Lymphedema is a type of swelling that develops when lymph fluid remains in the skin. This occurs when there is an obstruction to the lymphatic system, such as clots obstructing lymph vessels, or an insult to the system like the removal of lymph nodes for biopsies. People can also be born with unhealthy lymphatic systems and develop lymphedema. Knowing the symptoms of lymphedema is pertinent to accurately diagnosing the disease.
Subjective Complaints
According to the National Lymphedema Network: Symptoms of Lymphedema, the subjective complaints most patients developing lymphedema make are, "... a full sensation in the limb(s), skin feeling tight, decreased flexibility in the hand, wrist or ankle, difficulty fitting into clothing in one specific area, or ring/wristwatch/bracelet tightness."
Pitting Edema
Depending on which stage of lymphedema the patient has developed, the symptoms of swelling differ. In stage zero, there is no swelling in the body; however, the patient is at risk for developing lymphedema. In stage one, the affected body part is now heavier and swollen. The skin has pitting edema, a type of swelling where the skin pits or have an indentation for a short period of time when someone presses on it.
Non Pitting Edema
In stage two, the skin becomes harder in the swollen area. Pitting edema no longer occurs when someone presses on the skin. Progressing to stage three, the affected body part, such as the arm, can double or even triple in circumference size. Stage Three of lymphedema is also known as lymphostatic elephantiasis, for the limb resembles an elephant's appendage.
Peau d'orange
As lymphedematous skin thickens, it may develop a peau d'orange, orange skin peel, look and texture. The skin is dry and prone to infections such as cellulitis.
Aches and Soreness
Often, when a patient has lymphedema, he will not complain of pain in the swollen area. He may instead complain of aches and soreness in the affected limb. He may also complain of fatigue.
References
- National Lymphedema Network: Join Our Mailing List Email: News 9th NLN International Conference Sept 22 - 26, 2010 Conference Registration H.R. 4662 - Medicare Lymphedema Treatment Bill Officially Introduced Available Now: Lymphedema Treatment Act Pin Weight Lifting and LE: Clearing Up Misconceptions NLN Position Papers: Risk Reduction, Treatment, Exercise, Air Travel, Training Financial Assistance for Garments New Books: 100 Questions and Answers About Lymphedema Lymphedema Management: A Comprehensive Guide for Practitioners Updated NLN Online Patient Questionnaire What Is Lymphedema?
- National Cancer Institute: General Information About Lymphedema
- Pub Med Central: Massive Localized Lymphedema
