Abstract
We thank Bellini et al. for their friendly words and their agreement with most of the content of our article ‘Diagnosis and therapy in children with lymphedema’ 1 in their Letter to the editor.
Although technically suitable to perform in children, lymphoscintigraphy injections are painful and can be distressing for children, but the investigation can provide very useful information as Bellini et al. suggest.
We still consider lymphoscintigraphy to be not indicated as a routine procedure in every newborn or child with (peripheral) lymphoedema. Our statement about lymphscintigraphy in selective cases is in accordance with the suggestions made in the article by Bellini et al., 2 where they focused on lymphatic dysplasia in newborns and children with almost no signs of peripheral lymphoedema, but mainly complaints of chyle effusion into pleural, pericardial or abdominal cavities.
In Bellini et al. 3 they present one case of a newborn with Henekamp syndrome with chyle effluvium as well.
Therefore, we thank Bellini et al. for their additional information to our article.