Campisi proposed a staging system for peripheral lymphedema.
Patient selection: lymphatic dysfunction
Parameters:
(1) severity of edema
(2) response to declivous position (sloping downward = elevation) and night rest
(3) limb appearance
(4) other findings
|
Severity of LImb Edema |
Response to Rest and Elevation |
Limb Appearance |
Other Findings |
Stage |
|
no edema visible |
NA |
same as opposite limb |
NA |
1A |
|
mild |
completely reverses |
|
NA |
1B |
|
mild to moderate, persistent |
partially reverses |
|
NA |
2 |
|
moderate to severe, progressive |
little or none, persistent |
erysipeloid lymphangitis |
|
3 |
|
severe |
none |
column shaped |
fibrotic early lymphostatic warts |
4 |
|
severe with deformity (elephantiasis) |
none |
scleroindurative pachydermatitis |
widespread lymphostatic warts |
5 |
where:
• Lymphostatic warts are also called lymphostatic verrucosa.
|
Stage |
Excess Volume of Limb |
|
1A |
<= 20% |
|
1B |
<= 20% |
|
2 |
21-40% |
|
3 |
41 – 60% |
|
4 |
> 60% |
|
5 |
> 60% |
