Disorders of the lymphatics

Disorders of the lymphatics

Lymphoedema

The skin overlying chronic lymphoedema is firm and pits poorly. Longstanding lymphoedema may lead to gross, almost furry, hyperkeratosis, as in the so-called ‘mossy foot’.

Lymphangitis

This streptococcal infection of the lymphatics may occur without any lymphoedema. A tender red line extends proximally. Penicillin flucloxacillin, cephalexin and erythromycin are usually effective.