%0 Journal Article %T Subclinical systemic lymphedema and its progression %V 10 %N 3 %P 259-261 %U http://www.odermatol.com/issue-in-html/2019-3-7-lymphedema/ %X Lymphedema is a condition stemming from the accumulation of macromolecules in the interstitial space that leads to the retention of fluids. Patient seven-year old male patient with a diagnosis since birth of congenital primary lymphedema in the right lower leg underwent treatments over the years, but the condition progressed to elephantiasis. The patient sought the Godoy Clinic and was submitted to the intensive Godoy Method, nearly reaching normalization. Bioimpedance analysis was performed at the time and continued as a routine monitoring practice over the years, revealing a progression to subclinical systemic lymphedema. The increase in weight and the body mass index (BMI) over the years was accompanied by an increase in water, leading to the accumulation of total body water. An increase in weight in patients with lymphedema can evolve to subclinical systemic lymphedema, further aggravating the primary lymphedema. %G en %J Our Dermatology Online %A Pereira de Godoy, Jose Maria %D 2019-07-02