Page 55 - 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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