter-spacing: .15pt;">fermé</span>,
<span style="letter-spacing: 1.55pt;"> </span><span style="letter-spacing: .15pt;">d</span>e <span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: .15pt;">forc</span>e
<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: .15pt;">3</span>,<span style="letter-spacing: 1.9pt;"> </span>à<span style="letter-spacing: 1.65pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 115%;">superpose</span>r<span style="letter-spacing: 1.15pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 112%;">a</span><span style="letter-spacing: .15pt; mso-font-width: 111%;">v</span><span style="letter-spacing: .15pt; mso-font-width: 112%;">e</span>c <span style="letter-spacing: .05pt;">u</span>n
<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 115%;">hémicollan</span>t<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: .05pt;">short</span>y<span style="letter-spacing: .05pt;">
pie</span>d<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: .05pt;">ouver</span>t <span style="letter-spacing: .05pt; mso-font-width: 122%;">d</span>e <span style="letter-spacing: -.05pt;">forc</span>e<span style="letter-spacing: 1.65pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 111%;">4</span>.</span><span style="line-height: 110%;"><o:p></o:p></span></span></div>
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<span style="font-family: inherit; font-size: large;"><b><span style="color: #1a171c; letter-spacing: -0.95pt; line-height: 110%;">L</span></b><b><span style="color: #1a171c; letter-spacing: 0.05pt; line-height: 110%;">’</span></b><b><span style="color: #1a171c; letter-spacing: 0.05pt; line-height: 110%;">é</span></b><b><span style="color: #1a171c; letter-spacing: 0.05pt; line-height: 110%;">du</span></b><b><span style="color: #1a171c; letter-spacing: 0.05pt; line-height: 110%;">c</span></b><b><span style="color: #1a171c; letter-spacing: 0.05pt; line-height: 110%;">a</span></b><b><span style="color: #1a171c; letter-spacing: 0.05pt; line-height: 110%;">tio</span></b><b><span style="color: #1a171c; line-height: 110%;">n</span></b><b><span style="color: #1a171c; letter-spacing: 0.8pt; line-height: 110%;"> </span></b><b><span style="color: #1a171c; letter-spacing: 0.05pt; line-height: 110%;">thérapeutiqu</span></b><b><span style="color: #1a171c; line-height: 110%;">e<span style="letter-spacing: -.65pt;"> </span></span></b><span style="color: #1a171c; letter-spacing: 0.05pt; line-height: 110%;">perme</span><span style="color: #1a171c; line-height: 110%;">t<span style="letter-spacing: 1.95pt;"> </span></span><span style="color: #1a171c; letter-spacing: 0.05pt; line-height: 110%;">a</span><span style="color: #1a171c; line-height: 110%;">u </span><span style="color: #1a171c; letter-spacing: 0.3pt; line-height: 110%;">patien</span><span style="color: #1a171c; line-height: 110%;">t </span><span style="color: #1a171c; letter-spacing: 0.25pt; line-height: 110%;">d</span><span style="color: #1a171c; letter-spacing: 0.25pt; line-height: 110%;">’</span><span style="color: #1a171c; letter-spacing: 0.25pt; line-height: 110%;">ac</span><span style="color: #1a171c; letter-spacing: 0.25pt; line-height: 110%;">q</span><span style="color: #1a171c; letter-spacing: 0.25pt; line-height: 110%;">u</span><span style="color: #1a171c; letter-spacing: 0.25pt; line-height: 110%;">é</span><span style="color: #1a171c; letter-spacing: 0.25pt; line-height: 110%;">r</span><span style="color: #1a171c; letter-spacing: 0.25pt; line-height: 110%;">i</span><span style="color: #1a171c; line-height: 110%;">r</span><span style="color: #1a171c; letter-spacing: 0.15pt; line-height: 110%;"> </span><span style="color: #1a171c; letter-spacing: 0.25pt; line-height: 110%;">p</span><span style="color: #1a171c; letter-spacing: 0.25pt; line-height: 110%;">r</span><span style="color: #1a171c; letter-spacing: 0.25pt; line-height: 110%;">o</span><span style="color: #1a171c; letter-spacing: 0.25pt; line-height: 110%;">gressivemen</span><span style="color: #1a171c; line-height: 110%;">t </span><span style="color: #1a171c; letter-spacing: -0.05pt; line-height: 110%;">u</span><span style="color: #1a171c; line-height: 110%;">n <span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 114%;">mod</span>e<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.05pt;">d</span>e<span style="letter-spacing: 1.8pt;"> </span><span style="letter-spacing: -.05pt;">vi</span>e<span style="letter-spacing: 1.8pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 116%;">adapt</span>é<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.05pt;">pou</span>r<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.05pt;">évite</span>r<span style="letter-spacing: -.35pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">e</span>s complications,<span style="letter-spacing: .25pt;"> </span>diagnostiquer<span style="letter-spacing: .25pt;"> </span>un lym</span></span><span style="color: #1a171c; font-size: large; letter-spacing: 0.05pt; line-height: 26.4px;">phœdèm</span><span style="color: #1a171c; font-size: large; line-height: 26.4px;">e<span style="letter-spacing: 1.1pt;"> </span></span><span style="color: #1a171c; font-size: large; letter-spacing: 0.05pt; line-height: 26.4px;">e</span><span style="color: #1a171c; font-size: large; line-height: 26.4px;">t<span style="letter-spacing: 2.15pt;"> </span><span style="letter-spacing: 0.05pt;">apprendr</span>e<span style="letter-spacing: 1pt;"> </span>à<span style="letter-spacing: 1.7pt;"> </span><span style="letter-spacing: 0.05pt;">s</span><span style="letter-spacing: 0.05pt;">’</span><span style="letter-spacing: 0.05pt;">a</span><span style="letter-spacing: 0.05pt;">u</span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: 0.05pt;">gére</span>r <span style="letter-spacing: 0.05pt;">autan</span>t<span style="letter-spacing: 0.05pt;"> </span><span style="letter-spacing: 0.05pt;">qu</span>e <span style="letter-spacing: 0.05pt;"> possible</span>.<span style="letter-spacing: 0.15pt;"> </span></span></div>
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<span style="font-family: inherit; font-size: large;"><span style="color: #1a171c; line-height: 110%;"><span style="letter-spacing: .05pt;">Un</span>e <span style="letter-spacing: .05pt; mso-font-width: 112%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 114%;">ss</span><span style="letter-spacing: .05pt; mso-font-width: 111%;">o</span><span style="letter-spacing: .05pt; mso-font-width: 112%;">c</span><span style="letter-spacing: .05pt; mso-font-width: 119%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 112%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 119%;">ti</span><span style="letter-spacing: .05pt; mso-font-width: 111%;">o</span>n <span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 117%;">patients</span>,<span style="letter-spacing: -.75pt;"> </span><span style="letter-spacing: -.95pt;">A</span><span style="letter-spacing: -.15pt;">VM</span>L<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: -.15pt;">[9]</span>,<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 116%;">contribu</span>e<span style="letter-spacing: -.8pt;"> </span>à<span style="letter-spacing: -.05pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">ce</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">tt</span>e <span style="letter-spacing: .05pt; mso-font-width: 115%;">démarch</span>e<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: .05pt;">éducative</span>.<span style="letter-spacing: .5pt;">
</span><span style="letter-spacing: .05pt;">Ell</span>e <span style="letter-spacing: .05pt; mso-font-width: 116%;">apport</span>e<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 122%;">u</span>n <span style="letter-spacing: -.05pt; mso-font-width: 115%;">soutie</span>n<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.05pt;">mora</span>l<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.05pt;">e</span>t<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 116%;">pratique</span>,<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: -.05pt;">e</span>n<span style="letter-spacing: 1.6pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.05pt; mso-font-width: 111%;">bo</span><span style="letter-spacing: -.05pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">n</span>t <span style="letter-spacing: -.2pt;">tou</span>s<span style="letter-spacing: 1.4pt;"> </span><span style="letter-spacing: -.2pt;">le</span>s<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: -.25pt; mso-font-width: 114%;">problème</span>s<span style="letter-spacing: -1.05pt;"> </span><span style="letter-spacing: -.2pt;">d</span>e<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: -.2pt;">l</span>a<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: -.2pt;">vi</span>e<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 111%;">q</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.2pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.2pt; mso-font-width: 119%;">ti</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.2pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.2pt; mso-font-width: 122%;">nn</span><span style="letter-spacing: -.2pt; mso-font-width: 112%;">e</span>, <span style="letter-spacing: -.05pt;">ell</span>e<span style="letter-spacing: 2.05pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">organise</span>,<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.05pt;">sou</span>s
<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.05pt;">l</span>e<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 115%;">contrôl</span>e<span style="letter-spacing: -.2pt;"> </span><span style="letter-spacing: -.05pt;">d</span>e<span style="letter-spacing: 1.6pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 111%;">k</span><span style="letter-spacing: -.05pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">é</span><span style="letter-spacing: .05pt; mso-font-width: 116%;">sithérapeutes</span>, <span style="letter-spacing: .05pt;">de</span>s
<span style="letter-spacing: .05pt;"> atelier</span>s<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 122%;">d</span><span style="letter-spacing: .05pt; mso-font-width: 83%;">’</span><span style="letter-spacing: .05pt; mso-font-width: 112%;">a</span><span style="letter-spacing: .05pt; mso-font-width: 122%;">u</span><span style="letter-spacing: .05pt; mso-font-width: 119%;">t</span><span style="letter-spacing: .05pt; mso-font-width: 111%;">ob</span><span style="letter-spacing: .05pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.05pt;">dage</span>s <span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.05pt;">e</span>t<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.05pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.05pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.05pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.05pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.05pt;">ges</span>,<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 119%;">pendan</span>t<span style="letter-spacing: -.15pt;"> </span><span style="letter-spacing: -.05pt;">l</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.1pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">quel</span>s<span style="letter-spacing: -.9pt;"> </span><span style="letter-spacing: -.15pt;">son</span>t<span style="letter-spacing: 1.7pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 116%;">auss</span>i<span style="letter-spacing: -.95pt;"> </span><span style="letter-spacing: -.15pt;">dispensé</span>s<span style="letter-spacing: -.55pt;">
</span><span style="letter-spacing: -.15pt;">de</span>s<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.15pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">t</span>s <span style="letter-spacing: .1pt;">nécessaire</span>s<span style="letter-spacing: .95pt;"> </span>à<span style="letter-spacing: 1.75pt;">
</span><span style="letter-spacing: .1pt;">l</span>a<span style="letter-spacing: 2.2pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 115%;">connaissanc</span>e<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: .1pt;">e</span>t<span style="letter-spacing: 2.2pt;"> </span>à<span style="letter-spacing: 1.75pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 119%;">l</span>a <span style="letter-spacing: .05pt; mso-font-width: 115%;">compréhensio</span>n<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: .05pt;">d</span>e <span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: .05pt;">leu</span>r
<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 113%;">pathologi</span>e<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 112%;">e</span>t <span style="letter-spacing: -.15pt;">de</span>s<span style="letter-spacing: 1.45pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">conseil</span>s<span style="letter-spacing: -.65pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.15pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">h</span><span style="letter-spacing: -.15pt; mso-font-width: 111%;">y</span><span style="letter-spacing: -.15pt;">gièn</span>e<span style="letter-spacing: -.5pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 111%;">v</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">e</span>.</span><span style="line-height: 110%;"><o:p></o:p></span></span></div>
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<span style="font-family: inherit; font-size: large;"><span style="color: #1a171c; letter-spacing: -0.15pt; line-height: 110%;">I</span><span style="color: #1a171c; line-height: 110%;">l<span style="letter-spacing: -.2pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.15pt; mso-font-width: 83%;">’</span>y<span style="letter-spacing: -.7pt;"> </span>a<span style="letter-spacing: -.2pt;"> </span><span style="letter-spacing: -.15pt;">pa</span>s<span style="letter-spacing: 1.25pt;"> </span>à<span style="letter-spacing: -.2pt;"> </span><span style="letter-spacing: -.15pt;">c</span>e<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.15pt;">jou</span>r<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .75pt;"> </span><b><span style="letter-spacing: -.15pt; mso-font-width: 107%;">traitemen</span>t<span style="letter-spacing: -.75pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 106%;">m</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.15pt; mso-font-width: 109%;">d</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">i</span><span style="letter-spacing: .05pt;">ca</span>l<span style="letter-spacing: 2.25pt;"> </span></b><span style="letter-spacing: .05pt;">d</span>u <span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 115%;">lymphœdèm</span>e<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: .05pt;">propremen</span>t<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 122%;">d</span><span style="letter-spacing: .05pt; mso-font-width: 119%;">it</span>, <span style="letter-spacing: .15pt;">mai</span>s <span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 116%;">celu</span>i <span style="letter-spacing: .15pt;">de</span>s <span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 114%;">complication</span>s<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 119%;">i</span><span style="letter-spacing: .15pt; mso-font-width: 122%;">n</span><span style="letter-spacing: .15pt;">fe</span><span style="letter-spacing: .05pt; mso-font-width: 112%;">c</span><span style="letter-spacing: .05pt; mso-font-width: 115%;">tieuse</span>s<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: .05pt;">e</span>t<span style="letter-spacing: 1.9pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 113%;">mycosiques</span>.<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: .05pt;">Le</span>s<span style="letter-spacing: 1.9pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 119%;">i</span><span style="letter-spacing: .05pt; mso-font-width: 122%;">n</span><span style="letter-spacing: .05pt;">fection</span>s <span style="letter-spacing: .15pt; mso-font-width: 113%;">(érysipèle</span>s <span style="letter-spacing: .15pt;">o</span>u<span style="letter-spacing: 1.7pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 122%;">d</span><span style="letter-spacing: .15pt; mso-font-width: 112%;">e</span><span style="letter-spacing: .15pt; mso-font-width: 116%;">r</span><span style="letter-spacing: .15pt; mso-font-width: 114%;">m</span><span style="letter-spacing: .15pt; mso-font-width: 111%;">o</span><span style="letter-spacing: .15pt;">-hypodermites</span>)
<span style="letter-spacing: -.15pt;">son</span>t<span style="letter-spacing: 2.15pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 116%;">fréquentes</span>,<span style="letter-spacing: -1.15pt;"> </span><span style="letter-spacing: -.15pt;">dan</span>s<span style="letter-spacing: -.3pt;"> </span><span style="letter-spacing: -.15pt;">enviro</span>n<span style="letter-spacing: -.5pt;">
</span><span style="letter-spacing: -.15pt;">2</span>0<span style="letter-spacing: .55pt;"> </span>%<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">e</span>s <span style="letter-spacing: -.1pt;">cas</span>,<span style="letter-spacing: 1.75pt;"> </span><span style="letter-spacing: -.1pt;">e</span>t<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 115%;">nécessiten</span>t<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.1pt;">impérativemen</span>t<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">un</span>e <span style="letter-spacing: -.15pt; mso-font-width: 115%;">antibiothérapi</span>e<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.15pt;">systémiqu</span>e<span style="letter-spacing: -.35pt;"> </span>à<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">mettr</span>e<span style="letter-spacing: -.3pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">e</span>n <span style="letter-spacing: -.05pt; mso-font-width: 115%;">plac</span>e<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.05pt;">d</span>e<span style="letter-spacing: 1.85pt;"> </span><span style="letter-spacing: -.05pt;">faço</span>n
<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 114%;">urgente</span>,<span style="letter-spacing: .2pt;"> </span>à<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: -.05pt;">fort</span>e
<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt;">dos</span>e <span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">e</span>t <span style="letter-spacing: .05pt;">d</span>e <span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 116%;">duré</span>e<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: .05pt;">supérieur</span>e<span style="letter-spacing: 1.05pt;"> </span><span style="letter-spacing: .05pt;">o</span>u
<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: .05pt;">égal</span>e <span style="letter-spacing: .8pt;"> </span>à<span style="letter-spacing: 1.65pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 122%;">d</span><span style="letter-spacing: .05pt; mso-font-width: 112%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 122%;">u</span>x semaines<span style="letter-spacing: .6pt;"> </span>[10].<span style="letter-spacing: 1.9pt;"> </span>Les<span style="letter-spacing: 1.6pt;"> </span>mycoses<span style="letter-spacing: .55pt;"> </span>interdig<span style="letter-spacing: .05pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.05pt;">tale</span>s
<span style="letter-spacing: .3pt;"> </span><span style="letter-spacing: -.05pt;">o</span>u<span style="letter-spacing: 1.65pt;"> </span><span style="letter-spacing: -.05pt;">de</span>s<span style="letter-spacing: 2.1pt;"> </span><span style="letter-spacing: -.05pt;">pli</span>s <span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.05pt;">son</span>t
<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.05pt;">le</span>s<span style="letter-spacing: 1.6pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 113%;">facteur</span>s<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.05pt;">f</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.05pt; mso-font-width: 111%;">v</span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.05pt; mso-font-width: 116%;">risant</span>s <span style="letter-spacing: -.05pt;">d</span>e<span style="letter-spacing: 1.65pt;"> </span><span style="letter-spacing: -.05pt;">ce</span>s<span style="letter-spacing: 1.65pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 115%;">infection</span>s<span style="letter-spacing: -.05pt;"> </span><span style="letter-spacing: -.05pt;">e</span>t<span style="letter-spacing: 1.15pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">éce</span><span style="letter-spacing: -.05pt; mso-font-width: 114%;">ss</span><span style="letter-spacing: -.05pt; mso-font-width: 119%;">it</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">n</span>t <span style="letter-spacing: -.05pt;">un</span>e
<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 113%;">hygièn</span>e <span style="letter-spacing: -.05pt;">rigoureus</span>e<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.05pt;">e</span>t<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: -.05pt;">un</span>e
<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.05pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.05pt; mso-font-width: 111%;">v</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.15pt;">tio</span>n<span style="letter-spacing: 1.95pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">ée</span>.</span><span style="line-height: 110%;"><o:p></o:p></span></span></div>
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<span style="font-family: inherit; font-size: large;"><span style="color: #1a171c; letter-spacing: 0.1pt; line-height: 110%;">L</span><span style="color: #1a171c; line-height: 110%;">e<span style="letter-spacing: 1.05pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 114%;">traitemen</span>t<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .1pt;">chirurgica</span>l<span style="letter-spacing: .45pt;">
</span><span style="letter-spacing: .1pt;">es</span>t<span style="letter-spacing: 2.0pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 122%;">p</span><span style="letter-spacing: .1pt; mso-font-width: 116%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 111%;">o</span><span style="letter-spacing: .1pt; mso-font-width: 122%;">p</span><span style="letter-spacing: .1pt; mso-font-width: 111%;">o</span><span style="letter-spacing: .1pt; mso-font-width: 114%;">s</span>é <span style="letter-spacing: .25pt; mso-font-width: 117%;">pou</span>r<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: .2pt;">l</span>a <span style="letter-spacing: .25pt; mso-font-width: 114%;">résectio</span>n<span style="letter-spacing: 1.05pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 122%;">d</span><span style="letter-spacing: .2pt; mso-font-width: 83%;">’</span><span style="letter-spacing: .2pt; mso-font-width: 112%;">e</span><span style="letter-spacing: .2pt; mso-font-width: 111%;">x</span><span style="letter-spacing: .2pt; mso-font-width: 112%;">cé</span><span style="letter-spacing: .2pt; mso-font-width: 122%;">d</span><span style="letter-spacing: .2pt; mso-font-width: 112%;">e</span><span style="letter-spacing: .2pt; mso-font-width: 122%;">n</span>t <span style="letter-spacing: -.95pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 112%;">c</span><span style="letter-spacing: .2pt; mso-font-width: 122%;">u</span><span style="letter-spacing: .2pt; mso-font-width: 119%;">t</span><span style="letter-spacing: .2pt; mso-font-width: 112%;">a</span><span style="letter-spacing: .2pt; mso-font-width: 122%;">n</span>é après<span style="letter-spacing: -.9pt;"> </span>une<span style="letter-spacing: 1.8pt;"> </span>bonne<span style="letter-spacing: -1.1pt;"> </span>réduction<span style="letter-spacing: -.6pt;"> </span>de<span style="letter-spacing: .8pt;">
</span>l’œdème <span style="letter-spacing: .1pt;">pa</span>r <span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 116%;">physiothérapi</span>e<span style="letter-spacing: .3pt;"> </span><span style="letter-spacing: .1pt;">e</span>t<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: .1pt;">de</span>s
<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 122%;">p</span><span style="letter-spacing: .1pt; mso-font-width: 112%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 122%;">p</span><span style="letter-spacing: .1pt; mso-font-width: 119%;">ill</span><span style="letter-spacing: .1pt; mso-font-width: 111%;">o</span><span style="letter-spacing: .1pt; mso-font-width: 114%;">m</span><span style="letter-spacing: .15pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.1pt;">tose</span>s<span style="letter-spacing: 1.6pt;"> </span><span style="letter-spacing: -.1pt;">e</span>t<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 115%;">vésicule</span>s<span style="letter-spacing: -1.15pt;"> </span><span style="letter-spacing: -.1pt;">située</span>s<span style="letter-spacing: -.9pt;"> </span><span style="letter-spacing: -.1pt;">su</span>r<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: -.1pt;">le</span>s<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.1pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.1pt;">gane</span>s</span><span style="line-height: 110%;"> </span></span><span style="color: #1a171c; font-family: inherit; font-size: large; letter-spacing: -0.05pt; line-height: 110%;">génitau</span><span style="color: #1a171c; font-family: inherit; font-size: large; line-height: 110%;">x<span style="letter-spacing: -.95pt;"> </span><span style="letter-spacing: -.05pt;">externe</span>s<span style="letter-spacing: -.85pt;"> </span></span><span style="color: #1a171c; font-family: inherit; font-size: large; letter-spacing: -0.05pt; line-height: 110%;">e</span><span style="color: #1a171c; font-family: inherit; font-size: large; line-height: 110%;">t<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.05pt;">de</span>s<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 115%;">orteil</span>s<span style="letter-spacing: -1.05pt;"> </span><span style="letter-spacing: -.05pt;">ca</span>r<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.05pt; mso-font-width: 119%;">ll</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">e</span>s <span style="letter-spacing: .3pt;">son</span>t
<span style="letter-spacing: .3pt;"> </span><span style="letter-spacing: .35pt; mso-font-width: 112%;">génératrice</span>s <span style="letter-spacing: .3pt;">d</span>e<span style="letter-spacing: 1.55pt;"> </span><span style="letter-spacing: .3pt; mso-font-width: 114%;">s</span><span style="letter-spacing: .3pt; mso-font-width: 122%;">u</span><span style="letter-spacing: .3pt; mso-font-width: 116%;">r</span><span style="letter-spacing: .3pt; mso-font-width: 119%;">i</span><span style="letter-spacing: .3pt; mso-font-width: 122%;">n</span><span style="letter-spacing: .3pt;">fections</span>. Cette<span style="letter-spacing: 1.25pt;"> </span>chirurgie,<span style="letter-spacing: -.75pt;"> </span>symptomatique,<span style="letter-spacing: -.5pt;"> </span>est<span style="letter-spacing: .8pt;"> </span>un outil<span style="letter-spacing: .15pt;"> </span>supplémentaire<span style="letter-spacing: .35pt;"> </span>dans<span style="letter-spacing: .2pt;"> </span>la<span style="letter-spacing: 1.2pt;"> </span>stratégie <span style="letter-spacing: .25pt; mso-font-width: 116%;">thérapeutiqu</span>e<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: .2pt;">e</span>t<span style="letter-spacing: 2.2pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 113%;">amélior</span>e<span style="letter-spacing: 1.05pt;"> </span><span style="letter-spacing: .2pt;">l</span>a<span style="letter-spacing: 2.2pt;"> </span><span style="letter-spacing: .2pt; mso-font-width: 111%;">q</span><span style="letter-spacing: .2pt; mso-font-width: 122%;">u</span><span style="letter-spacing: .2pt; mso-font-width: 112%;">a</span><span style="letter-spacing: .2pt; mso-font-width: 119%;">lit</span>é de<span style="letter-spacing: 1.3pt;"> </span>vie,<span style="letter-spacing: 1.55pt;"> </span>mais <span style="letter-spacing: .05pt;"> </span>nécessite<span style="letter-spacing: -.15pt;"> </span>la<span style="letter-spacing: .8pt;"> </span>poursuite<span style="letter-spacing: -.35pt;"> </span>des <span style="letter-spacing: -.1pt; mso-font-width: 116%;">traitement</span>s<span style="letter-spacing: -1.1pt;"> </span><span style="letter-spacing: -.1pt;">habituel</span>s<span style="letter-spacing: -.9pt;">
</span><span style="letter-spacing: -.1pt;">(</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">c</span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">ti</span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.1pt; mso-font-width: 139%;">/</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">c</span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.1pt; mso-font-width: 114%;">m</span>pression)<span style="letter-spacing: -.3pt;"> </span>[11].</span></div>
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<span style="font-family: inherit; font-size: large;"><span style="color: #fabb00; position: relative; top: 3pt;">[<span style="letter-spacing: -1.65pt;"> </span></span><span style="color: #618b29; letter-spacing: -0.05pt;">C</span><span style="color: #618b29;">onclusion</span><o:p></o:p></span></div>
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<span style="font-family: inherit; font-size: large;"><span style="color: #1a171c; line-height: 110%;">La<span style="letter-spacing: 1.0pt;"> </span>prise<span style="letter-spacing: .25pt;"> </span>en<span style="letter-spacing: 1.95pt;">
</span>charge<span style="letter-spacing: .25pt;"> </span>des <span style="letter-spacing: .2pt;"> </span>lymphœdèmes <span style="letter-spacing: .1pt; mso-font-width: 115%;">primaire</span>s<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: .1pt;">e</span>t
<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 114%;">secondaires</span>,<span style="letter-spacing: 1.35pt;"> </span><span style="letter-spacing: .1pt;">quell</span>e<span style="letter-spacing: 1.4pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 111%;">q</span><span style="letter-spacing: .1pt; mso-font-width: 122%;">u</span>e <span style="letter-spacing: -.05pt;">soi</span>t<span style="letter-spacing: 2.1pt;"> </span><span style="letter-spacing: -.05pt;">leu</span>r <span style="letter-spacing: .3pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 115%;">localisation</span>,<span style="letter-spacing: -.15pt;"> </span><span style="letter-spacing: -.05pt;">doi</span>t
<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.05pt;">êtr</span>e<span style="letter-spacing: 2.05pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.05pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">éc</span><span style="letter-spacing: -.05pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">c</span>e <span style="letter-spacing: -.15pt; mso-font-width: 114%;">pou</span>r<span style="letter-spacing: -.55pt;"> </span><span style="letter-spacing: -.15pt;">évite</span>r<span style="letter-spacing: -1.15pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.15pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.15pt; mso-font-width: 111%;">vo</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">ti</span><span style="letter-spacing: -.15pt; mso-font-width: 111%;">o</span>n<span style="letter-spacing: -.95pt;"> </span><span style="letter-spacing: -.15pt;">ver</span>s<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: -.15pt;">le</span>s<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">e</span>s<span style="letter-spacing: -.95pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">e</span>s <span style="letter-spacing: -.1pt; mso-font-width: 120%;">plu</span>s<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.1pt;">grave</span>s
<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.1pt;">e</span>t<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 114%;">évite</span>r<span style="letter-spacing: -.2pt;"> </span><span style="letter-spacing: -.1pt;">le</span>s<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">c</span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.1pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">li</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">ca</span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">ti</span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.1pt; mso-font-width: 114%;">s</span>. <span style="letter-spacing: -.15pt;">Ell</span>e<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: -.15pt;">fai</span>t<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 117%;">essentiellemen</span>t<span style="letter-spacing: -1.1pt;"> </span><span style="letter-spacing: -.15pt;">appe</span>l<span style="letter-spacing: -.55pt;"> </span>à<span style="letter-spacing: .15pt;">
</span><span style="letter-spacing: -.15pt;">l</span>a<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">ph</span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">y</span><span style="letter-spacing: .05pt; mso-font-width: 113%;">siothérapi</span>e<span style="letter-spacing: 1.85pt;"> </span><span style="letter-spacing: .05pt;">décongestiv</span>e<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: .05pt;">réalisé</span>e<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 122%;">p</span><span style="letter-spacing: .05pt; mso-font-width: 112%;">a</span>r <span style="letter-spacing: -.15pt;">u</span>n<span style="letter-spacing: 1.3pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">kinésithérapeut</span>e<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.15pt;">spécialis</span>é<span style="letter-spacing: -.75pt;"> </span><span style="letter-spacing: -.15pt;">selo</span>n<span style="letter-spacing: -.85pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">u</span>n <span style="letter-spacing: -.15pt; mso-font-width: 115%;">protocol</span>e<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: -.15pt;">préci</span>s<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: -.15pt;">e</span>t<span style="letter-spacing: .9pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 117%;">adapt</span>é<span style="letter-spacing: -.4pt;"> </span>à<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">chaqu</span>e<span style="letter-spacing: -.2pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">ca</span>s <span style="letter-spacing: -.15pt;">[12]</span>.<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.15pt;">L</span>e<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.2pt; mso-font-width: 118%;">patien</span>t<span style="letter-spacing: -1.2pt;"> </span><span style="letter-spacing: -.15pt;">es</span>t<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: -.15pt;">a</span>u<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">centr</span>e<span style="letter-spacing: -1.05pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.15pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.15pt; mso-font-width: 122%;">u</span>n<span style="letter-spacing: -.9pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">é</span><span style="letter-spacing: -.15pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">ea</span>u <span style="letter-spacing: -.1pt;">d</span><span style="letter-spacing: -.1pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.1pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">v</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">t</span>s<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.1pt;">qu</span>i<span style="letter-spacing: 2.0pt;"> </span><span style="letter-spacing: -.1pt;">l</span>e<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 116%;">guident</span>,<span style="letter-spacing: -.25pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.1pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">acc</span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">o</span>m<span style="letter-spacing: -.05pt; mso-font-width: 116%;">pagnen</span>t<span style="letter-spacing: -.35pt;"> </span><span style="letter-spacing: -.05pt;">pou</span>r<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt;">l</span>e<span style="letter-spacing: 1.05pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 118%;">rendr</span>e<span style="letter-spacing: -.5pt;"> </span><span style="letter-spacing: -.05pt;">plu</span>s<span style="letter-spacing: -.05pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.05pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.05pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.05pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.05pt; mso-font-width: 114%;">m</span>e <span style="letter-spacing: -.15pt;">e</span>t<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 115%;">ains</span>i<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.15pt;">améliore</span>r<span style="letter-spacing: -1.0pt;"> </span><span style="letter-spacing: -.15pt;">s</span>a<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 116%;">qualit</span>é<span style="letter-spacing: -.75pt;"> </span><span style="letter-spacing: -.15pt;">d</span>e<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: -.15pt; mso-font-width: 111%;">v</span><span style="letter-spacing: -.15pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.15pt; mso-font-width: 112%;">e</span>.</span></span></div>
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<span style="font-family: inherit; font-size: large;"><b><u><span style="color: #1a171c; line-height: 77%;">M.<span style="letter-spacing: 0.4pt;"> </span>Chardon-Bras</span></u></b><b><span style="color: #1a171c; line-height: 77%; position: relative; top: -2.5pt;">1</span></b><b><span style="color: #1a171c; line-height: 77%;">, </span></b><b><span style="color: #1a171c; line-height: 77%;">M.<span style="letter-spacing: .4pt;"> </span>Coupe</span></b><b><span style="color: #1a171c; line-height: 77%; position: relative; top: -2.5pt;">2</span></b><span style="line-height: 77%;"><o:p></o:p></span></span></div>
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<span style="font-family: inherit; font-size: large;"><span style="color: #1a171c; line-height: 104%;">1<span style="letter-spacing: .3pt;"> </span></span><span style="color: #1a171c; line-height: 104%;">Kinésithé<span style="letter-spacing: -.1pt;">r</span>ape<span style="letter-spacing: -.05pt;">u</span>te,<span style="letter-spacing: -.45pt;"> </span></span><span style="color: #1a171c; line-height: 104%;">Cadre<span style="letter-spacing: .95pt;"> </span>de<span style="letter-spacing: .65pt;"> </span>Sa<span style="letter-spacing: -.05pt;">n</span>té, MONTPELL<span style="letter-spacing: .15pt;">I</span>ER.</span><span style="line-height: 104%;"><o:p></o:p></span></span></div>
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<span style="color: #1a171c; line-height: 104%;"><span style="font-family: inherit; font-size: large;">2<span style="letter-spacing: -0.35pt;"> </span>Méde<span style="letter-spacing: 0.1pt;">c</span>in<span style="letter-spacing: 0.1pt;"> </span><span style="letter-spacing: -0.55pt;">V</span>asculaire,<span style="letter-spacing: -0.85pt;"> </span>CH<span style="letter-spacing: -0.1pt;">U</span>, MONTPELL<span style="letter-spacing: 0.15pt;">I</span>ER.</span></span><span style="font-family: "times new roman" , serif; line-height: 104%;"><o:p></o:p></span></div>
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<span style="font-size: large;"><span style="color: #87888a; font-family: "times new roman" , serif;">Bibl<span style="letter-spacing: -0.1pt;">i</span></span><span style="color: #87888a; font-family: "times new roman" , serif;">og<span style="letter-spacing: -.15pt;">r</span></span><span style="color: #87888a; font-family: "times new roman" , serif; letter-spacing: -0.15pt;">a</span><span style="color: #87888a; font-family: "times new roman" , serif;">phie</span></span></div>
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<span style="font-size: large;"><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">1.<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.05pt;">C</span></span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">ou</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">p</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">e</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;"> <span style="letter-spacing: -.35pt;"> </span></span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">M.<span style="letter-spacing: .85pt;"> </span>Les<span style="letter-spacing: 1.05pt;"> </span>lymphœdèmes<span style="letter-spacing: .35pt;"> </span>des membres <span style="letter-spacing: -.1pt; mso-font-width: 115%;">inférieurs</span>.<span style="letter-spacing: -.45pt;"> </span><i><span style="letter-spacing: -.1pt;">LMV</span></i>,<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: -.1pt;">201</span>1<span style="letter-spacing: .5pt;"> </span>;<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.1pt;">1</span>4<span style="letter-spacing: .4pt;"> </span>:<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">26</span><span style="letter-spacing: -.1pt;">-35</span>.</span><span style="font-family: "times new roman" , serif; line-height: 104%;"><o:p></o:p></span></span></div>
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<span style="font-size: large;"><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: 0.05pt; line-height: 104%;">2</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">.<span style="letter-spacing: -.25pt;"> </span><span style="letter-spacing: .05pt;">V</span></span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: 0.05pt; line-height: 104%;">i</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: 0.05pt; line-height: 104%;">g</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: 0.05pt; line-height: 104%;">n</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: 0.05pt; line-height: 104%;">e</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">s</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;"> <span style="letter-spacing: .15pt;"> </span></span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: 0.05pt; line-height: 104%;">S</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">.<span style="letter-spacing: 1.35pt;"> </span><span style="letter-spacing: -.55pt; mso-font-width: 114%;">L</span><span style="letter-spacing: .05pt; mso-font-width: 114%;">ymphœdème</span>s<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: .05pt;">secondaire</span>s<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 122%;">d</span><span style="letter-spacing: .05pt; mso-font-width: 112%;">e</span>s <span style="letter-spacing: -.1pt; mso-font-width: 113%;">membres</span>.<span style="letter-spacing: -.3pt;"> </span><i><span style="letter-spacing: -.1pt;">Press</span>e<span style="letter-spacing: 1.4pt;"> </span><span style="letter-spacing: -.1pt;">Med</span>,<span style="letter-spacing: 1.6pt;"> </span></i><span style="letter-spacing: -.1pt;">2010</span>,<span style="letter-spacing: 1.65pt;"> </span><span style="letter-spacing: -.1pt;">do</span>i<span style="letter-spacing: .5pt;"> </span>:<span style="letter-spacing: -.2pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">10.1016</span><span style="letter-spacing: -.1pt; mso-font-width: 139%;">/</span><span style="letter-spacing: -.1pt;">j</span>. <span style="letter-spacing: -.1pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">p</span><span style="letter-spacing: -.1pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">.06.02</span>3</span><span style="font-family: "times new roman" , serif; line-height: 104%;"><o:p></o:p></span></span></div>
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<span style="font-size: large;"><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt;">3</span><span style="color: #1a171c; font-family: "times new roman" , serif;">.<span style="letter-spacing: -.45pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">Classificatio</span>n<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.05pt;">de</span>s<span style="letter-spacing: 1.75pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 116%;">lymphœdème</span>s<span style="letter-spacing: -.2pt;"> </span><span style="letter-spacing: -.05pt;">pa</span>r<span style="letter-spacing: 1.7pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.05pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.05pt;">ISL</span>.</span><span style="font-family: "times new roman" , serif;"><o:p></o:p></span></span></div>
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<span style="font-size: large;"><i><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.75pt;">L</span></i><i><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt;">ymphology</span></i><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif;">,<span style="letter-spacing: -.65pt;"> </span></span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt;">200</span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif;">1<span style="letter-spacing: .5pt;"> </span>;<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.1pt;">3</span>4<span style="letter-spacing: -.3pt;"> </span>:<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">84</span>.</span><span lang="EN-US" style="font-family: "times new roman" , serif;"><o:p></o:p></span></span></div>
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<span style="font-size: large;"><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt; line-height: 104%;">4</span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">.<span style="letter-spacing: -.5pt;"> </span><span style="letter-spacing: -.1pt;">B</span></span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt; line-height: 104%;">a</span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt; line-height: 104%;">dg</span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt; line-height: 104%;">e</span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">r</span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;"> <span style="letter-spacing: -.6pt;"> </span></span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt; line-height: 104%;">C</span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">,<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">p</span></span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt; line-height: 104%;">r</span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt; line-height: 104%;">e</span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt; line-height: 104%;">s</span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt; line-height: 104%;">t</span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt; line-height: 104%;">o</span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">n</span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;"> <span style="letter-spacing: -.6pt;"> </span></span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt; line-height: 104%;">n</span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">,</span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: 0.05pt; line-height: 104%;"> </span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt; line-height: 104%;">s</span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt; line-height: 104%;">ee</span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt; line-height: 104%;">r</span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">s</span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;"> <span style="letter-spacing: -.6pt;"> </span></span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">K<span style="letter-spacing: .05pt;"> </span><i><span style="letter-spacing: -.1pt;">e</span>t<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: -.1pt;">al</span>.<span style="letter-spacing: .9pt;"> </span></i><span style="letter-spacing: -.1pt; mso-font-width: 109%;">P</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">h</span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">y</span><span style="letter-spacing: -.1pt; mso-font-width: 114%;">s</span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">ca</span>l <span style="letter-spacing: -.1pt; mso-font-width: 116%;">therapie</span>s<span style="letter-spacing: -.05pt;"> </span><span style="letter-spacing: -.1pt;">fo</span>r<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 115%;">reducin</span>g<span style="letter-spacing: -.05pt;"> </span><span style="letter-spacing: -.1pt;">an</span>d
<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 115%;">controllin</span>g<span style="letter-spacing: -.2pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">y</span><span style="letter-spacing: -.1pt; mso-font-width: 114%;">m</span></span></span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; font-size: large; letter-spacing: -0.1pt; position: relative; top: -0.5pt;">phoedem</span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; font-size: large; position: relative; top: -0.5pt;">a<span style="letter-spacing: -.45pt;"> </span></span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; font-size: large; letter-spacing: -0.1pt; position: relative; top: -0.5pt;">o</span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; font-size: large; position: relative; top: -0.5pt;">f<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.1pt;">th</span>e<span style="letter-spacing: 1.35pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">limbs</span>. <i><span style="letter-spacing: -.1pt;">Cochran</span>e<span style="letter-spacing: -.65pt;">
</span><span style="letter-spacing: -.1pt;">D</span></i><i><span style="letter-spacing: -.1pt; mso-font-width: 111%;">a</span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">aba</span><span style="letter-spacing: -.1pt; mso-font-width: 114%;">s</span>e</i></span></div>
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<span style="font-size: large;"><i><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt;">Sys</span></i><i><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif;">t<span style="letter-spacing: 1.75pt;"> </span><span style="letter-spacing: -.1pt;">Re</span><span style="letter-spacing: -.65pt;">v</span>,<span style="letter-spacing: 1.15pt;"> </span></span></i><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt;">200</span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif;">4<span style="letter-spacing: .5pt;"> </span>;<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.1pt;">1</span>8<span style="letter-spacing: -.3pt;"> </span>;<span style="letter-spacing: -.4pt;"> </span>4<span style="letter-spacing: -.75pt;"> </span>:<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.1pt;">CD003141</span>.</span><span lang="EN-US" style="font-family: "times new roman" , serif;"><o:p></o:p></span></span></div>
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<span style="font-size: large;"><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt; line-height: 104%;">5</span><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">.<span style="letter-spacing: -.5pt;"> </span><span style="letter-spacing: -.75pt; mso-font-width: 113%;">L</span><span style="letter-spacing: -.1pt; mso-font-width: 113%;">ymphedem</span>a<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.1pt;">Framework</span>.<span style="letter-spacing: -.2pt;">
</span><span style="letter-spacing: -.1pt;">Bes</span>t<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 115%;">practic</span>e<span style="letter-spacing: -.05pt;"> </span><span style="letter-spacing: -.1pt;">f</span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">o</span>r <span style="letter-spacing: -.1pt;">th</span>e<span style="letter-spacing: 1.6pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 114%;">managemen</span>t<span style="letter-spacing: -.2pt;"> </span><span style="letter-spacing: -.1pt;">o</span>f<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 115%;">lymphoedema</span>.<span style="letter-spacing: -.05pt;"> </span><span style="letter-spacing: -.1pt;">I</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">t</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.1pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">n</span>a- <span style="letter-spacing: -.1pt; mso-font-width: 116%;">tiona</span>l<span style="letter-spacing: -.55pt;"> </span><span style="letter-spacing: -.1pt;">consensus</span>.<span style="letter-spacing: -.6pt;"> </span><span style="letter-spacing: -.1pt;">L</span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">nd</span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">o</span>n<span style="letter-spacing: -1.15pt;"> </span>:<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.1pt;">ME</span>P<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: -.1pt;">Lt</span>d<span style="letter-spacing: .05pt;"> </span>;<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">2006</span>.</span><span lang="EN-US" style="font-family: "times new roman" , serif; line-height: 104%;"><o:p></o:p></span></span></div>
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<span style="font-size: large;"><span lang="EN-US" style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">6.<span style="letter-spacing: -.4pt;"> </span>The <span style="letter-spacing: .05pt;"> </span>diagnosis<span style="letter-spacing: .15pt;"> </span>and
<span style="letter-spacing: .45pt;"> </span>treatment<span style="letter-spacing: .2pt;"> </span>of<span style="letter-spacing: .7pt;"> </span>peripheral <span style="letter-spacing: .05pt; mso-font-width: 115%;">lymphedema</span>.<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: .05pt;">200</span>9
<span style="letter-spacing: .05pt; mso-font-width: 113%;">Consensu</span>s<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 122%;">d</span><span style="letter-spacing: .05pt; mso-font-width: 111%;">o</span><span style="letter-spacing: .05pt; mso-font-width: 112%;">c</span><span style="letter-spacing: .05pt; mso-font-width: 122%;">u</span><span style="letter-spacing: .05pt; mso-font-width: 114%;">m</span><span style="letter-spacing: .05pt; mso-font-width: 112%;">e</span><span style="letter-spacing: .05pt; mso-font-width: 122%;">n</span>t <span style="letter-spacing: -.1pt;">o</span>f<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.1pt;">th</span>e<span style="letter-spacing: 1.55pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 114%;">Internationa</span>l<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: -.1pt;">Societ</span>y<span style="letter-spacing: -.6pt;"> </span><span style="letter-spacing: -.1pt;">o</span>f<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.65pt;">L</span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">y</span><span style="letter-spacing: -.1pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">ph</span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">o</span><span style="letter-spacing: -.1pt;">g</span><span style="letter-spacing: -.65pt; mso-font-width: 111%;">y</span>. </span><i><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.75pt; line-height: 104%;">L</span></i><i><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt; line-height: 104%;">ymphology</span></i><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">,<span style="letter-spacing: -.65pt;"> </span></span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt; line-height: 104%;">200</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">9<span style="letter-spacing: .5pt;"> </span>;<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.1pt;">4</span>2<span style="letter-spacing: -.3pt;"> </span>:<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">51</span><span style="letter-spacing: -.1pt;">-60</span>.</span><span style="font-family: "times new roman" , serif; line-height: 104%;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="line-height: 104%; margin: 0cm 3.25pt 0.0001pt 11.65pt; text-align: left; text-indent: -7.1pt;">
<span style="font-size: large;"><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">7</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">.<span style="letter-spacing: -.5pt;"> </span><span style="letter-spacing: -.1pt;">C</span></span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">h</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">a</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">r</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">d</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">o</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt; line-height: 104%;">n</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">-</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt; line-height: 104%;">B</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">r</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">a</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">s</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;"> <span style="letter-spacing: -.55pt;"> </span></span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">M</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">,<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: -.1pt;">C</span></span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">ou</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">p</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">e</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;"> <span style="letter-spacing: -.55pt;"> </span></span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">M</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">,<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 157%;">s</span></span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">ou</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">l</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">i</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">e</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt; line-height: 104%;">r</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt; line-height: 104%;">-s</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">o</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">tt</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">o</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;"> <span style="letter-spacing: -.55pt;"> </span></span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">V <i><span style="letter-spacing: -.1pt;">e</span>t<span style="letter-spacing: .3pt;"> </span><span style="letter-spacing: -.1pt;">al</span></i>.<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: -.1pt;">Pris</span>e<span style="letter-spacing: 1.5pt;"> </span><span style="letter-spacing: -.1pt;">e</span>n<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">charg</span>e<span style="letter-spacing: -.65pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.1pt; mso-font-width: 83%;">’</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">u</span>n<span style="letter-spacing: -.5pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 116%;">lymphœdème</span>,<span style="letter-spacing: -.75pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">d</span>u <span style="letter-spacing: -.1pt;">bra</span>s<span style="letter-spacing: 1.2pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 115%;">aprè</span>s<span style="letter-spacing: -.55pt;"> </span><span style="letter-spacing: -.1pt;">néoplasi</span>e<span style="letter-spacing: -.35pt;"> </span><span style="letter-spacing: -.1pt;">traité</span>e<span style="letter-spacing: -.6pt;"> </span><span style="letter-spacing: -.1pt;">e</span>t<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">pp</span><span style="letter-spacing: -.1pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">n</span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">ti</span><span style="letter-spacing: -.1pt; mso-font-width: 114%;">ss</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.1pt;">g</span>e <span style="letter-spacing: -.1pt;">de</span>s<span style="letter-spacing: 1.35pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 114%;">autobandages</span>.<span style="letter-spacing: -.45pt;"> </span><i><span style="letter-spacing: -.1pt;">I</span>n<span style="letter-spacing: .5pt;"> </span>: </i><span style="letter-spacing: -.1pt; mso-font-width: 111%;">Cance</span>r<span style="letter-spacing: -.35pt;"> </span><span style="letter-spacing: -.1pt;">d</span>u<span style="letter-spacing: 1.35pt;"> </span><span style="letter-spacing: -.1pt;">sei</span>n<span style="letter-spacing: 1.75pt;"> </span><span style="letter-spacing: -.8pt; mso-font-width: 109%;">T</span><span style="letter-spacing: -.1pt; mso-font-width: 116%;">r</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">a</span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">it</span>é <span style="letter-spacing: -.05pt;">e</span>t<span style="letter-spacing: 1.0pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 115%;">médecin</span>e<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt;">d</span>e<span style="letter-spacing: 1.4pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 113%;">rééducation</span>.<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: -.05pt;">Elsevie</span>r<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 106%;">M</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">a</span><span style="letter-spacing: .1pt; mso-font-width: 114%;">s</span>- <span style="letter-spacing: -.1pt;">son</span>,<span style="letter-spacing: 1.45pt;"> </span><span style="letter-spacing: -.1pt;">200</span>7<span style="letter-spacing: .5pt;"> </span>;<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.1pt;">5</span>2<span style="letter-spacing: -.3pt;"> </span>:<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">91</span><span style="letter-spacing: -.1pt;">-102</span>.</span><span style="font-family: "times new roman" , serif; line-height: 104%;"><o:p></o:p></span></span></div>
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<span style="font-size: large;"><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: 0.1pt; line-height: 104%;">8</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">.<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: .1pt;">C</span></span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: 0.1pt; line-height: 104%;">h</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: 0.1pt; line-height: 104%;">a</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: 0.1pt; line-height: 104%;">r</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: 0.1pt; line-height: 104%;">d</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: 0.1pt; line-height: 104%;">on</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: 0.1pt; line-height: 104%;">-B</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: 0.1pt; line-height: 104%;">r</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: 0.1pt; line-height: 104%;">a</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">s</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;"> <span style="letter-spacing: -.45pt;"> </span></span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: 0.1pt; line-height: 104%;">M</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">,
<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: .1pt;">C</span></span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: 0.1pt; line-height: 104%;">ou</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: 0.1pt; line-height: 104%;">p</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">e</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;"> <span style="letter-spacing: -.45pt;"> </span></span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: 0.1pt; line-height: 104%;">M</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">. <span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: .1pt;">L</span>a<span style="letter-spacing: 1.85pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 112%;">c</span><span style="letter-spacing: .1pt; mso-font-width: 111%;">o</span><span style="letter-spacing: .1pt; mso-font-width: 114%;">m</span><span style="letter-spacing: .1pt; mso-font-width: 122%;">p</span><span style="letter-spacing: .1pt; mso-font-width: 116%;">r</span><span style="letter-spacing: .1pt; mso-font-width: 112%;">e</span><span style="letter-spacing: .1pt; mso-font-width: 114%;">s</span>- <span style="letter-spacing: .15pt;">sio</span>n <span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 117%;">dan</span>s <span style="letter-spacing: .15pt;">l</span>e<span style="letter-spacing: 1.05pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 115%;">lymphœdèmes</span>.<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: .15pt; mso-font-width: 107%;">N</span><span style="letter-spacing: .15pt; mso-font-width: 111%;">o</span><span style="letter-spacing: .15pt; mso-font-width: 122%;">u</span><span style="letter-spacing: .15pt; mso-font-width: 111%;">v</span><span style="letter-spacing: .15pt; mso-font-width: 112%;">e</span><span style="letter-spacing: .15pt; mso-font-width: 119%;">ll</span><span style="letter-spacing: .15pt; mso-font-width: 112%;">e</span>s <span style="letter-spacing: .15pt; mso-font-width: 113%;">approches</span>. <span style="letter-spacing: .3pt;"> </span><i><span style="letter-spacing: .15pt;">Kinésithérapi</span>e<span style="letter-spacing: 1.45pt;"> </span></i><i><span style="letter-spacing: .15pt; mso-font-width: 122%;">S</span><span style="letter-spacing: .15pt; mso-font-width: 112%;">c</span><span style="letter-spacing: .15pt; mso-font-width: 113%;">i</span><span style="letter-spacing: .15pt; mso-font-width: 112%;">e</span><span style="letter-spacing: .15pt; mso-font-width: 122%;">n</span><span style="letter-spacing: .15pt; mso-font-width: 119%;">t</span><span style="letter-spacing: .15pt; mso-font-width: 113%;">i</span><span style="letter-spacing: .15pt; mso-font-width: 119%;">f</span><span style="letter-spacing: .15pt; mso-font-width: 113%;">i</span><span style="letter-spacing: .15pt; mso-font-width: 111%;">q</span><span style="letter-spacing: .15pt; mso-font-width: 122%;">u</span><span style="letter-spacing: .15pt; mso-font-width: 112%;">e</span>,</i></span><span style="font-family: "times new roman" , serif; line-height: 104%;"><o:p></o:p></span></span></div>
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<span style="font-size: large;"><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt;">200</span><span style="color: #1a171c; font-family: "times new roman" , serif;">9<span style="letter-spacing: .5pt;"> </span>;<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.1pt;">50</span>4<span style="letter-spacing: .1pt;"> </span>:<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">47</span><span style="letter-spacing: -.1pt;">-50</span>.</span><span style="font-family: "times new roman" , serif;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="line-height: 104%; margin: 0.35pt 3.25pt 0.0001pt 11.65pt; text-align: left; text-indent: -7.1pt;">
<span style="font-size: large;"><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt; line-height: 104%;">9</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">.<span style="letter-spacing: -.55pt;"> </span><span style="letter-spacing: -.8pt;">A</span><span style="letter-spacing: -.1pt;">VM</span>L<span style="letter-spacing: -.35pt;"> </span>:<span style="letter-spacing: -.65pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 114%;">Associatio</span>n<span style="letter-spacing: -.9pt;"> </span><span style="letter-spacing: -.1pt;">d</span>e<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 117%;">patient</span>s<span style="letter-spacing: -.75pt;"> </span><span style="letter-spacing: -.5pt;">V</span><span style="letter-spacing: -.1pt;">ivr</span>e<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.1pt; mso-font-width: 119%;">i</span><span style="letter-spacing: -.1pt; mso-font-width: 112%;">e</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">u</span>x le<span style="letter-spacing: 1.15pt;"> </span>lymphœdème<span style="letter-spacing: .05pt;"> </span>(loi<span style="letter-spacing: 1.55pt;"> </span>1901). <span style="letter-spacing: .35pt;"> </span>Siège<span style="letter-spacing: .65pt;">
</span>:<span style="letter-spacing: .4pt;"> </span>Service <span style="letter-spacing: -.1pt;">d</span>e<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 114%;">Médecin</span>e<span style="letter-spacing: -.2pt;"> </span><span style="letter-spacing: -.1pt;">Intern</span>e<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.1pt;">e</span>t<span style="letter-spacing: .85pt;"> </span><span style="letter-spacing: -.1pt;">d</span>e<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">Maladie</span>s<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.7pt;">V</span><span style="letter-spacing: -.1pt;">asc</span><span style="letter-spacing: .05pt;">u</span>- <span style="letter-spacing: -.1pt; mso-font-width: 113%;">laires</span>,<span style="letter-spacing: -.15pt;"> </span><span style="letter-spacing: -.1pt;">Hôpita</span>l<span style="letter-spacing: -.15pt;"> </span><span style="letter-spacing: -.1pt;">Saint-Eloi</span>,<span style="letter-spacing: -.75pt;"> </span><span style="letter-spacing: -.1pt;">Montpellie</span><span style="letter-spacing: -.55pt;">r</span>.<span style="letter-spacing: .3pt;"> </span><span style="letter-spacing: -.1pt;">Tél</span>.<span style="letter-spacing: .3pt;"> </span>:</span><span style="font-family: "times new roman" , serif; line-height: 104%;"><o:p></o:p></span></span></div>
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<span style="font-size: large;"><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt;">0</span><span style="color: #1a171c; font-family: "times new roman" , serif;">6<span style="letter-spacing: -.3pt;"> </span><span style="letter-spacing: -.1pt;">7</span>1<span style="letter-spacing: -.3pt;"> </span><span style="letter-spacing: -.1pt;">7</span>4<span style="letter-spacing: -.3pt;"> </span><span style="letter-spacing: -.1pt;">5</span>7<span style="letter-spacing: -.3pt;"> </span><span style="letter-spacing: -.1pt;">54</span>.<span style="letter-spacing: .65pt;"> </span><span style="letter-spacing: -.1pt;">Emai</span>l<span style="letter-spacing: .85pt;"> </span>:<span style="letter-spacing: -.4pt;"> </span></span><span lang="EN-US"><a href="mailto:avml@free.fr"><span lang="FR" style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt;">a</span><span lang="FR" style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt;">v</span><span lang="FR" style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt;">m</span><span lang="FR" style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt;">l</span><span lang="FR" style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt;">@</span><span lang="FR" style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt;">free.f</span><span lang="FR" style="color: #1a171c; font-family: "times new roman" , serif; text-decoration-line: none;">r</span></a></span><span style="font-family: "times new roman" , serif;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="line-height: 104%; margin: 0.35pt 3.25pt 0.0001pt 11.65pt; text-align: left; text-indent: -11.6pt;">
<span style="font-size: large;"><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: 0.05pt; line-height: 104%;">10</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">.<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: .05pt;">Pris</span>e
<span style="letter-spacing: .55pt;"> </span><span style="letter-spacing: .05pt;">e</span>n<span style="letter-spacing: 1.65pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 111%;">charg</span>e<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: .05pt;">de</span>s <span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: .05pt; mso-font-width: 114%;">érysipèle</span>s<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: .05pt;">e</span>t<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: .05pt;">fasciite</span>s <span style="letter-spacing: -.1pt; mso-font-width: 112%;">nécrosantes</span>.<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.1pt;">Conférenc</span>e<span style="letter-spacing: -.65pt;">
</span><span style="letter-spacing: -.1pt;">d</span>e<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 116%;">consensus</span>.<span style="letter-spacing: -.65pt;"> </span><i><span style="letter-spacing: -.1pt; mso-font-width: 124%;">A</span><span style="letter-spacing: -.1pt; mso-font-width: 122%;">n</span>n <span style="letter-spacing: -.1pt; mso-font-width: 112%;">Dermato</span>l<span style="letter-spacing: -.85pt;"> </span><span style="letter-spacing: -.75pt;">V</span><span style="letter-spacing: -.1pt;">enereol</span>,<span style="letter-spacing: -.2pt;">
</span></i><span style="letter-spacing: -.1pt;">200</span>0<span style="letter-spacing: .5pt;"> </span>;<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.1pt;">12</span>7<span style="letter-spacing: .1pt;"> </span>:<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.1pt; mso-font-width: 111%;">336</span><span style="letter-spacing: -.1pt;">-407</span>.</span><span style="font-family: "times new roman" , serif; line-height: 104%;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="line-height: 104%; margin: 0cm 3.2pt 0.0001pt 11.65pt; text-align: left; text-indent: -11.65pt;">
<span style="font-size: large;"><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">11</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">.<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.05pt;">V</span></span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">i</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">g</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">n</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">e</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">s</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: 0.5pt; line-height: 104%;"> </span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">s</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">,</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt; line-height: 104%;"> </span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">B</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">ou</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">r</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">s</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">i</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">e</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">r</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: 0.5pt; line-height: 104%;"> </span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.9pt; line-height: 104%;">V</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">,<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 239%;">t</span></span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">r</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">e</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">V</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">i</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">d</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.05pt; line-height: 104%;">i</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">C</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: 0.5pt; line-height: 104%;"> </span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -1pt; line-height: 104%;">p</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">.<span style="letter-spacing: .95pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 114%;">Intérê</span>t<span style="letter-spacing: -.25pt;"> </span><span style="letter-spacing: -.05pt;">d</span>e<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 119%;">l</span>a <span style="letter-spacing: -.05pt; mso-font-width: 115%;">résectio</span>n<span style="letter-spacing: -.3pt;"> </span><span style="letter-spacing: -.05pt;">cutané</span>e<span style="letter-spacing: -.1pt;">
</span><span style="letter-spacing: -.05pt;">aprè</span>s<span style="letter-spacing: -.25pt;"> </span><span style="letter-spacing: -.05pt;">réductio</span>n<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 111%;">vo</span><span style="letter-spacing: -.05pt; mso-font-width: 119%;">l</span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">u</span><span style="letter-spacing: -.05pt; mso-font-width: 114%;">m</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">é</span>- <span style="letter-spacing: -.05pt; mso-font-width: 116%;">triqu</span>e<span style="letter-spacing: -.4pt;"> </span><span style="letter-spacing: -.05pt;">pa</span>r<span style="letter-spacing: 1.45pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 114%;">physiothérapi</span>e<span style="letter-spacing: .8pt;"> </span><span style="letter-spacing: -.05pt;">décongestiv</span>e<span style="letter-spacing: -.55pt;"> </span><span style="letter-spacing: -.05pt; mso-font-width: 122%;">d</span><span style="letter-spacing: -.05pt; mso-font-width: 112%;">e</span>s <span style="letter-spacing: .1pt; mso-font-width: 115%;">lymphœdème</span>s<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: .1pt;">primitif</span>s
<span style="letter-spacing: .1pt;">volumineu</span>x<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: .1pt; mso-font-width: 122%;">d</span><span style="letter-spacing: .1pt; mso-font-width: 112%;">e</span>s membres<span style="letter-spacing: -.25pt;"> </span>inférieurs.<span style="letter-spacing: .3pt;"> </span><i>J<span style="letter-spacing: .65pt;"> </span>Mal<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: -.65pt; mso-font-width: 114%;">V</span>asc,<span style="letter-spacing: -.05pt;"> </span></i>2005<span style="letter-spacing: .75pt;"> </span>;<span style="letter-spacing: .2pt;"> </span>30<span style="letter-spacing: -.05pt;"> </span>:</span><span style="font-family: "times new roman" , serif; line-height: 104%;"><o:p></o:p></span></span></div>
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<span style="font-size: large;"><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt;">181</span><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt;">-185</span><span style="color: #1a171c; font-family: "times new roman" , serif;">.</span></span></div>
<div class="MsoNormal" style="line-height: 104%; margin: 0.35pt 3.25pt 0.0001pt 11.65pt; text-align: left; text-indent: -11.6pt;">
<span style="font-size: large;"><span style="color: #1a171c; font-family: "times new roman" , serif; letter-spacing: -0.1pt; line-height: 104%;">12</span><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;">.<span style="letter-spacing: -0.1pt;"> L</span>a<span style="letter-spacing: -0.1pt;"> compressio</span>n<span style="letter-spacing: -1pt;"> </span><span style="letter-spacing: -0.1pt;">médical</span>e<span style="letter-spacing: -1pt;"> </span><span style="letter-spacing: -0.1pt;">dan</span>s<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: -0.1pt;">l</span>e<span style="letter-spacing: 0.3pt;"> </span><span style="letter-spacing: -0.1pt;">t</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: -0.1pt;">it</span><span style="letter-spacing: -0.1pt;">e</span><span style="letter-spacing: -0.1pt;">m</span><span style="letter-spacing: -0.1pt;">e</span><span style="letter-spacing: -0.1pt;">n</span>t <span style="letter-spacing: -0.1pt;">d</span>u<span style="letter-spacing: 1.25pt;"> </span><span style="letter-spacing: -0.1pt;">lymphœdème</span>.<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: -0.1pt;">HA</span>S<span style="letter-spacing: 0.75pt;"> </span><span style="letter-spacing: -0.1pt;">décembr</span>e<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: -0.1pt;">2010</span>.</span></span><span style="font-family: "times new roman" , "serif"; font-size: 7.5pt; line-height: 104%;"><o:p></o:p></span></div>
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<span style="font-size: large;"><span style="color: #1a171c; font-family: "times new roman" , serif; line-height: 104%;"><br /></span></span></div>
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<span style="color: #1a171c; font-family: "times new roman" , serif; font-size: large;"><b>L'article complet avec les figures</b></span></div>
<div class="MsoNormal" style="line-height: 104%; margin: 0.35pt 3.25pt 0.0001pt 11.65pt; text-align: left; text-indent: -11.6pt;">
<span style="font-size: large;">Réalités en gynécologie-obstétrique # 161_Mars/Avril 2012</span><br />
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<span style="color: #1a171c; font-family: "times new roman" , serif; font-size: large;"><a href="http://www.realites-cardiologiques.com/wp-content/uploads/sites/2/2012/05/RGO161_chardon-Bras.pdf">http://www.realites-cardiologiques.com/wp-content/uploads/sites/2/2012/05/RGO161_chardon-Bras.pdf</a></span></div>
Seraphimhttp://www.blogger.com/profile/09830433552680718249noreply@blogger.com1tag:blogger.com,1999:blog-7803504750995977657.post-63067450431640086652017-06-25T08:25:00.002-07:002017-06-25T08:25:29.857-07:00Dispositifs thérapeutiques : pressothérapie, électrothérapie, ultrasons<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjMqe-Fy8V77xt87AiHHFr2wF5XUEJRR9RBgiWuNo2J_eXMcvOi-8SuJs764SbpvWxqa9-YxLdEmjjtuU_M8U1vCssqLnO7QzSm69dQh3c-AP_iX2FjgBXoc_c4mHPmOW5HEBuiod_3WUs/s1600/banner-terapia-professionale.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="440" data-original-width="800" height="220" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjMqe-Fy8V77xt87AiHHFr2wF5XUEJRR9RBgiWuNo2J_eXMcvOi-8SuJs764SbpvWxqa9-YxLdEmjjtuU_M8U1vCssqLnO7QzSm69dQh3c-AP_iX2FjgBXoc_c4mHPmOW5HEBuiod_3WUs/s400/banner-terapia-professionale.png" width="400" /></a></div>
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<div style="background-color: #f7fcff; box-sizing: border-box; color: #91979f; margin-bottom: 15px; text-align: left;">
<strong style="box-sizing: border-box;"><span style="font-family: inherit; font-size: large;">TRAITEMENTS</span></strong></div>
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<span style="font-family: inherit; font-size: large;">En ce qui concerne le traitement du lymphœdème il y a beaucoup de possibilités thérapeutiques: le lymphodrainage manuel, la pressothérapie, la physiothérapie respiratoire, l’hydrokinésithérapie, la diète, la thérapie pharmacologique, la thérapie physique (électrostimulation etc.), la microchirurgie dérivative.</span></div>
<div style="background-color: #f7fcff; box-sizing: border-box; color: #91979f; margin-bottom: 15px; text-align: left;">
<span style="font-family: inherit; font-size: large;">Ci-après nous analyserons les thérapies qui concernent nos dispositifs.</span></div>
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<strong style="box-sizing: border-box;"><span style="font-family: inherit; font-size: large;">PRESSOTHÉRAPIE PNEUMATIQUE</span></strong></div>
<div style="background-color: #f7fcff; box-sizing: border-box; color: #91979f; margin-bottom: 15px; text-align: left;">
<span style="font-family: inherit; font-size: large;">La pressothérapie pneumatique est caractérisée par la compression mécanique du membre grâce à des chambres positionnées de façon séquentielle et gonflées par l’air débité grâce à un appareil spécial.</span></div>
<div style="background-color: #f7fcff; box-sizing: border-box; color: #91979f; margin-bottom: 15px; text-align: left;">
<span style="font-family: inherit; font-size: large;">La compression du membre est exécutée dans le sens distal-proximal de sorte qu’il réduit l’œdème grâce à l’augmentation du flux hémo-lymphatique.</span></div>
<div style="background-color: #f7fcff; box-sizing: border-box; color: #91979f; margin-bottom: 15px; text-align: left;">
<span style="font-family: inherit; font-size: large;">La pression débitée est constante dans toutes les chambres, même si selon la loi de Laplace la pression effectivement utilisée est décroissante dans le sens distal-proximal à cause de l’augmentation du rayon de courbement du membre.</span></div>
<div style="background-color: #f7fcff; box-sizing: border-box; color: #91979f; margin-bottom: 15px; text-align: left;">
<span style="font-family: inherit; font-size: large;">L’appareil se compose d’un compresseur lié à une brassière ou une jambière à l’intérieur duquel on trouve des poches qui se gonflent et se dégonflent selon un programme préétabli.</span></div>
<div style="background-color: #f7fcff; box-sizing: border-box; color: #91979f; margin-bottom: 15px; text-align: left;">
<span style="font-family: inherit; font-size: large;">Le nombre de poches varie de 4 à 12 pour permettre une meilleure fragmentation de l’œdème. De plus l’appareil est programmé de sorte que les chambres se gonflent et se dégonflent à la suite dans le sens distal-proximal (du bas vers le haut, c'est-à-dire en partant du pied et en allant vers l’aine).</span></div>
<div style="background-color: #f7fcff; box-sizing: border-box; color: #91979f; margin-bottom: 15px; text-align: left;">
<span style="font-family: inherit; font-size: large;">Les pressions de travail représentent actuellement un argument très discuté, elles doivent être proportionnées aux conditions des tissus: plus grande fibrosclérose = plus grande pression; moins grande fibrosclérose = moins grande pression. Il faut se rappeler qu’il s’agit du système lymphatique superficiel donc les pressions doivent être inférieures à 30/40 mmHg. En effet, en cas de lymphœdème initial la haute pression risque de provoquer des dommages irréversibles sur le système lymphatique, et au contraire, dans la fibrosclérose les pressions trop basses ne produisent aucun effet parce qu’il y a des altérations irréversibles dans le système lymphatique avec des lacunes lymphatiques à l’intérieur du tissu fibrotique.</span></div>
<div style="background-color: #f7fcff; box-sizing: border-box; color: #91979f; margin-bottom: 15px; text-align: left;">
<span style="font-family: inherit; font-size: large;">Quelles sont les effets drainants de cette thérapie? En premier lieu, l’augmentation du flux veineux et lymphatique, suivi par le relâchement de substances avec une action antithrombotique, pro-fibrinolytique et vasodilatateur. De plus la pressothérapie provoque une pression interstitielle plus grande donc une filtration plus petite et une réabsorption capillaire plus grande avec une réduction de la charge lymphatique interstitielle. Ce phénomène cause aussi une augmentation du débit lymphatique avec une réduction conséquente de l’œdème. Les contre-indications à cette thérapie sont la thrombose veineuse aiguë et l’insuffisance cardiaque. En plus de ces contre-indications absolues il y a toutes les contre-indications comme les états infectieux locaux et généralisés, etc.</span></div>
<div style="background-color: #f7fcff; box-sizing: border-box; color: #91979f; margin-bottom: 15px; text-align: left;">
<span style="font-family: inherit; font-size: large;">Il est important de prendre en considération ce qui se passe après une séance de pressothérapie: chaque séance de pressothérapie doit être suivie par un bandage à extensibilité courte afin de maintenir les résultats à court terme et par une gaine compressive appropriée afin de maintenir les résultats à long terme.</span></div>
<div style="background-color: #f7fcff; box-sizing: border-box; color: #91979f; margin-bottom: 15px; text-align: left;">
<strong style="box-sizing: border-box;"><span style="font-family: inherit; font-size: large;">PRODUITS I-TECH pour PRESSOTHÉRAPIE</span></strong></div>
<div style="background-color: #f7fcff; box-sizing: border-box; color: #91979f; margin-bottom: 15px; text-align: left;">
<a href="http://www.itechmedicaldivision.com/fr/q1000plus.php" style="background: transparent; box-sizing: border-box; color: #00af8d; text-decoration-line: none;"><span style="font-family: inherit; font-size: large;">Power Q-1000 Plus</span></a></div>
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<a href="http://www.itechmedicaldivision.com/fr/q6000.php" style="background: transparent; box-sizing: border-box; color: #00af8d; text-decoration-line: none;"><span style="font-family: inherit; font-size: large;">Power Q-6000</span></a></div>
<div style="background-color: #f7fcff; box-sizing: border-box; color: #91979f; margin-bottom: 15px; text-align: left;">
<strong style="box-sizing: border-box;"><span style="font-family: inherit; font-size: large;">ELECTROTHÉRAPIE POUR LE DRAINAGE<u style="box-sizing: border-box;"></u></span></strong></div>
<div style="background-color: #f7fcff; box-sizing: border-box; color: #91979f; margin-bottom: 15px; text-align: left;">
<span style="font-family: inherit; font-size: large;">Utilisation de courants néofaradiques et de formes d’ondes carrées (ils ne produisent pas l’effet de chaleur localisée) afin de stimuler la contractilité des vaisseaux lymphatiques. De plus, chez les patients hypotrophiques, ils ont un effet stimulant au niveau musculaire.</span></div>
<div style="background-color: #f7fcff; box-sizing: border-box; color: #91979f; margin-bottom: 15px; text-align: left;">
<span style="font-family: inherit; font-size: large;">Les contre-indications absolues sont: patients porteurs de pacemaker et coexistence de paralysie spastique.</span></div>
<div style="background-color: #f7fcff; box-sizing: border-box; color: #91979f; margin-bottom: 15px; text-align: left;">
<strong style="box-sizing: border-box;"><span style="font-family: inherit; font-size: large;">PRODUITS I-TECH pour ELECTROTHÉRAPIE</span></strong></div>
<div style="background-color: #f7fcff; box-sizing: border-box; color: #91979f; margin-bottom: 15px; text-align: left;">
<span style="font-family: inherit; font-size: large;"><a href="http://www.itechmedicaldivision.com/fr/mio-care-beauty.php" style="background: transparent; box-sizing: border-box; color: #00af8d; text-decoration-line: none;">MIO CARE BEAUTY</a> – programmes BEAUTY 09/10/11 Lipolyse</span></div>
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<span style="font-family: inherit; font-size: large;"><a href="http://www.itechmedicaldivision.com/fr/mio-care-fitness.php" style="background: transparent; box-sizing: border-box; color: #00af8d; text-decoration-line: none;">MIO CARE FITNESS </a>– programmes BEAUTY 09/10/11 Lipolyse</span></div>
<div style="background-color: #f7fcff; box-sizing: border-box; color: #91979f; margin-bottom: 15px; text-align: left;">
<span style="font-family: inherit; font-size: large;"><a href="http://www.itechmedicaldivision.com/fr/t-one-evo-i.php" style="background: transparent; box-sizing: border-box; color: #00af8d; text-decoration-line: none;">T-ONE EVO I</a> – programme BEAUTY 09 Drainage</span></div>
<div style="background-color: #f7fcff; box-sizing: border-box; color: #91979f; margin-bottom: 15px; text-align: left;">
<span style="font-family: inherit; font-size: large;"><a href="http://www.itechmedicaldivision.com/fr/t-one-evo.php" style="background: transparent; box-sizing: border-box; color: #00af8d; text-decoration-line: none;">T-ONE EVO II </a>– programme BEAUTY 09 Drainage</span></div>
<div style="background-color: #f7fcff; box-sizing: border-box; color: #91979f; margin-bottom: 15px; text-align: left;">
<span style="font-family: inherit; font-size: large;"><a href="http://www.itechmedicaldivision.com/fr/t-one-medi.php" style="background: transparent; box-sizing: border-box; color: #00af8d; text-decoration-line: none;">T-ONE MEDI </a>–programme FITNESS 12 Drainage</span></div>
<div style="background-color: #f7fcff; box-sizing: border-box; color: #91979f; margin-bottom: 15px; text-align: left;">
<span style="font-family: inherit; font-size: large;"><a href="http://www.itechmedicaldivision.com/fr/t-one-medi-pro.php" style="background: transparent; box-sizing: border-box; color: #00af8d; text-decoration-line: none;">T-ONE MEDI PRO</a> – programme FITNESS 12 Drainage</span></div>
<div style="background-color: #f7fcff; box-sizing: border-box; color: #91979f; margin-bottom: 15px; text-align: left;">
<span style="font-family: inherit; font-size: large;"><a href="http://www.itechmedicaldivision.com/fr/t-one-physio.php" style="background: transparent; box-sizing: border-box; color: #00af8d; text-decoration-line: none;">T-ONE PHYSIO</a> – programme EMS 12 Drainage</span></div>
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<strong style="box-sizing: border-box;"><span style="font-family: inherit; font-size: large;">ULTRASONS</span></strong></div>
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<span style="font-family: inherit; font-size: large;">Utilisation de l’appareil à 1/3 MHz sur les zones fibrotiques pour réduire la consistance de l’œdème.</span></div>
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<strong style="box-sizing: border-box;"><span style="font-family: inherit; font-size: large;">PRODUITS I-TECH pour ULTRASONOTHÉRAPIE</span></strong></div>
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<span style="font-family: inherit; font-size: large;"><a href="http://www.itechmedicaldivision.com/fr/sonicstim.php" style="background: transparent; box-sizing: border-box; color: #00af8d; text-decoration-line: none;">SONICSTIM</a><b><u> </u></b>– programmes Drainage</span></div>
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<span style="color: #91979f; font-size: large;"><a href="http://www.itechmedicaldivision.com/fr/lymphdme-t-65.html">http://www.itechmedicaldivision.com/fr/lymphdme-t-65.html</a></span></div>
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<strong style="box-sizing: border-box;"><span style="font-family: inherit; font-size: large;">Bibliographie</span></strong></div>
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<li style="box-sizing: border-box; text-align: left;">AAVV, linee guida diagnostico-terapautuco delle malattie delle vene e dei linfaciti(rapporto basato sull’evidenza),a cura del Collegio Italiano di Flebologia, revisione 2003 Acta Flebologica vol.4 n.1-2 agosto 2003.</li>
<li style="box-sizing: border-box; text-align: left;">AAVV, Procedure operative per indagini diagnostiche vascolari, revisione 2004 parte I-II, Bollettino della Società Italiana di Diagnostica vascolare, anno IX, n°25-26, Aprile 2004-Agosto 2004.</li>
<li style="box-sizing: border-box; text-align: left;">Aloisi D, Pressoterapia pneumatica nel trattamento dell’edema venoso e linfatico, in Gymnasium, anno V, n°1, Ed Auxilia, Bologna 1999.</li>
<li style="box-sizing: border-box; text-align: left;">Aloisi D, valutazione quantitativa della consistenza e della comprimibilità del linfedema con tonometro tissutale, in Linfologia oggi, n°4 Ed.M.C.Editing Srl, Roma 2005.</li>
<li style="box-sizing: border-box; text-align: left;">Aloisi D, La presso terapia pneumatica nel trattamento dell’infedema dell’arto superiore: stato dell’arte, in linfologia oggi, n°1, Ed.M.C. Editing Srl, Roma 2005.</li>
<li style="box-sizing: border-box; text-align: left;">Burth j., White G. lynphedema, Ed.Unnter House 1999.</li>
<li style="box-sizing: border-box; text-align: left;">Caldirola R., Stimolazione del ritorno venoso tramite incentivatore volumetrico e sistema P.E.P., in linfologia oggi,n°3, Ed.M.C.Editing Srl, Roma 2004.</li>
<li style="box-sizing: border-box; text-align: left;">Carati C.J., Anderson S.N., gannon B.J.,Piller N.B.,(2003) treatment of postmastectomy lynphedema with low level laser therapy (a double blind, placebo-controlled trial) cancer, 98 (6), 1114-1122.</li>
<li style="box-sizing: border-box; text-align: left;">Cavezzi, Michelini, il flebolinfedema dalla diagnosi alla terapia, Ed.Auxilia, 1997.</li>
<li style="box-sizing: border-box; text-align: left;">Corda D., Lisitano G.,Moschi A.,gabetta E.,trattamento riabilitativo mediante terapia fisica integrata dei linfedemi degl’arti inferiori primitivi e secondari. Atti XVIII riunione clinico scientifica del Dipartimento di Chirurgia, Pavia 2001.</li>
<li style="box-sizing: border-box; text-align: left;">Didem K.,Uluk Y.S.,Sendar S.,Zumre A. (2005) The comparison of two different Phisiotherapy methods in treatment of lynphedema after breast surgery. Breast cancer Res.Treat., 93 (1), 49-54.</li>
<li style="box-sizing: border-box; text-align: left;">Hamner J.B.,Fleming M.D. (2007) lymphedema therapy reduces the volume of edema and pain in patients with breast cancer. Ann.Surg.Oncol.,14 (6), 1904-1908.</li>
<li style="box-sizing: border-box; text-align: left;">Harris S.R.,Hugi M.R.,Olivotto I.A., Levine M.,(2001) clinical practice guidelines for the care of treatment of breast cancer: 11.lynphedema. CMAAJ, 164(2), 191-197.</li>
<li style="box-sizing: border-box; text-align: left;">Herpetz, diagnosi differenziale degli edemi, quaderni A.I.T.R. anno XII n°3.</li>
<li style="box-sizing: border-box; text-align: left;">Kim S.,-J.,Yi C.-H.,Kwon O.-Y (2007) effected of complex decongestive therapy on edema and the quality of life in brest cancer patients with unilateral lymphedema. Lymphology , 40(3), 143-151.</li>
<li style="box-sizing: border-box; text-align: left;">Leduc A., il drenaggio linfatico, Ed.Masson 1982.</li>
<li style="box-sizing: border-box; text-align: left;">Leduc A., drenaggio dell’arto inferiore. Vrije Unoversiteit Brussel 1988.</li>
<li style="box-sizing: border-box; text-align: left;">Michelini, Failla, Moneta, manuale teorico pratico di riabilitazione vascolare, Ed. PR 2000.</li>
<li style="box-sizing: border-box; text-align: left;">Moffatt C.,Thomas S., comprendere la terapia compressiva (documento di posizionamento EWMA) monografia ad opera di Smith-Nephew.</li>
<li style="box-sizing: border-box; text-align: left;">The compression study group : consensus conference on compression therapy.</li>
<li style="box-sizing: border-box; text-align: left;">Yamamoto R.,Yamamoto T.,(2007) effectiveness of the treatment-phase of two-phase complex decongestive physiotherapy of extremity lymphedema. Int. J Clin Oncol, 12 (6), 463-468.</li>
<li style="box-sizing: border-box; text-align: left;">Yamamoto T.,Todo Y.,Kaneuchi M.,handa Y.,Watanabe K.,Yamamoto R.,(2008) study of edema reduction patterns during the treatment phase of complex decongestive physiotherapy for extremity lymphedema Lymphology, 41 (2), 80-86.</li>
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Seraphimhttp://www.blogger.com/profile/09830433552680718249noreply@blogger.com0tag:blogger.com,1999:blog-7803504750995977657.post-81642565451988696812017-06-25T06:57:00.000-07:002017-06-25T06:57:00.556-07:00Electro-stimulation<div class="separator" style="clear: both; text-align: center;">
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjl_LNfaYB_9kuxit1MKaHTb9s0m3EirkdSuiS9qufi-Me-TjBRSm7TCDDKBreI5jqS7iY_cFBZy3ZJl7jdpaQzb76boezoOL5mkQcP3wgY1wbN2ZllQkaEDP7KQbk3lNx14fhJP92L8Hc/s1600/boite.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1107" data-original-width="1566" height="282" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjl_LNfaYB_9kuxit1MKaHTb9s0m3EirkdSuiS9qufi-Me-TjBRSm7TCDDKBreI5jqS7iY_cFBZy3ZJl7jdpaQzb76boezoOL5mkQcP3wgY1wbN2ZllQkaEDP7KQbk3lNx14fhJP92L8Hc/s400/boite.jpg" width="400" /></a></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgLritkQlmIoQj6GmnxScGFeqrKYfrUTjKPW04TQYNhf0i_KpBKHXhGh2ZfgxoOuNWtlO9UcItylEd6vWMhZ-pgQQOJFkcg49n2B-RyGdnLhmlNK0w1oiYgn_XGXaEqcAZuAfUDJ1-ePcE/s1600/ciel-bleu2.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1378" data-original-width="1378" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgLritkQlmIoQj6GmnxScGFeqrKYfrUTjKPW04TQYNhf0i_KpBKHXhGh2ZfgxoOuNWtlO9UcItylEd6vWMhZ-pgQQOJFkcg49n2B-RyGdnLhmlNK0w1oiYgn_XGXaEqcAZuAfUDJ1-ePcE/s400/ciel-bleu2.jpg" width="400" /></a></div>
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<i style="background-color: #fefdfa; color: #333333; font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; font-size: 13px;">Cette méthode a peut-être une action sur le lymphoedème. Si vous l'avez testée merci d'indiquer vos appréciations personnelles en commentaire.</i><br />
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<span style="font-size: large;"><strong style="border: 0px; margin: 0px; padding: 0px;">L’électrostimulation QuantaVeine</strong><br />Une méthode naturelle et efficace existe pour renforcer le système veineux. Il s’agit de l’électrostimulation des muscles des mollets.<br />Deux électrodes sont appliquées sur la peau, au niveau du mollet.<br />Des impulsions électriques contractent périodiquement les muscles.<br />A chaque contraction s’opère une compression des veines superficielles et profondes ainsi que des vaisseaux lymphatiques.<br />Les flux veineux et lymphatique sont ainsi activés et harmonisés. Le fonctionnement vasculaire est optimisé. Le soulagement des douleurs est immédiat.</span></div>
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<span style="font-size: large;">L'effet hémodynamique est comparable à un exercice physique. Au cours des séances, la tunique veineuse devient ferme. La circulation veineuse dans les jambes est nettement améliorée.<br />L’utilisation régulière de l’électrostimulation QuantaVeine permet de remuscler la tunique veineuse durablement. Cela permet :<br /> - d’éviter les sensations de jambes lourdes,<br /> - d’améliorer la tonicité vasculaire,<br /> - d’activer la circulation sanguine.</span></div>
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<span style="font-size: large;"><strong style="border: 0px; margin: 0px; padding: 0px;"><a href="https://www.blogger.com/null" id="" name="de" style="border: 0px; color: #0491d3; margin: 0px; padding: 0px;"></a>Deux programmes d’action</strong><br />Le quantaveine propose deux programmes.<br />Programme 1 : Stimulation veineuse<br />L'électrostimulation est très adaptée à l'harmonisation des flux veineux et lymphatique. L'utilisation d'une fréquence très spécifique permet de mettre en route des processus physiologiques naturels pour tonifier le système vasculaire et stimuler la circulation sanguine.</span></div>
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<span style="font-size: large;">Programme 2 : Antidouleur / TENS<br />Le quantaveine permet de soulager d'autres inconforts de la vie quotidienne. Douleurs articulaires, musculaires, lombaires, menstruelles, arthroses ..... Il suffit d'appliquer les électrodes sur la zone douloureuse pour ressentir un soulagement immédiat.</span></div>
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<span style="font-size: large;"><strong style="border: 0px; margin: 0px; padding: 0px;"><a href="https://www.blogger.com/null" id="" name="qua" style="border: 0px; color: #0491d3; margin: 0px; padding: 0px;"></a>Une Qualité Professionnelle</strong><br />Les forces du QuantaVeine sont :<br />- Le précision des fréquences utilisées. Sélectionnées par une équipe de scientifiques à la pointe, la conception des programmes qu'utilise le QuantaVeine potentialise les résultats obtenus lors d'un usage régulier de l'appareil.<br />- la qualité des électrostimulations. Douces et profondes à la fois, les muscles sont stimulés harmonieusement mais fermement, sans sensations désagréables.</span></div>
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<span style="font-size: large;"><strong style="border: 0px; margin: 0px; padding: 0px;"><a href="https://www.blogger.com/null" id="" name="mod" style="border: 0px; color: #0491d3; margin: 0px; padding: 0px;"></a>Mode d'utilisation</strong><br />Il est recommandé de s'assoir confortablement et de poser ses pieds sur un support (chaise ou autre).<br />Deux électrodes autocollantes sont positionnées sur les mollets.<br />Après avoir sélectionné le programme désiré (Insuffisance veineuse ou anti-douleur/Tens), l'intensité des impulsions est réglée selon les sensibilités de chacun.<br />La séance est lancée, elle dure 20 minutes.<br />Il est conseillé de faire 2 à 3 séances par semaine pendant 1 mois et de renouveler le traitement selon les besoins.</span></div>
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<span style="color: #7b7b7b; font-family: Arial, sans-serif; font-size: large;"><a href="http://www.physioquanta.com/index.php?option=com_k2&view=item&id=41:quantaveine&Itemid=647&lang=fr">http://www.physioquanta.com/index.php?option=com_k2&view=item&id=41:quantaveine&Itemid=647&lang=fr</a></span></div>
Seraphimhttp://www.blogger.com/profile/09830433552680718249noreply@blogger.com0tag:blogger.com,1999:blog-7803504750995977657.post-70517007926784068612017-06-25T06:38:00.002-07:002017-06-25T06:41:52.894-07:00Complément alimentaire à base de plantes : Lymphal<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgpCsyhWcFCCdzjjSgA3V6hHLgGmHivGtc_tat4Z9xG-gjlNJO-tyJ2O1EiCpe6fjGNhJnjEhm4_X10XJxFQU4fmg1KkaDk5ZXOt30R9JC1G0HG9i_G_xDKeqDmg-0-b9-VyixxRx3ZTF4/s1600/lymphal.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="600" data-original-width="600" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgpCsyhWcFCCdzjjSgA3V6hHLgGmHivGtc_tat4Z9xG-gjlNJO-tyJ2O1EiCpe6fjGNhJnjEhm4_X10XJxFQU4fmg1KkaDk5ZXOt30R9JC1G0HG9i_G_xDKeqDmg-0-b9-VyixxRx3ZTF4/s400/lymphal.jpg" width="400" /></a></div>
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<i>Ce complément alimentaire a peut-être une action sur le lymphoedème. Si vous l'avez testé merci d'indiquer vos appréciations personnelles en commentaire.</i><br />
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<span style="background-color: white; color: green;"><span style="font-family: inherit; font-size: large;"><b>Lymph'al</b></span></span><br />
<strong style="background-color: white; color: #939292;"><span style="font-family: inherit; font-size: large;"><br /></span></strong>
<span style="font-family: inherit; font-size: large;"><strong style="background-color: white; color: #939292;">Ingrédients :</strong><br style="background-color: white; color: #939292;" /><span style="background-color: white; color: #939292;">Piloselle (pilosella) (86 mg/gél), </span><br style="background-color: white; color: #939292;" /><span style="background-color: white; color: #939292;">Papaye fermentée (carica papaya) (extrait 86 mg/gél), </span><br style="background-color: white; color: #939292;" /><span style="background-color: white; color: #939292;">Gattilier (vitex agnus castus) (85 mg/gél), </span><br style="background-color: white; color: #939292;" /><span style="background-color: white; color: #939292;">Thé vert (camelia sinensis) (extrait aqueux 49 mg/gél),</span><br style="background-color: white; color: #939292;" /><span style="background-color: white; color: #939292;">Fucus (fucus vesiculosus) (extrait 44 mg/gél), </span><br style="background-color: white; color: #939292;" /><span style="background-color: white; color: #939292;">Fumeterre (fumaria officinalis) (44 mg/gél).</span><br style="background-color: white; color: #939292;" /><br style="background-color: white; color: #939292;" /><strong style="background-color: white; color: #939292;">Conseils d'utilisation :</strong><br style="background-color: white; color: #939292;" /><span style="background-color: white; color: #939292;">3 gélules dans la journée (une avant chaque repas) ou selon les recommandations de votre praticien de santé.</span><br style="background-color: white; color: #939292;" /><strong style="background-color: white; color: #939292;"> </strong><br style="background-color: white; color: #939292;" /><strong style="background-color: white; color: #939292;">Présentation :</strong><br style="background-color: white; color: #939292;" /><span style="background-color: white; color: #939292;">Boite de 90 gélules de 499 mg</span></span><br />
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<span style="background-color: white;"><span style="color: #939292; font-family: "arial" , "verdana" , sans-serif; font-size: large;"><a href="https://physiosens.fr/fr/pole-rythmic/23-lymphal.html">https://physiosens.fr/fr/pole-rythmic/23-lymphal.html</a></span></span><br />
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<span style="background-color: white; font-size: large;"><b>Un autre complément à tester</b></span><br />
<span style="background-color: white; font-size: large;"><a href="https://www.blogger.com/goog_150050393"><br /></a></span>
<span style="background-color: white; font-size: large;"><a href="http://www.cotebienetre.com/contents/fr/p182_Circulation_Phyto-concentr%C3%A9.html">http://www.cotebienetre.com/contents/fr/p182_Circulation_Phyto-concentr%C3%A9.html</a></span><br />
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<span style="background-color: white; color: #939292; font-family: "arial" , "verdana" , sans-serif; font-size: 12px;"><br /></span>Seraphimhttp://www.blogger.com/profile/09830433552680718249noreply@blogger.com3tag:blogger.com,1999:blog-7803504750995977657.post-44592073694764542412017-06-25T06:26:00.000-07:002017-06-25T06:26:50.870-07:00Drainage manuel du haut de la cuisse<div class="separator" style="clear: both; text-align: center;">
<a href="https://i1.wp.com/i140.photobucket.com/albums/r16/lymphedemapeople/MLDFrontofthigh.jpg"><img border="0" data-original-height="800" data-original-width="506" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg0AnUBTBha_WvwjgkUfN-sC2b5QP7Nbpes-nLSQ6rhBvdAQ68sLNrOHwyaTMCKehZ__p6OdDjIUdyQMNBZaWCvkWJOVHRnZdrbqcHGW-JPMNvJ81_W49kW0q551mRe9QrhL7mKWk3x5Rk/s640/MLDFrontofthigh.jpg" width="404" /></a></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh8Ni3LIp0pwwYFAMUvDLggxw7IQrInOi4Ol7fLkuwqS6ey0rcWrkskYoCWUhq7jiE84AqA24XuRaPMOU7KHk9Fx1t-sqAZttLXVRrPTcPfJalekb1mLewi_QKR5iV9-5QHWx8WiKf1AgQ/s1600/MLDBackofthigh.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="800" data-original-width="478" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh8Ni3LIp0pwwYFAMUvDLggxw7IQrInOi4Ol7fLkuwqS6ey0rcWrkskYoCWUhq7jiE84AqA24XuRaPMOU7KHk9Fx1t-sqAZttLXVRrPTcPfJalekb1mLewi_QKR5iV9-5QHWx8WiKf1AgQ/s640/MLDBackofthigh.jpg" width="382" /></a></div>
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Seraphimhttp://www.blogger.com/profile/09830433552680718249noreply@blogger.com0tag:blogger.com,1999:blog-7803504750995977657.post-943648041755871712017-06-25T05:53:00.002-07:002017-07-05T16:11:44.685-07:00Vêtements auto ajustables Mobiderm<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhNmrKRnIGBMUYgj-R6i80tRzvFLFUetvTzVdqUbqleS3xcJUCq6LpFRaM_Dy09BLFobsmiCzx0LnBcqtzimDKGe5BCHEG-f4YqWudTnNQAPDCYCKbuxQbDFqXpDoLn7-n4LLS0uogzGuI/s1600/mobiderm_auto.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="806" data-original-width="624" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhNmrKRnIGBMUYgj-R6i80tRzvFLFUetvTzVdqUbqleS3xcJUCq6LpFRaM_Dy09BLFobsmiCzx0LnBcqtzimDKGe5BCHEG-f4YqWudTnNQAPDCYCKbuxQbDFqXpDoLn7-n4LLS0uogzGuI/s400/mobiderm_auto.jpg" width="308" /></a></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgv4bqRV0cnmhHPzoMsPTQLR2R1r_FNPNOohFOgIFL1ehwIT3weWgvCsPlEoRDgDkxlb_-H68XWwGcaESpzO7H7xcaka2yj5yYXoFohu6TkjSo7wVGZ8yjO_2aM3LZJJsO7oEht8M9h180/s1600/mobiderm_auto_fit.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="620" data-original-width="1000" height="247" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgv4bqRV0cnmhHPzoMsPTQLR2R1r_FNPNOohFOgIFL1ehwIT3weWgvCsPlEoRDgDkxlb_-H68XWwGcaESpzO7H7xcaka2yj5yYXoFohu6TkjSo7wVGZ8yjO_2aM3LZJJsO7oEht8M9h180/s400/mobiderm_auto_fit.jpg" width="400" /></a></div>
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BAS-CUISSE MOBIDERM® AUTOFIT</h3>
<div>
<div style="background-color: white; color: #113665; margin-bottom: 1em; margin-top: 1em;">
<span style="font-family: inherit; font-size: large;">Le bas-cuisse Mobiderm® Autofit est destiné au traitement du lymphoedème du membre inférieur, d'origine primaire ou post cancer de la zone uro-génitale, avec migration sur la jambe.</span></div>
<div style="background-color: white; color: #113665; margin-bottom: 1em; margin-top: 1em;">
<span style="font-family: inherit; font-size: large;">Il est indiqué en fin de la phase de réduction de l'œdème, ou en phase de stabilisation.</span></div>
<div style="background-color: white; color: #113665; margin-bottom: 1em; margin-top: 1em;">
<span style="font-family: inherit; font-size: large;">Mobiderm Autofit est particulièrement adapté ches les patients présentant des dysmophies ou un oedème évolutif, et souhaitant contrôler leur lymphoedème en toute autonomie.</span></div>
<div style="background-color: white; color: #113665; margin-bottom: 1em; margin-top: 1em;">
<span style="font-family: inherit; font-size: large;">Dispositif standard, permettant une délivrance rapide chez les patients qui requièrent un dispositif dans l'immédiat.</span></div>
<div style="background-color: white; color: #113665; margin-bottom: 1em; margin-top: 1em;">
<span style="font-family: inherit; font-size: large;">Bas-cuisse, intégrant le dispositif Mobiderm : gros plot sur la jambe, petit plot au niveau du dos du pied.</span></div>
<div style="background-color: white; color: #113665; margin-bottom: 1em; margin-top: 1em;">
<span style="font-family: inherit; font-size: large;">Conception semi-ouverte : facile à enfiler / retirer!</span></div>
<div style="background-color: white; color: #113665; margin-bottom: 1em; margin-top: 1em;">
<span style="font-family: inherit; font-size: large;">Attaches velcro avec plusieurs crans de serrage : adaptation morphologique. Double rangée d'attaches pour une optimisation du réglage.</span></div>
<div style="background-color: white; color: #113665; margin-bottom: 1em; margin-top: 1em;">
<span style="font-family: inherit; font-size: large;">Repères d'ajustage : précision et contrôle .</span></div>
<div style="background-color: white; color: #113665; margin-top: 1em;">
<span style="font-family: inherit; font-size: large;">Semelle avec patins anti-dérapants.</span></div>
<div style="background-color: white; margin-bottom: 1em; margin-top: 1em;">
<span style="color: #113665; font-family: inherit; font-size: large;"><a href="http://www2.thuasne.fr/produit/bas-cuisse-mobiderm-autofit/">http://www2.thuasne.fr/produit/bas-cuisse-mobiderm-autofit/</a></span></div>
<div style="background-color: white; color: #113665; font-family: Roboto, sans-serif; font-size: 14px; margin-bottom: 1em; margin-top: 1em;">
<span style="font-size: 16.38px; font-weight: bold; text-transform: uppercase;">MANCHON MOBIDERM® AUTOFIT</span></div>
<div style="background-color: white; color: #113665; margin-bottom: 1em; margin-top: 1em;">
<span style="font-family: inherit; font-size: large;">Mobiderm® Autofit est destiné au traitement du lymphoedème du membre supérieur, post cancer du sein. Plus précisément, il est indiqué en fin de la phase de réduction de l'œdème, ou en phase de stabilisation.</span></div>
<div style="background-color: white; color: #113665; margin-bottom: 1em; margin-top: 1em;">
<span style="font-family: inherit; font-size: large;">Mobiderm Autofit est particulièrement indiqué ches les patients présentant des dysmophies ou un oedème évolutif, et souhaitant contrôlé leur lymphoedème en toute autonomie.</span></div>
<div style="background-color: white; color: #113665; margin-bottom: 1em; margin-top: 1em;">
<span style="font-family: inherit; font-size: large;">Dispositif standard, permettant une délivrance rapide chez les patients qui requièrent un dispositif dans l'immédiat.</span></div>
<div style="background-color: white; color: #113665; margin-bottom: 1em; margin-top: 1em;">
<span style="font-family: inherit; font-size: large;">Manchon avec mitaine et pouce, intégrant le dispositif Mobiderm (gros plot sur le bras, petit plot au niveau de la main).</span></div>
<div style="background-color: white; color: #113665; margin-bottom: 1em; margin-top: 1em;">
<span style="font-family: inherit; font-size: large;">Conception semi-ouverte : facile à enfiler / retirer !</span></div>
<div style="background-color: white; color: #113665; margin-bottom: 1em; margin-top: 1em;">
<span style="font-family: inherit; font-size: large;">Attaches velcro avec plusieurs crans de serrage : adaptation morphologique.</span></div>
<div style="background-color: white; color: #113665; margin-bottom: 1em; margin-top: 1em;">
<span style="font-family: inherit; font-size: large;">Repères d'ajustage : précision et contrôle .</span></div>
<div style="background-color: white; color: #113665; margin-top: 1em;">
<span style="font-family: inherit; font-size: large;">Mitaine retroussable, pour libérer la main dans les activités du quotidien.</span></div>
<div style="background-color: white; margin-bottom: 1em; margin-top: 1em;">
<span style="color: #113665; font-family: inherit; font-size: large;"><a href="http://www2.thuasne.fr/produit/manchon-mobiderm-autofit/">http://www2.thuasne.fr/produit/manchon-mobiderm-autofit/</a></span></div>
<div style="background-color: white; margin-bottom: 1em; margin-top: 1em;">
<span style="color: #113665; font-family: "roboto" , sans-serif; font-size: 16.38px; font-weight: bold; text-transform: uppercase;">CHAUSSETTE MOBIDERM® AUTOFIT</span></div>
<div style="background-color: white; color: #113665; margin-bottom: 1em; margin-top: 1em;">
<span style="font-family: inherit; font-size: large;">La chaussette Mobiderm® Autofit est destinée au traitement du lymphoedème du membre inférieur, d'origine primaire ou post cancer avec migration de l'oedème sur le bas de la jambe.</span></div>
<div style="background-color: white; color: #113665; margin-bottom: 1em; margin-top: 1em;">
<span style="font-family: inherit; font-size: large;">Elle est indiquée en fin de la phase de réduction de l'œdème, ou en phase de stabilisation.</span></div>
<div style="background-color: white; color: #113665; margin-bottom: 1em; margin-top: 1em;">
<span style="font-family: inherit; font-size: large;">Mobiderm Autofit est particulièrement adapté ches les patients présentant des dysmophies ou un oedème évolutif, et souhaitant contrôler leur lymphoedème en toute autonomie.</span></div>
<div style="background-color: white; color: #113665; margin-bottom: 1em; margin-top: 1em;">
<span style="font-family: inherit; font-size: large;">Dispositif standard, permettant une délivrance rapide chez les patients qui requièrent un dispositif dans l'immédiat.</span></div>
<div style="background-color: white; color: #113665; margin-bottom: 1em; margin-top: 1em;">
<span style="font-family: inherit; font-size: large;">Chaussette, intégrant le dispositif Mobiderm : gros plot sur la jambe, petit plot au niveau du dos du pied.</span></div>
<div style="background-color: white; color: #113665; margin-bottom: 1em; margin-top: 1em;">
<span style="font-family: inherit; font-size: large;">Conception semi-ouverte : facile à enfiler / retirer!</span></div>
<div style="background-color: white; color: #113665; margin-bottom: 1em; margin-top: 1em;">
<span style="font-family: inherit; font-size: large;">Attaches velcro avec plusieurs crans de serrage : adaptation morphologique. Double rangée d'attaches pour une optimisation du réglage.</span></div>
<div style="background-color: white; color: #113665; margin-bottom: 1em; margin-top: 1em;">
<span style="font-family: inherit; font-size: large;">Repères d'ajustage : précision et contrôle .</span></div>
<div style="background-color: white; color: #113665; margin-top: 1em;">
<span style="font-family: inherit; font-size: large;">Semelle avec patins anti-dérapants.</span></div>
<div style="background-color: white; margin-bottom: 1em; margin-top: 1em;">
<span style="color: #113665; font-family: inherit; font-size: large;"><a href="http://www2.thuasne.fr/produit/chaussette-mobiderm-autofit/">http://www2.thuasne.fr/produit/chaussette-mobiderm-autofit/</a></span></div>
</div>
Seraphimhttp://www.blogger.com/profile/09830433552680718249noreply@blogger.com0