STAGES OF LYMPHEDEMA

LATENCY STAGE

  1. Lymphatic transport capacity is reduced
  2. No visible/palpable edema
  3. Subjective complaints are possible

STAGE I (Reversible Lymphedema)

  1. Accumulation of protein-rich edema fluid
  2. Pitting edema
  3. Reducible with elevation (no fibrosis)

STAGE II (Spontaneously Irreversible Lymphedema)

  1. Accumulation of protein-rich edema fluid
  2. Pitting becomes progressively more difficult
  3. Connective tissue proliferation (fibrosis)

STAGE III (Lymphostatic Elephantiasis)

  1. Accumulation of protein-rich edema fluid
  2. Non-pitting
  3. Fibrosis and sclerosis (severe induration)
  4. Skin changes (papillomas, hyperkeratosis, etc.)