Page 54 - Virtual Vascular Volume 7
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Fibrotic, non-pitting oedema                                                                                           Clinical signs are:

           Hyperkeratosis                                                                                                         -    Oedema is initially soft and non-pitting, but in advanced disease

           Lichenification                                                                                                             the skin becomes fibrotic.

           Stemmer’s sign                                                                                                         -    Skin changes include pinkish-red skin discoloration, hyperkeratosis,

           Ankle ulceration                                                                                                            “mossy foot”, dermatitis, eczema, ulceration and fungal infection.

                                                                                                                                  -    Cutaneous lymph vesicles (which may leak clear lymph, white

                                                                                                                                       chyle or blood) may occur at any site, but most commonly the

                                                                                                                                       thighs and genitals.
                                                                                                                                  -    Oedema of the toes produces Stemmer’s sign (the inability to

                                                                                                                                       pinch a fold of skin on the dorsum of the toes).































































                                                                                                                                                                                         Surgery, 2019-02-01, Vol 37( 2),  81-87
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