Griton P
Phlebologie. 1988 Apr-Jun;41(2):325-34.
Classical lymphedema, more than the most frequent complications, is the clinical manifestation of decompensated lymphopathies of the lower extremities. These edemas are supra-aponeurotic and always completely painless, when isolated. There are three types:distal lymphedema occurring on congenital lymphopathy, the most frequent, with are sudden onset with lymphangitis, usually insidious, intermittent, soon characterized by fibrosing edema of the toes and the ankle. Proximal lymphedema secondary to iliac nodes blocking, rarely benign, most of the time malignant and/or iatrogenic (surgery and/or radiotherapy), predominantly at the origin of the thigh, respecting the foot. Post-traumatic hanging lymphedema after extended impairment of the superficial paths, most often transient.
典型性淋巴水肿，相较于最常见的并发症，是下肢淋巴系统失代偿病变的临床表现。这些水肿位于腱膜上，孤立存在时通常完全无痛。有三种类型：先天性淋巴病变引发的远端淋巴水肿最为常见，起病突然伴有淋巴管炎，通常隐匿、间歇性发作，很快会表现为脚趾和脚踝的纤维性水肿。继发于髂淋巴结阻塞的近端淋巴水肿，很少为良性，大多时候为恶性和/或医源性（手术和/或放疗），主要起源于大腿根部，不累及足部。浅表淋巴管广泛受损后发生的创伤后下垂性淋巴水肿，大多为暂时性。
