Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with progressive swelling of the lower extremities, reporting a history of recurrent episodes of lymphangitis and localized pain. Symptoms include heaviness, skin thickening, and induration. Patient reports travel history to endemic regions. No systemic symptoms of fever or chills currently noted.
Clinical Examination Findings
Physical examination reveals bilateral/unilateral pitting edema of the lower limbs, progressing to non-pitting brawny edema. Skin changes include hyperkeratosis, verrucous lesions, and secondary lichenification. Palpation of inguinal lymph nodes shows lymphadenopathy. Assessment of pulses is unremarkable. No signs of acute secondary bacterial infection or cellulitis.
Treatment Protocol
Initiate anthelmintic therapy with Diethylcarbamazine (DEC) as per WHO guidelines. Monitor for Mazzotti-type reactions. Adjunctive therapy includes meticulous skin hygiene, use of topical emollients, and compression bandaging to manage lymphedema. Physical therapy and limb elevation are recommended. Follow-up for potential secondary infections.