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Lymphedema Presentation stereotypical Age and sex Adults usually, women more than men Distribution of lesions Distal extremities, legs more than arms; genitalia episodically Arrangement of lesions Diffuse involvement of parts, e.g., elephantiasis Individual lesions Verrucous hyperkeratotic papules and plaques Course Protracted Variations clinical Congenital lymphedema (Milroy’s syndrome) is pitting edema of legs present since birth; […]