Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2010 Apr 22;2(1):14-23.
doi: 10.1016/j.jcws.2010.04.004. eCollection 2010.

Phlebolymphedema-a common underdiagnosed and undertreated problem in the wound care clinic

Wade Farrow  1
Affiliations
Review

Phlebolymphedema-a common underdiagnosed and undertreated problem in the wound care clinic

Wade Farrow. J Am Col Certif Wound Spec. .

Abstract

This article focuses on the pathophysiology of phlebolymphedema, as well as proper diagnosis and treatment. It is hoped that this article will improve care of patients in wound care clinics and motivate wound care physicians to consider adding care of lymphedema patients to their clinical practice.

Keywords: Chronic venous insufficiency; Edema; Lymphedema; Phlebolymphedema.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Classic Champagne Bottle Change of Phlebolymphedema (Chronic Venous Insufficiency With Secondary Lymphedema Development and Lipodermatosclerosis).
Figure 2
Figure 2
Kaposi-Stemmer Sign: Inability to Tent Skin Between Fingers Is Diagnostic of Lymphedema.
Figure 3
Figure 3
Phlebolymphedema Patient With Venous Ulceration With Associated Lipodermatosclerosis of Periwound Area. Note Slight Sausage Toe Changes and Dorsal Foot Swelling That Are Characteristic of Lymphedema.
Figure 4
Figure 4
Severe Elephantiasis of Chronic Lymphedema With Papillomatosis, Lipodermatosclerosis, and Fibrosis of Dermal Skin.
Figure 5
Figure 5
A, Phlebolymphedema Patient With Extensive Nodular Fibrosis Changes of Advanced Lipodermatosclerosis. B, Close-up of Patient of Figure 5A: Phlebolymphedema With Extensive Nodular Fibrosis Changes of Advanced Lipodermatosclerosis.
Figure 6
Figure 6
A, Demonstration of Lymphedema Rubra in Patient With Phlebolymphedema. B, Demonstration of Lymphedema Rubra in Patient With Phlebolymphedema: Photo Taken Directly After Finger Release.
See this image and copyright information in PMC

References

    1. Szuba A., Shin W.S., Strauss H.W., Rockson S. The third circulation: radionuclide lymphoscintography in the evaluation of lymphedema. J Nucl Med. 2003;44(1):43–57. - PubMed
    1. Brenner E., Putz D., Moriggl B. Stemmer's (Kaposi-Stemmer-) sign—30 years later. Phlebologie. 2007;36(6):320–324.
    1. Weismann K., Krakauer R., Wanscher B. Prevalence of skin diseases in old age. Acta Derm Venereol. 1980;60(4):352–353. - PubMed
    1. Valencia I.C., Falabella A., Kirsner R.S., Eaglstein W.H. Chronic venous insufficiency and venous leg ulceration. J Am Acad Dermatol. 2001;44(3):401–421. - PubMed
    1. Guyton A.C. 8th ed. WB Saunders; Philadelphia, PA: 1991. Textbook of Medical Physiology.

LinkOut - more resources