A new classification of lymphedema
DISCOVERIES REPORTS (ISSN 2393249X), 2022, volume 5


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CITATION: Godoy JMP, Godoy MFG. A new classification of lymphedema. Discoveries Reports 2022; 5(3): e32. DOI: 10.15190/drep.2022.6

A new classification of lymphedema

Jose Maria Pereira de Godoy 1, Maria de Fatima Guerreiro Godoy 2, *

1 São José do Rio Preto School of Medicine (FAMERP), National Council for Research and Development (CNPq), Brazil
São José do Rio Preto School of Medicine (FAMERP), Godoy Clinic, Sao Jose do Rio Preto, Brazil

* Corresponding authors:

Prof. Jose Maria Pereira de Godoy, São José do Rio Preto School of Medicine, Rua Floriano Peixoto, 2950, São Jose do Rio Preto, SP, Brazil; CEP: 15020-010; Phone: +55 1732326362; E-mail: godoyjmp@gmail.com


The classification of lymphedema into primary and secondary has been criticized over the years and should be updated based on advances in general knowledge of lymphedema. The present editorial proposes a new classification into primary lymphedema (congenital - emerges before 2 years of age; early - emerges between 2 and 35 years of age; late - emerged after 35 years of age), secondary lymphedema and mixed lymphedema (primary mixed lymphedema and secondary mixed lymphedema).  The main additions are the primary mixed congenital lymphedema while maintaining the same periods of occurrence (early and late congenital lymphedema), however adding secondary harm to the lymphatic system, and secondary mixed lymphedema, in which the patient suffers new harm to the lymphatic system, such as that resulting from the occurrence of erysipelas, in addition to the initial harm that caused the lymphedema. The classification of primary mixed lymphedema and secondary mixed lymphedema makes the diagnosis more comprehensive, enabling a more accurate treatment approach and prognosis. This new classification is essential for a better understanding of the diagnosis of lymphedema.

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