Slowly progressive swelling, may be pitting at onset
Feeling of heaviness, tightness, or discomfort
Severe cases have dermal thickening with skin becoming dry, firm, and hyperkeratotic
Occurs due to cutaneous fibrosis and adipose deposition.
Stemmer Sign - positive if unable to pinch and lift skin at the base of second toe or finger.
Occurs due to cutaneous fibrosis and adipose deposition.
Generally asymptomatic, although may have feeling of heaviness in limb
Swelling not evident on exam
Soft edema +/- pitting
Fluid accumulation subsides with limb elevation within 24 hours
no sign of dermal fibrosis
Pitting present
NOT reversible with limb elevation alone
Some dermal fibrosis present
Lymphostatic elephantiasis (pitting may be absent)
Skin changes such as fat deposits, acanthosis, warty overgrowths
Lymphedema
Gravitational
Lymphangitis
Venous stasis
Angioedema
Thrombophlebitis
Phlebitis
Purpura