Stages of Lymphedema
| Grade | Description |
|---|---|
| Stage 0 Subclinical stage | No obvious signs or symptoms. Impaired lymph drainage is subclinical. Lymphedema (LE) may be present for months to years before progressing to later stages. Edema is not evident. |
| Stage I Mild stage | Swelling is present. Affected area pits with pressure. Elevation relieves swelling. Skin texture is smooth. |
| Stage II Moderate stage | Accumulation of fluid. Skin may look tight, shiny, and tissue may have a spongy feel. Pitting may or may not be present as tissue fibrosis (hardening) begins to develop. Elevation does not alleviate the swelling. Hair loss or nail changes may be experienced in affected extremity. This is an irreversible stage, but dermal fibrosis may improve with prolonged treatment. |
| Stage III Severe stage | LE has progressed to the lymphostatic elephantiasis stage, at which the limb is very large. Affected area is nonpitting, often with permanent edema. Skin folds develop. At increased risk for recurrent cellulitis, infections (lymphangitis), or ulcerations. Affected limb may ooze fluid. Elevation will not alleviate symptoms. |