Disorders
of the lymphatics
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’.
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.
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