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

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 22 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

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.

Educational content only. Always verify information and use clinical judgement.