Lymphoedema

Question 1

What is lymphedema?

Answer 1

Obstruction of lymphatic drainage resulting in oedema with high protein content

Question 2

What is the aetiology of lymphedema?

Answer 2

1”: Milroy’s syndrome (congenital hereditary lymphoedema)
2”:
-Infection: filariasis, post op
-Malignant infiltration: axillary, groin or intrapelvic
-Radiation/surgery: axillary/groin/lymph node removal

Question 3

Clinical features of lymphedema?

Answer 3

• Classically non-pitting oedema

- Impaired limb mobility; discomfort/pain; psychological distress.

Question 4

Mx lymphoedema?

Answer 4

• Avoid injury!
• Skin hygiene (moisturise, Rx infection)
• External support (compression bandages/lymphoedema sleeve)
• Exercise: gentle daily ex whilst wearing compression bandages
• Massage and manual drainage therapy

Question 5

Prognosis of lymphoedema?

Answer 5

• Untreated: becomes resistant to Rx due to subcutaneous fibrosis.
• Cellulitis: rapid increase in swelling. Can lead to sepsis and death.