Thick legs – not always lipedema
Identifieur interne : 003A28 ( Main/Exploration ); précédent : 003A27; suivant : 003A29Thick legs – not always lipedema
Auteurs : Stefanie Reich-Schupke [Allemagne] ; Peter Altmeyer [Allemagne] ; Markus Stücker [Allemagne]Source :
- JDDG: Journal der Deutschen Dermatologischen Gesellschaft [ 1610-0379 ] ; 2013-03.
Descripteurs français
- KwdFr :
- MESH :
- diagnostic : Lymphoedème, Maladies du tissu conjonctif, Oedème.
- Faux positifs, Humains.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Connective Tissue Diseases, Edema, Lymphedema.
- False Positive Reactions, Humans.
Abstract
Due to its increased presence in the press and on television, the diagnosis of lipedema is on the way to becoming a trendy diagnosis for those with thick legs. Despite this, one must recognize that lipedema is a very rare disease. It is characterized by disproportional obesity of the extremities, especially in the region of the hip and the legs, hematoma development after minimal trauma, and increased pressure‐induced or spontaneous pain. Aids for making the correct diagnosis are (duplex) sonography, the waist‐hip index or the waist‐height index and lymphoscintigraphy. Important differential diagnoses are constitutional variability of the legs, lipohypertrophy in obesity, edema in immobility, edema in chronic venous insufficiency and rheumatic diseases. The symptom‐based therapy of lipedema consists of conservative (compression, manual lymphatic drainage, exercise) and surgical treatments (liposuction). Until now there is no curative therapy. Obesity is an important risk factor for the severity and prognosis of lipedema. Further studies for a better understanding of the pathogenesis of lipedema and in the end possible curative treatments are urgently needed.
Url:
DOI: 10.1111/ddg.12024
Affiliations:
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xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology, Venereology and Allergology, University of Bochum</wicri:regionArea><wicri:noRegion>University of Bochum</wicri:noRegion><wicri:noRegion>University of Bochum</wicri:noRegion></affiliation></author><author><name sortKey="Stucker, Markus" sort="Stucker, Markus" uniqKey="Stucker M" first="Markus" last="Stücker">Markus Stücker</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology, Venereology and Allergology, University of Bochum</wicri:regionArea><wicri:noRegion>University of Bochum</wicri:noRegion><wicri:noRegion>University of Bochum</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">JDDG: Journal der Deutschen Dermatologischen Gesellschaft</title><title level="j" type="alt">JDDG JOURNAL DER DEUTSCHEN DERMATOLOGISCHEN GESELLSCHAFT</title><idno type="ISSN">1610-0379</idno><idno 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(diagnostic)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Connective Tissue Diseases</term><term>Edema</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Lymphoedème</term><term>Maladies du tissu conjonctif</term><term>Oedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>False Positive Reactions</term><term>Humans</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Faux positifs</term><term>Humains</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Due to its increased presence in the press and on television, the diagnosis of lipedema is on the way to becoming a trendy diagnosis for those with thick legs. Despite this, one must recognize that lipedema is a very rare disease. It is characterized by disproportional obesity of the extremities, especially in the region of the hip and the legs, hematoma development after minimal trauma, and increased pressure‐induced or spontaneous pain. Aids for making the correct diagnosis are (duplex) sonography, the waist‐hip index or the waist‐height index and lymphoscintigraphy. Important differential diagnoses are constitutional variability of the legs, lipohypertrophy in obesity, edema in immobility, edema in chronic venous insufficiency and rheumatic diseases. The symptom‐based therapy of lipedema consists of conservative (compression, manual lymphatic drainage, exercise) and surgical treatments (liposuction). Until now there is no curative therapy. Obesity is an important risk factor for the severity and prognosis of lipedema. Further studies for a better understanding of the pathogenesis of lipedema and in the end possible curative treatments are urgently needed.</div></front></TEI><affiliations><list><country><li>Allemagne</li></country></list><tree><country name="Allemagne"><noRegion><name sortKey="Reich Chupke, Stefanie" sort="Reich Chupke, Stefanie" uniqKey="Reich Chupke S" first="Stefanie" last="Reich-Schupke">Stefanie Reich-Schupke</name></noRegion><name sortKey="Altmeyer, Peter" sort="Altmeyer, Peter" uniqKey="Altmeyer P" first="Peter" last="Altmeyer">Peter Altmeyer</name><name sortKey="Stucker, Markus" sort="Stucker, Markus" uniqKey="Stucker M" first="Markus" last="Stücker">Markus Stücker</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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