Obesity-induced lymphedema: clinical and lymphoscintigraphic features.
Identifieur interne : 001A34 ( Main/Exploration ); précédent : 001A33; suivant : 001A35Obesity-induced lymphedema: clinical and lymphoscintigraphic features.
Auteurs : Arin K. Greene ; Frederick D. Grant ; Sumner A. Slavin ; Reid A. MaclellanSource :
- Plastic and reconstructive surgery [ 1529-4242 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Femelle, Humains, Indice de masse corporelle, Lymphoedème (imagerie diagnostique), Lymphoedème (épidémiologie), Lymphoedème (étiologie), Lymphoscintigraphie (), Membre inférieur, Mâle, Obésité (), Obésité (diagnostic), Pronostic, Répartition par sexe, Répartition par âge, Sujet âgé, Sujet âgé de 80 ans ou plus, Études de cohortes, Études rétrospectives, Évaluation des risques.
- MESH :
- diagnostic : Obésité.
- imagerie diagnostique : Lymphoedème.
- épidémiologie : Lymphoedème.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Indice de masse corporelle, Lymphoscintigraphie, Membre inférieur, Mâle, Obésité, Pronostic, Répartition par sexe, Répartition par âge, Sujet âgé, Sujet âgé de 80 ans ou plus, Études de cohortes, Études rétrospectives, Évaluation des risques.
English descriptors
- KwdEn :
- Adult, Age Distribution, Aged, Aged, 80 and over, Body Mass Index, Cohort Studies, Female, Humans, Lower Extremity, Lymphedema (diagnostic imaging), Lymphedema (epidemiology), Lymphedema (etiology), Lymphoscintigraphy (methods), Male, Middle Aged, Obesity (complications), Obesity (diagnosis), Prognosis, Retrospective Studies, Risk Assessment, Sex Distribution.
- MESH :
- complications : Obesity.
- diagnosis : Obesity.
- diagnostic imaging : Lymphedema.
- epidemiology : Lymphedema.
- etiology : Lymphedema.
- methods : Lymphoscintigraphy.
- Adult, Age Distribution, Aged, Aged, 80 and over, Body Mass Index, Cohort Studies, Female, Humans, Lower Extremity, Male, Middle Aged, Prognosis, Retrospective Studies, Risk Assessment, Sex Distribution.
Abstract
The purpose of this study was to characterize obesity as a novel cause of lower extremity lymphedema. Fifty-one patients with a body mass index greater than 30 kg/m(2) without any potential cause of lymphedema were evaluated with lymphoscintigraphy. Group 1 patients (n = 33) were at their maximum body mass index; individuals with lymphatic dysfunction had a greater body mass index (72.0 kg/m(2)) compared with subjects with normal function (37.7 kg/m(2)) (p < 0.0001). Body mass index predicted the lymphoscintigram result, which was abnormal if the body mass index was greater than 60 kg/m(2) and normal if it was less than 50 kg/m(2). Group 2 patients (n = 18) had lost weight and were not at their maximum body mass index: patients who reduced their body mass index from greater than 60 kg/m to less than 50 kg/m(2) had normal (n = 4) or abnormal (n = 3) lymphatic function. Patients with obesity-induced lymphedema, or who were at risk for the condition, were referred to a surgical weight loss center.
DOI: 10.1097/PRS.0000000000001271
PubMed: 25724063
Affiliations:
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Le document en format XML
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<term>Body Mass Index</term>
<term>Cohort Studies</term>
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<term>Lymphoedème (imagerie diagnostique)</term>
<term>Lymphoedème (épidémiologie)</term>
<term>Lymphoedème (étiologie)</term>
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<term>Membre inférieur</term>
<term>Mâle</term>
<term>Obésité ()</term>
<term>Obésité (diagnostic)</term>
<term>Pronostic</term>
<term>Répartition par sexe</term>
<term>Répartition par âge</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Études de cohortes</term>
<term>Études rétrospectives</term>
<term>Évaluation des risques</term>
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<term>Cohort Studies</term>
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<term>Lower Extremity</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prognosis</term>
<term>Retrospective Studies</term>
<term>Risk Assessment</term>
<term>Sex Distribution</term>
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<term>Indice de masse corporelle</term>
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<front><div type="abstract" xml:lang="en">The purpose of this study was to characterize obesity as a novel cause of lower extremity lymphedema. Fifty-one patients with a body mass index greater than 30 kg/m(2) without any potential cause of lymphedema were evaluated with lymphoscintigraphy. Group 1 patients (n = 33) were at their maximum body mass index; individuals with lymphatic dysfunction had a greater body mass index (72.0 kg/m(2)) compared with subjects with normal function (37.7 kg/m(2)) (p < 0.0001). Body mass index predicted the lymphoscintigram result, which was abnormal if the body mass index was greater than 60 kg/m(2) and normal if it was less than 50 kg/m(2). Group 2 patients (n = 18) had lost weight and were not at their maximum body mass index: patients who reduced their body mass index from greater than 60 kg/m to less than 50 kg/m(2) had normal (n = 4) or abnormal (n = 3) lymphatic function. Patients with obesity-induced lymphedema, or who were at risk for the condition, were referred to a surgical weight loss center.</div>
</front>
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<tree><noCountry><name sortKey="Grant, Frederick D" sort="Grant, Frederick D" uniqKey="Grant F" first="Frederick D" last="Grant">Frederick D. Grant</name>
<name sortKey="Greene, Arin K" sort="Greene, Arin K" uniqKey="Greene A" first="Arin K" last="Greene">Arin K. Greene</name>
<name sortKey="Maclellan, Reid A" sort="Maclellan, Reid A" uniqKey="Maclellan R" first="Reid A" last="Maclellan">Reid A. Maclellan</name>
<name sortKey="Slavin, Sumner A" sort="Slavin, Sumner A" uniqKey="Slavin S" first="Sumner A" last="Slavin">Sumner A. Slavin</name>
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