Abstract
Subclinical systemic lymphedema and its progression
Highlights
Lymphedema is a condition stemming from the accumulation of macromolecules in the interstitial space that leads to the retention of fluids
Bioimpedance analysis was performed at the time and continued as a routine monitoring practice over the years, revealing a progression to subclinical systemic lymphedema
The increase in weight and the body mass index (BMI) over the years was accompanied by an increase in water, leading to the accumulation of total body water
Summary
Lymphedema is a condition stemming from the accumulation of macromolecules in the interstitial space that leads to the retention of fluids. This condition is divided into three clinical stages. In stage I, the patient awakens without edema, but swelling develops throughout the day. Bioimpedance analysis enables the determination of total intracellular and extracellular water as well as water in isolated extremities and the trunk and has demonstrated an increase in total body water with the progression of lymphedema [5]. © Our Dermatol Online 3.2019 www.odermatol.com but the condition progressed to elephantiasis. Bioimpedance analysis was performed at the time and continued as a routine monitoring practice over the years, revealing a progression to subclinical systemic lymphedema. The extracellular water/total body water ratio remained within the limits of normality, except in the leg with lymphedema (Table I)
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