Differential diagnosis of lower limbs swelling
Lymphoedema | Vascular malformation | Lipoedema | Tumour | |
Onset | Infancy/adolescence | Infancy | Adolescence | Infancy |
Familial transmission | ± | – | ± | – |
Laterality | Unilateral/bilateral | Unilateral | Bilateral | Unilateral |
Foot/hand involvement | + | ± | – | ± |
Cutaneous involvement | ± | + | – | + |
Aberrant blood tests | – | ± | – | ± |
Lymphoscintigraphy | + | – | – | – |
MRI findings | Increasing subcutaneous adipose/oedema | Aberrant blood vessels | Increasing subcutaneous adipose | Tumour-specific (increasing lesion) |