Expert Opinion :
Since this child has edema feet since birth, one should rule out congenital lymphedema. This is a condition due to poor development of lymphatics in the limbs leading to edema. Occasionally, patients may have pleural effusion and ascitis due to lymphatic obstruction. The other name for this disorder is Milroy’s disease. Diagnosis can be confirmed by lymphangiography. Treatment consists of elastic stockings to decrease edema, prevention of ulcers due to fluid stasis and benzopyrenes to decrease the edema. There is no curative treatment.