Lymphoedema is a common problem which affects both the legs and commonly unilateral in the presentation. After excluding the causes for edema in the case of bilateral edema namely cardiac, renal, hepatic, nutritional and also hypothyroidism, the possibility of elephantiasis needs to be thought of. The usual way of dealing with night blood for microfilaria is now almost left off except in admission cases.
The treatment schedule consists of antibiotics and anti-inflammatory agents in case there is a suspicion of infection. A trial of diethylcarbamazine with a dose of 100 mg thrice daily can be undertaken and gives some relief. This is the common prescription used by most of the doctors dealing with such cases In 1990s USSR academy of medical sciences publication Science Digest has published an article related to the treatment of lymphoedema under the heading Lymphology- a study of the…