03/09/2025
๐๐๐ฎ๐ฌ๐๐ฌ ๐จ๐ ๐๐จ๐ง-๐๐ข๐ญ๐ญ๐ข๐ง๐ ๐๐๐๐๐ฅ ๐๐๐๐ฆ๐
1. ๐๐ฒ๐ฆ๐ฉ๐ก๐๐๐๐ฆ๐
Obstruction or damage to lymphatic drainage.Edema is firm, non-pitting, asymmetric, often with skin thickening
Causes:
Primary (congenital, e.g., Milroyโs disease).
Secondary (infection like filariasis, surgery, radiation, tumor compression).
2. ๐๐ฒ๐ฑ๐๐๐๐ฆ๐ (๐๐๐ฏ๐๐ซ๐ ๐๐ฒ๐ฉ๐จ๐ญ๐ก๐ฒ๐ซ๐จ๐ข๐๐ข๐ฌ๐ฆ)
Deposition of mucopolysaccharides in interstitial tissues.Edema is doughy, firm, non-pitting.Often associated with other hypothyroid features (dry skin, hair loss, weight gain, cold intolerance).
3. ๐๐ก๐ซ๐จ๐ง๐ข๐ ๐๐๐ง๐จ๐ฎ๐ฌ ๐๐ง๐ฌ๐ฎ๐๐๐ข๐๐ข๐๐ง๐๐ฒ (๐ฅ๐๐ญ๐ ๐ฌ๐ญ๐๐ ๐)
Longstanding venous stasis can lead to fibrosis and hardening of tissues.Early: pitting edema.Late: becomes non-pitting due to tissue fibrosis.
4. ๐๐ข๐ฉ๐๐๐๐ฆ๐
Abnormal deposition of fat in lower limbs.Usually bilateral, tender, sparing the feet.Can appear like non-pitting edema.
5. ๐๐ง๐๐๐๐ญ๐ข๐จ๐ง๐ฌ & ๐๐ง๐๐ฅ๐๐ฆ๐ฆ๐๐ญ๐จ๐ซ๐ฒ ๐๐๐ฎ๐ฌ๐๐ฌ
Cellulitis, erysipelas โ localized, warm, erythematous non-pitting swelling.Post-inflammatory fibrosis after chronic infection.
6. ๐๐ญ๐ก๐๐ซ๐ฌ / ๐๐๐ซ๐
Pretibial myxedema in hyperthyroidism (Gravesโ disease).
Malignant infiltration or scarring causing lymphatic obstruction.
Drugs: e.g., calcium channel blockers sometimes cause firm edema, but usually pitting at first.
