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Living with Hereditary lymphedema type I

An inherited condition with long-lasting swelling, mostly in the legs, from a lymphatic system problem.

Understanding Hereditary lymphedema type I

Hereditary lymphedema type I (lymphatic malformation 1) is a condition that causes long-lasting swelling of body parts from problems in the lymphatic system.

It can start before birth, at birth, or in infancy, and it can appear later. How much swelling occurs varies. People can also have changes in the nails and skin. Different types of primary lymphedema are caused by different genes.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Swelling from excess lymph fluid (lymphedema)
  • Swollen ankles and feet
  • Skin infection (cellulitis)
  • Varicose veins
  • Abnormal toenails
  • Thickened skin (hyperkeratosis)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in FLT4 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Lymphatic Education and Research Network may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: Lymphatic Education and Research Network
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Lymphatic Education and Research Network and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Could genetic testing for the FLT4 gene confirm the diagnosis?
How can swelling be managed and skin infections prevented?
Which specialists, such as lymphedema therapists, can help?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Dominant
GenesFLT4

It is caused by changes in the FLT4 gene. It is autosomal dominant, so one changed copy of the gene is enough.

GeneticSkin

Also known as: congenital hereditary lymphedema; congenital primary lymphedema; early onset lymphedema; flt4 hereditary lymphedema; hereditary lymphedema 1; hereditary lymphedema caused by mutation in flt4

Patient organizations

Source: NIH GARD · Hereditary lymphedema type IGARD ID 3328 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Hereditary lymphedema type I.

Explore the Hereditary lymphedema type I blog

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