Eur J Plast Surg (1999) 22:404–405 © Springer-Verlag 1999 LETTER T O EDIT OR J. Bruna · A.J. Miller · J. Beninson There are number of different classifications of lymphe- as lymphedema congenital, praecox or tarda. From the dema [1–4, 8, 11]. Most of them divide lymphedema into hyperplastic and hypoplastic types, Kinmonth separated primary and secondary and their subdivisions. The exact lymphedema with gonadal dysgenesia, lymphedema with separation of primary and secondary lymphedema is familiar pes cavus and Milroy disease with familiar sometimes difficult, especially if no information is avail- lymphedema . able from histopathological or lymphangiographic stud- Primary (genetic) lymphedema is divided into con- ies. The lack of consistency in clinical classifications of genital familiar type I (Nonne-Milroy disease), type II lymphedema from one treatment centre to another makes lymphedema praecox (Meige disease) and non-familial the proper evaluation of treatment results from different (Letessier disease) with or without secondary pathologi- centres of questionable value. We have recommended cal changes such as cholangiectasia, lymphangitis, dyst- that a practical clinical classification of lymphedema be ichiasis, yellow nail and cerebrovascular malformations. standardised for use throughout the world, thus allowing There are a number of syndromes connected with lymph- meaningful comparison
European Journal of Plastic Surgery – Springer Journals
Published: Nov 18, 1999
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