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Lymphoedema is a progressive and chronic condition. It arises from congenital malformation of the lymphatic system (primary lymphoedema), or secondary from damage to lymphatic vessels and/or lymph nodes. Figures are estimated at 3.93/1000, (England 2016), with other studies estimating higher, as Wales (2017) projected 5.49/1000.
Obesity
Where a patient presents with chronic swelling, of more than 3 months the type/cause of the swelling should be established.
Unknown cause
Investigations/assessment should be undertaken to exclude the following causes:
Where these causes have been excluded or treated consider either
Secondary Lymphoedema as a result of:
Or
Primary lymphoedema .
Patients with acute cellulitis or active infection should first be treated in line with local formulary guidance (the British Lymphology Society (BLS) also have guidelines for cellulitis in lymphoedema patients).
North Devon/North Cornwall – Age 18 years +.
North Devon/North Cornwall – by letter or referral form, with medical history, medication and the results of any investigations.
Northern Devon Healthcare NHS Trust - Lymphoedema service patient information leaflets
Macmillan - Living with Lymphoedema
This guideline has been signed off on behalf of NHS Devon.
Publication date: May 2024