A 40-year-old man from Nigeria presents with chronic, progressive bilateral lower limb lymphoedema. He has no filarial infection detected by ICT or no...

Question

A 40-year-old man from Nigeria presents with chronic, progressive bilateral lower limb lymphoedema. He has no filarial infection detected by ICT or nocturnal blood film. He is negative for HIV. He wears shoes regularly and has no history of walking barefoot on volcanic soil. Ultrasound of the inguinal lymph nodes shows lymph node calcification. What further investigation may help determine the cause?

Accepted Answer

Lymphoscintigraphy to assess lymphatic function

Answer

Repeat malaria film

Answer

CT pulmonary angiogram

Answer

Bone marrow biopsy

Answer

Echocardiography

uk-dtmh MCQ (SBA): Lymphoedema Investigation