The International Society of Lymphology proposed a staging system for lymphedema based on its clinical features.
(1) effect of limb elevation on edema
(2) soft tissue changes
Effect of Limb Elevation on Edema
Soft Tissue Changes
soft with no fibrosis
persistent; may show a temporary decrease
fibrosis present; limb firmer on palpation
no change after prolonged elevation
hard, thick dermis, with pseudopolyps
• The change in limb edema can be monitored by measuring the circumference at a standard point.
• "Spontaneously Irreversible" sounds like something a committee would come up with.
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Purpose: To stage limb lymphedema based on the classification of the International Society of Lymphology.
Objective: severity, prognosis, stage
ICD-10: I89.0, I97.2, Q82.0,