Chapter 19: Leg Swelling and Lymphoedema

The following sections are included:

• Worldwide, the commonest cause of lymphoedema is filariasis.

• In the Western world, the commonest cause is malignancy and its treatment.

• Oedema is initially pitting, but becomes non-pitting due to fibrosis of subcutaneous tissues.

• Diagnosis is confirmed by isotope lymphangioscintigraphy.

• Satisfactory treatment can usually be achieved by conservative measures that include manual drainage, compression hosiery, complex decongestive therapy and prevention of infection.