Question:
Identify the condition shown in the image below:
Identify the condition shown in the image below:
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Buffalo hump on the foot dorsum and skin you cannot pinch over the toes.
Updated On: Jun 23, 2026
- Chronic lymphedema
- Cushing syndrome
- Osteoporosis
- None
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The Correct Option is A
Solution and Explanation
Answer: Chronic lymphedema.
The image shows the typical foot of chronic lymphoedema. Lymphoedema characteristically involves the foot, and several signs appear together:
The submalleolar depressions fill in, so the ankle contour is lost.
A 'buffalo hump' of swelling forms on the dorsum of the foot.
The toes look 'square' because footwear confines them.
The skin on the dorsum of the toes cannot be pinched up because of subcutaneous fibrosis. This is a positive Stemmer's sign and is a hallmark of lymphoedema.
Why not the others: Cushing syndrome and osteoporosis do not produce this localized foot picture. Ref: Bailey & Love, Short Practice of Surgery, 27th ed, p. 998
The image shows the typical foot of chronic lymphoedema. Lymphoedema characteristically involves the foot, and several signs appear together:
The submalleolar depressions fill in, so the ankle contour is lost.
A 'buffalo hump' of swelling forms on the dorsum of the foot.
The toes look 'square' because footwear confines them.
The skin on the dorsum of the toes cannot be pinched up because of subcutaneous fibrosis. This is a positive Stemmer's sign and is a hallmark of lymphoedema.
Why not the others: Cushing syndrome and osteoporosis do not produce this localized foot picture. Ref: Bailey & Love, Short Practice of Surgery, 27th ed, p. 998
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