Higher proportion of cellulitis in severe lymphoedema

We read with interest the article from Burian et al. which discussed the prevalence and risk factors of cellulitis in chronic leg oedema. We conducted a twelve-year service evaluation at the Norfolk and Norwich University Hospital to investigate the applicability of these results in a real-world setting. Our study found that episodes of cellulitis were more common in patients with more severe lymphoedema, reinforcing the findings of Burian et al. and highlighting the importance of controlling lymphatic swelling to reduce cellulitis risk.