Hereditary lymphedema of the leg – A Case Report

Birgit Heinig, Torello Lotti, Georgi Tchernev, Uwe Wollina*

*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

2 Citations (Scopus)
12 Downloads (Pure)


Primary of hereditary lymphedema is a rare but progressive disease. It is yet not curable. We present a 48-year-old male patient with hereditary lymphedema of his left leg, that was realised by minor trauma (able twist) when he was seven years old. He had never been treated for lymphedema but experienced multiple erysipelas during his life. After diagnostic procedures to exclude other causes of leg swelling, the diagnosis of hereditary lymphedema of the leg, stage III was confirmed. We initialized complex decongestive therapy. During two weeks of intensive treatment, the circumference of the left leg could be reduced by 10 cm. This case illustrates the "natural course" hereditary lymphedema. But it raises the hope that even after decades of ignorance, the patients benefits from complex decongestive treatment. Therapeutic nihilism is unnecessary and poses lymphedema patients to risks of infection and secondary malignancies like Stewart-Trewes syndrome.

Original languageEnglish
Pages (from-to)451-453
Number of pages3
JournalOpen Access Macedonian Journal of Medical Sciences
Issue number4 Special Issue GlobalDermatology
Publication statusPublished - 2017


  • Complex decongestive therapy
  • Elephantiasis nostra
  • Erysipelas
  • Fibrosis
  • Immunocompromised district
  • Primary lymphedema
  • Secondary lymphedema


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