Different evolution of stage 2 primary lymphedema of the lower limbs

Introduction: Lymphedema is the accumulation of protein-rich fluid and macromolecules in the interstitial space of a body segment with increased volume in the affected limb, causing progressive fibrosclerotic changes in tissues.

Objective: To describe the clinical course and progression analysis of a 52-year-old patient with stage 2 primary bilateral lymphedema.

Case presentation: This is the case of a 52-year-old male patient who had suffered from lymphedema for more than 20 years. He had received several opinions and ineffective treatments in the last 5 years, until he was treated at the Clínica Godoy in Sao Jose de Rio Preto, Brazil, in 2016. There, he underwent intensive therapy according to the treatment model proposed by Godoy & Godoy.

Conclusion: Favorable outcomes were obtained in a very short period of time; during the process, different clinical evolutions were observed in both legs, even though both received the same treatment.