LymphedemaV1, Main, Curation, bibRecord, 005D00

High‐resolution cutaneous ultrasonography to differentiate lipoedema from lymphoedema

Identifieur interne : 005D00 ( Main/Curation ); précédent : 005C99; suivant : 005D01

High‐resolution cutaneous ultrasonography to differentiate lipoedema from lymphoedema

Auteurs : M. Naouri [France] ; M. Samimi [France] ; M. Atlan [France] ; E. Perrodeau [France] ; C. Vallin [France] ; G. Zakine [France] ; L. Vaillant [France] ; L. Machet [France]

Source :

British Journal of Dermatology [ 0007-0963 ] ; 2010-08.

RBID : ISTEX:21411E2E0A31CE465704101B812238CFE24071E3

Descripteurs français

KwdFr :
- Derme (imagerie diagnostique), Diagnostic différentiel, Humains, Jambe (imagerie diagnostique), Lymphoedème (imagerie diagnostique), Oedème (imagerie diagnostique), Tissu adipeux (imagerie diagnostique), Troubles du métabolisme lipidique (imagerie diagnostique), Échographie.
MESH :
- imagerie diagnostique : Derme, Jambe, Lymphoedème, Oedème, Tissu adipeux, Troubles du métabolisme lipidique.
- Diagnostic différentiel, Humains, Échographie.
Pascal (Inist)
- Dermatologie, Diagnostic, Echographie, Haute résolution, Lipoedème, Lymphoedème, Peau.

English descriptors

KwdEn :
- Adipose Tissue (diagnostic imaging), Dermatology, Dermis (diagnostic imaging), Diagnosis, Diagnosis, Differential, Echography, Edema (diagnostic imaging), High resolution, Humans, Leg (diagnostic imaging), Lipid Metabolism Disorders (diagnostic imaging), Lipoedema, Lymphedema, Lymphedema (diagnostic imaging), Skin, Ultrasonography.
MESH :
- diagnostic imaging : Adipose Tissue, Dermis, Edema, Leg, Lipid Metabolism Disorders, Lymphedema.
- Diagnosis, Differential, Humans, Ultrasonography.

Abstract

Background Lipoedema is an accumulation of fat abnormally distributed in the lower limbs, and lymphoedema is oedema caused by a deficiency of the lymphatic system. High‐resolution ultrasound operating at 20 MHz makes it possible to characterize dermal oedema.

Url:

https://api.istex.fr/document/21411E2E0A31CE465704101B812238CFE24071E3/fulltext/pdf

DOI: 10.1111/j.1365-2133.2010.09810.x

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ISTEX:21411E2E0A31CE465704101B812238CFE24071E3

Le document en format XML

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<front><div type="abstract">Background  Lipoedema is an accumulation of fat abnormally distributed in the lower limbs, and lymphoedema is oedema caused by a deficiency of the lymphatic system. High‐resolution ultrasound operating at 20 MHz makes it possible to characterize dermal oedema.</div>
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<author><name sortKey="Naouri, M" sort="Naouri, M" uniqKey="Naouri M" first="M." last="Naouri">M. Naouri</name>
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<country>France</country>
<placeName><region type="region" nuts="2">Centre-Val de Loire</region>
<region type="old region" nuts="2">Région Centre</region>
<settlement type="city">Tours</settlement>
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</affiliation>
</author>
<author><name sortKey="Samimi, M" sort="Samimi, M" uniqKey="Samimi M" first="M." last="Samimi">M. Samimi</name>
<affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Dermatology, Université François Rabelais, CHRU de Tours</s1>
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<placeName><region type="region" nuts="2">Centre-Val de Loire</region>
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<author><name sortKey="Atlan, M" sort="Atlan, M" uniqKey="Atlan M" first="M." last="Atlan">M. Atlan</name>
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<author><name sortKey="Perrodeau, E" sort="Perrodeau, E" uniqKey="Perrodeau E" first="E." last="Perrodeau">E. Perrodeau</name>
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<sZ>4 aut.</sZ>
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<country>France</country>
<placeName><region type="region">Centre-Val de Loire</region>
<region type="old region">Région Centre</region>
<settlement type="city">Tours</settlement>
</placeName>
</affiliation>
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<author><name sortKey="Vallin, C" sort="Vallin, C" uniqKey="Vallin C" first="C." last="Vallin">C. Vallin</name>
<affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Department of Radiology, CHRU</s1>
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<author><name sortKey="Zakine, G" sort="Zakine, G" uniqKey="Zakine G" first="G." last="Zakine">G. Zakine</name>
<affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Department of Plastic Surgery, CHRU</s1>
<s2>Tours</s2>
<s3>FRA</s3>
<sZ>3 aut.</sZ>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName><region type="region">Centre-Val de Loire</region>
<region type="old region">Région Centre</region>
<settlement type="city">Tours</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Vaillant, L" sort="Vaillant, L" uniqKey="Vaillant L" first="L." last="Vaillant">L. Vaillant</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Dermatology, Université François Rabelais, CHRU de Tours</s1>
<s2>37044 Tours</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
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<country>France</country>
<wicri:noRegion>37044 Tours</wicri:noRegion>
<wicri:noRegion>CHRU de Tours</wicri:noRegion>
<wicri:noRegion>37044 Tours</wicri:noRegion>
</affiliation>
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<s2>Tours</s2>
<s3>FRA</s3>
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<country>France</country>
<placeName><region type="region">Centre-Val de Loire</region>
<region type="old region">Région Centre</region>
<settlement type="city">Tours</settlement>
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</affiliation>
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<author><name sortKey="Machet, L" sort="Machet, L" uniqKey="Machet L" first="L." last="Machet">L. Machet</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Dermatology, Université François Rabelais, CHRU de Tours</s1>
<s2>37044 Tours</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>7 aut.</sZ>
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<country>France</country>
<wicri:noRegion>37044 Tours</wicri:noRegion>
<wicri:noRegion>CHRU de Tours</wicri:noRegion>
<wicri:noRegion>37044 Tours</wicri:noRegion>
</affiliation>
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<country>France</country>
<placeName><region type="region">Centre-Val de Loire</region>
<region type="old region">Région Centre</region>
<settlement type="city">Tours</settlement>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">British journal of dermatology : (1951)</title>
<title level="j" type="abbreviated">Br. j. dermatol. : (1951)</title>
<idno type="ISSN">0007-0963</idno>
<imprint><date when="2010">2010</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">British journal of dermatology : (1951)</title>
<title level="j" type="abbreviated">Br. j. dermatol. : (1951)</title>
<idno type="ISSN">0007-0963</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Dermatology</term>
<term>Diagnosis</term>
<term>Echography</term>
<term>High resolution</term>
<term>Lipoedema</term>
<term>Lymphedema</term>
<term>Skin</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Lipoedème</term>
<term>Lymphoedème</term>
<term>Echographie</term>
<term>Haute résolution</term>
<term>Peau</term>
<term>Diagnostic</term>
<term>Dermatologie</term>
</keywords>
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<front><div type="abstract" xml:lang="en">Background Lipoedema is an accumulation of fat abnormally distributed in the lower limbs, and lymphoedema is oedema caused by a deficiency of the lymphatic system. High-resolution ultrasound operating at 20 MHz makes it possible to characterize dermal oedema. Objectives The purpose of our study was to demonstrate that high-resolution ultrasound imaging of the skin can differentiate lipoedema from lymphoedema. Methods Sixteen patients with lymphoedema (22 legs), eight patients with lipoedema (16 legs) and eight controls (16 legs) were included. Patients with lipolymphoedema were excluded. Ultrasound examinations were carried out with a real-time high-resolution ultrasound device on three different sites for each lower limb. The images were then anonymized and examined by an independent dermatologist who was blind to the clinical diagnosis. A new series of images was examined by three dermatologists to check interobserver agreement. Results A significant difference in dermal thickness was observed between patients with lymphoedema and those with lipoedema and between patients with lymphoedema and controls. No significant difference in dermal thickness was shown between patients with lipoedema and controls at the thigh or ankle. Dermal hypoechogenicity was found in at least one of the three sites in 100% of patients with lymphoedema, 12.5% of cases with lipoedema and 6.25% of the controls. Hypoechogenicity affected the entire dermis in all cases of lymphoedema except one. In cases of lipoedema and controls, hypoechogenicity was localized at the ankle and prevailed in the upper dermis. The expert correctly diagnosed all lower limbs with lymphoedema. No cases of lipoedema were diagnosed as lymphoedema. Exact interobserver agreement was excellent (0.98). Conclusions High-resolution cutaneous ultrasonography makes it possible to differentiate lymphoedema from lipoedema. Obtaining a reliable diagnosis through high-resolution cutaneous ultrasonography might be valuable for improving the treatment of lipoedema and lymphoedema.</div>
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<wicri:noRegion>37044 Tours Cedex 1</wicri:noRegion>
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<series><title level="j" type="main">British Journal of Dermatology</title>
<title level="j" type="alt">BRITISH JOURNAL OF DERMATOLOGY</title>
<idno type="ISSN">0007-0963</idno>
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<term>Dermis (diagnostic imaging)</term>
<term>Diagnosis, Differential</term>
<term>Edema (diagnostic imaging)</term>
<term>Humans</term>
<term>Leg (diagnostic imaging)</term>
<term>Lipid Metabolism Disorders (diagnostic imaging)</term>
<term>Lymphedema (diagnostic imaging)</term>
<term>Ultrasonography</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Derme (imagerie diagnostique)</term>
<term>Diagnostic différentiel</term>
<term>Humains</term>
<term>Jambe (imagerie diagnostique)</term>
<term>Lymphoedème (imagerie diagnostique)</term>
<term>Oedème (imagerie diagnostique)</term>
<term>Tissu adipeux (imagerie diagnostique)</term>
<term>Troubles du métabolisme lipidique (imagerie diagnostique)</term>
<term>Échographie</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Adipose Tissue</term>
<term>Dermis</term>
<term>Edema</term>
<term>Leg</term>
<term>Lipid Metabolism Disorders</term>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Derme</term>
<term>Jambe</term>
<term>Lymphoedème</term>
<term>Oedème</term>
<term>Tissu adipeux</term>
<term>Troubles du métabolisme lipidique</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Diagnosis, Differential</term>
<term>Humans</term>
<term>Ultrasonography</term>
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<front><div type="abstract">Background  Lipoedema is an accumulation of fat abnormally distributed in the lower limbs, and lymphoedema is oedema caused by a deficiency of the lymphatic system. High‐resolution ultrasound operating at 20 MHz makes it possible to characterize dermal oedema.</div>
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High‐resolution cutaneous ultrasonography to differentiate lipoedema from lymphoedema

High‐resolution cutaneous ultrasonography to differentiate lipoedema from lymphoedema

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