[Lipedema: a misdiagnosed entity].
Identifieur interne : 000205 ( France/Analysis ); précédent : 000204; suivant : 000206[Lipedema: a misdiagnosed entity].
Auteurs : S. Vignes [France]Source :
- Journal des maladies vasculaires [ 2214-8116 ] ; 2012.
Descripteurs français
- KwdFr :
- Diagnostic différentiel, Diagnostic par imagerie (), Douleur (étiologie), Ecchymose (étiologie), Esthétique, Facteurs sexuels, Femelle, Graisse sous-cutanée (anatomopathologie), Humains, Lipectomie, Lymphoedème (diagnostic), Lymphoscintigraphie, Mâle, Obésité (), Oedème (), Oedème (anatomopathologie), Oedème (diagnostic), Oedème (physiopathologie), Oedème (étiologie), Techniques de physiothérapie.
- MESH :
- anatomopathologie : Graisse sous-cutanée, Oedème.
- diagnostic : Lymphoedème, Oedème.
- physiopathologie : Oedème.
- étiologie : Douleur, Ecchymose, Oedème.
- Diagnostic différentiel, Diagnostic par imagerie, Esthétique, Facteurs sexuels, Femelle, Humains, Lipectomie, Lymphoscintigraphie, Mâle, Obésité, Oedème, Techniques de physiothérapie.
English descriptors
- KwdEn :
- Diagnosis, Differential, Diagnostic Imaging (methods), Ecchymosis (etiology), Edema (diagnosis), Edema (etiology), Edema (pathology), Edema (physiopathology), Edema (surgery), Esthetics, Female, Humans, Lipectomy, Lymphedema (diagnosis), Lymphoscintigraphy, Male, Obesity (complications), Pain (etiology), Physical Therapy Modalities, Sex Factors, Subcutaneous Fat (pathology).
- MESH :
- complications : Obesity.
- diagnosis : Edema, Lymphedema.
- etiology : Ecchymosis, Edema, Pain.
- methods : Diagnostic Imaging.
- pathology : Edema, Subcutaneous Fat.
- physiopathology : Edema.
- surgery : Edema.
- Diagnosis, Differential, Esthetics, Female, Humans, Lipectomy, Lymphoscintigraphy, Male, Physical Therapy Modalities, Sex Factors.
Abstract
Lipedema is a clinical entity frequently misdiagnosed or confound with primary lymphedema. Lipedema is a disorder of adipose tissue that occurs almost exclusively in obese women. It is characterized by bilateral enlargement from hip to ankle due to abnormal depositions of subcutaneous fat associated with often mild edema, usually sparing the feet. Disease onset is usually at or soon after puberty. Lipedema results in considerable frustration and distress resulting from the cosmetic appearance. Patients may complain of pain, tenderness, easy bruising of the affected areas with moderate to severe sensitivity to digital pressure or pinching. Imaging studies using computed tomography, magnetic resonance imaging, ultrasound, lymphoscintigraphy are not indicated, except if the diagnosis is atypic or doubtful. Long-term evolution may alter lymphatic system and lead to a lipo-lymphedema with specific complications such as cellulitis. Lipedema management is not codified and included weight loss (poorly improving leg appearance or discomfort), psychological counselling and compression therapy. Liposuction, especially using tumescent local anaesthesia, may reduce edema, spontaneous pain, sensitivity to pressure, bruising and improve appearance resulting in a important increase in quality of life.
DOI: 10.1016/j.jmv.2012.05.002
PubMed: 22698628
Affiliations:
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pubmed:22698628Le document en format XML
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Vignes</name><affiliation wicri:level="3"><nlm:affiliation>Unité de lymphologie, centre national de référence des maladies vasculaires rares (lymphœdèmes primaires), hôpital Cognacq-Jay, 15, rue Eugène-Millon, 75015 Paris, France. stephane.vignes@cognacq-jay.fr</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Unité de lymphologie, centre national de référence des maladies vasculaires rares (lymphœdèmes primaires), hôpital Cognacq-Jay, 15, rue Eugène-Millon, 75015 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="RBID">pubmed:22698628</idno><idno type="pmid">22698628</idno><idno type="doi">10.1016/j.jmv.2012.05.002</idno><idno type="wicri:Area/PubMed/Corpus">002082</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002082</idno><idno type="wicri:Area/PubMed/Curation">002082</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">002082</idno><idno type="wicri:Area/PubMed/Checkpoint">002082</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">002082</idno><idno type="wicri:Area/Ncbi/Merge">004E59</idno><idno type="wicri:Area/Ncbi/Curation">004E59</idno><idno type="wicri:Area/Ncbi/Checkpoint">004E59</idno><idno type="wicri:Area/Main/Merge">003D24</idno><idno type="wicri:Area/Main/Curation">003D12</idno><idno type="wicri:Area/Main/Exploration">003D12</idno><idno type="wicri:Area/France/Extraction">000205</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Lipedema: a misdiagnosed entity].</title><author><name sortKey="Vignes, S" sort="Vignes, S" uniqKey="Vignes S" first="S" last="Vignes">S. Vignes</name><affiliation wicri:level="3"><nlm:affiliation>Unité de lymphologie, centre national de référence des maladies vasculaires rares (lymphœdèmes primaires), hôpital Cognacq-Jay, 15, rue Eugène-Millon, 75015 Paris, France. stephane.vignes@cognacq-jay.fr</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Unité de lymphologie, centre national de référence des maladies vasculaires rares (lymphœdèmes primaires), hôpital Cognacq-Jay, 15, rue Eugène-Millon, 75015 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></analytic><series><title level="j">Journal des maladies vasculaires</title><idno type="eISSN">2214-8116</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Diagnosis, Differential</term><term>Diagnostic Imaging (methods)</term><term>Ecchymosis (etiology)</term><term>Edema (diagnosis)</term><term>Edema (etiology)</term><term>Edema (pathology)</term><term>Edema (physiopathology)</term><term>Edema (surgery)</term><term>Esthetics</term><term>Female</term><term>Humans</term><term>Lipectomy</term><term>Lymphedema (diagnosis)</term><term>Lymphoscintigraphy</term><term>Male</term><term>Obesity (complications)</term><term>Pain (etiology)</term><term>Physical Therapy Modalities</term><term>Sex Factors</term><term>Subcutaneous Fat (pathology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Diagnostic différentiel</term><term>Diagnostic par imagerie ()</term><term>Douleur (étiologie)</term><term>Ecchymose (étiologie)</term><term>Esthétique</term><term>Facteurs sexuels</term><term>Femelle</term><term>Graisse sous-cutanée (anatomopathologie)</term><term>Humains</term><term>Lipectomie</term><term>Lymphoedème (diagnostic)</term><term>Lymphoscintigraphie</term><term>Mâle</term><term>Obésité ()</term><term>Oedème ()</term><term>Oedème (anatomopathologie)</term><term>Oedème (diagnostic)</term><term>Oedème (physiopathologie)</term><term>Oedème (étiologie)</term><term>Techniques de physiothérapie</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Graisse sous-cutanée</term><term>Oedème</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Obesity</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Edema</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Lymphoedème</term><term>Oedème</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Ecchymosis</term><term>Edema</term><term>Pain</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Diagnostic Imaging</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Edema</term><term>Subcutaneous Fat</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Oedème</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Edema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Edema</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Douleur</term><term>Ecchymose</term><term>Oedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Diagnosis, Differential</term><term>Esthetics</term><term>Female</term><term>Humans</term><term>Lipectomy</term><term>Lymphoscintigraphy</term><term>Male</term><term>Physical Therapy Modalities</term><term>Sex Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Diagnostic différentiel</term><term>Diagnostic par imagerie</term><term>Esthétique</term><term>Facteurs sexuels</term><term>Femelle</term><term>Humains</term><term>Lipectomie</term><term>Lymphoscintigraphie</term><term>Mâle</term><term>Obésité</term><term>Oedème</term><term>Techniques de physiothérapie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lipedema is a clinical entity frequently misdiagnosed or confound with primary lymphedema. Lipedema is a disorder of adipose tissue that occurs almost exclusively in obese women. It is characterized by bilateral enlargement from hip to ankle due to abnormal depositions of subcutaneous fat associated with often mild edema, usually sparing the feet. Disease onset is usually at or soon after puberty. Lipedema results in considerable frustration and distress resulting from the cosmetic appearance. Patients may complain of pain, tenderness, easy bruising of the affected areas with moderate to severe sensitivity to digital pressure or pinching. Imaging studies using computed tomography, magnetic resonance imaging, ultrasound, lymphoscintigraphy are not indicated, except if the diagnosis is atypic or doubtful. Long-term evolution may alter lymphatic system and lead to a lipo-lymphedema with specific complications such as cellulitis. Lipedema management is not codified and included weight loss (poorly improving leg appearance or discomfort), psychological counselling and compression therapy. Liposuction, especially using tumescent local anaesthesia, may reduce edema, spontaneous pain, sensitivity to pressure, bruising and improve appearance resulting in a important increase in quality of life.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Île-de-France</li></region><settlement><li>Paris</li></settlement></list><tree><country name="France"><region name="Île-de-France"><name sortKey="Vignes, S" sort="Vignes, S" uniqKey="Vignes S" first="S" last="Vignes">S. Vignes</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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