Apparent lymphedema can be factitious. Factitious or pseudo lymphedema is referred to as Secretan Syndrome.
Factitious lymphedema is viewed as a subtype of Munchausen syndrome.
Features:
(1) unilateral or bilateral lymphedema involving the extremities
(2) use of tourniquet, ligature, cord or other device to compress the affected extremity
(3) fluctuation in severity that cannot be explained by clinical state
Clues:
(1) history or other signs of self-harm
(2) depression or mental illness
(3) exclusion of other causes of lymphedema
(4) report from family or friends
