Differential diagnosis

  • Unilateral
    • Acute
      • Deep vein thrombosis
      • Cellulitis
      • Acute arthritis – septic / inflammatory
      • Ruptured Baker’s cyst
      • Ruptured medial head of gastrocnemius
      • Compartment syndrome
    • Chronic
      • Chronic venous insufficiency
      • Lymphedema
      • Pelvic mass causing compression of draining veins
  • Bilateral
    • Acute / sub-acute
      • Bilateral deep vein thromboses
      • Bilateral cellulitis
      • Symmetrical polyarthritis
      • Pregnancy
    • Chronic
      • Congestive cardiac failure
        • Chronic lung disease complicated by cor pulmonale
      • Primary pulmonary hypertension
      • Nephrotic syndrome
      • Chronic liver disease
      • Chronic kidney disease
      • Pretibial myxoedema
      • Drugs
        • Calcium channel blockers