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Living with Lymphedema praecox

An inherited form of lymphedema, also called Meige disease, with leg and foot swelling that usually starts around puberty.

Understanding Lymphedema praecox

Lymphedema praecox, also called Meige disease, is a primary lymphedema caused by abnormal transport of lymph fluid.

People usually develop swelling in the lower legs and feet during puberty. Some develop cellulitis, a non-contagious skin infection that can further damage lymph vessels. GARD says it is thought to be genetic because it tends to run in families.

Signs & symptoms

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

  • Swelling of the lower legs and feet
  • Skin infection (cellulitis)
  • Repeated bacterial skin infections
  • Cobblestone-like thick skin
  • Atypical scarring of skin
  • Underdeveloped lymph nodes

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 EPHB4 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
Would EPHB4 gene testing help our family?
How can I lower the chance of cellulitis?
Which lymphedema therapists or specialists can help?

Quick facts

Symptoms usually startChild and as a Teenager
InheritanceAutosomal Dominant
GenesEPHB4

It is thought to be genetic, and the EPHB4 gene is listed. It appears to be inherited in an autosomal dominant way.

GeneticSkin

Also known as: hereditary lymphedema ii; hereditary lymphedema type ii; late-onset lymphedema; late-onset primary lymphedema; lmph2; lmphm5

Patient organizations

Source: NIH GARD · Lymphedema praecoxGARD ID 3324 · 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 Lymphedema praecox.

Explore the Lymphedema praecox blog

Explore research for Lymphedema praecox

Explore actively recruiting Lymphedema praecox studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Lymphedema praecox with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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