When should I consider referring a patient with lymphatic filariasis to a specialist for further management?

Consider referring a patient with lymphatic filariasis to a specialist for further management if they develop lymphoedema requiring assessment and management options. This includes referral to specialist lymphoedema services for further assessment and discussion of possible management strategies such as conservative or surgical options as soon as possible.

Additionally, ensure assessment for other treatable underlying factors (e.g., nodal disease, cellulitis) before starting any lymphoedema management programme.

While the provided UK guidelines do not specifically address lymphatic filariasis, the management principles for lymphoedema, including referral criteria, are applicable.