Current Concepts in the Diagnosis and Management of Lymphedema

Adv Skin Wound Care. 2020 Nov;33(11):570-580. doi: 10.1097/01.ASW.0000717220.39931.7a.

Abstract

General purpose: To present a comprehensive review of lymphedema, including its pathophysiology, assessment, diagnosis, and treatment.

Target audience: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care.

Learning objectives/outcomes: After participating in this educational activity, the participant will:1. Summarize the etiology, pathophysiology, and clinical manifestations of lymphedema.2. Describe the diagnostic and treatment approaches for patients who have lymphedema.

Abstract: Lymphedema is a condition characterized by localized protein-rich swelling caused by damaged or malfunctioning lymphatics. Patients with lymphedema have an increased risk of infection because of the lymphostatic nature of the disease. Chronic ulceration of the skin can make individuals vulnerable to infection leading to serious, sometimes fatal, complications. Proper diagnosis and treatment modalities can aid in the prevention of these complications and ensure better outcomes for the patient.

Plain language summary

Lymphedema is a condition characterized by localized protein-rich swelling caused by damaged or malfunctioning lymphatics. Patients with lymphedema have an increased risk of infection because of the lymphostatic nature of the disease. Chronic ulceration of the skin can make individuals vulnerable to infection leading to serious, sometimes fatal, complications. Proper diagnosis and treatment modalities can aid in the prevention of these complications and ensure better outcomes for the patient.

MeSH terms

  • Attitude of Health Personnel
  • Clinical Competence*
  • Humans
  • Inservice Training*
  • Lymphedema / diagnostic imaging*
  • Lymphedema / physiopathology
  • Lymphedema / therapy*
  • Physical Examination