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Phlebology 2008;23:276-286
doi:10.1258/phleb.2008.008010
© 2008 Royal Society of Medicine Press

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Diagnosis and therapy in children with lymphoedema

R J Damstra *  and P S Mortimer {dagger}

* Department of Dermatology, Phlebology and Lymphology, Nij Smellinghe Hospital Drachten, The Netherlands; {dagger} Department of Cardiac and Vascular Sciences (Dermatology), St George's Hospital Medical School, University of London, London, UK


Figure 1
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Figure 1 Typical signs of distal swelling: foot, toe and nail deformity in Milroy disease

 

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Figure 2 A 10-month-old child with erysipelas of unknown cause, suggesting a lymphatic impairment

 

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Figure 3 Clinical signs of lymphoedema (left). Magnetic resonance imaging of transverse and longitudinal sections with pure supramuscular fascia region thickening and trabecular densities, corresponding to fibrosis and an excess of adipose tissue

 

Figure 4
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Figure 4 Flowchart diagnostics, treatment and follow-up

 

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