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Can tissue dielectric constant measurement aid in differentiating lymphoedema from lipoedema in women with swollen legs?

Identifieur interne : 005D39 ( Ncbi/Merge ); précédent : 005D38; suivant : 005D40

Can tissue dielectric constant measurement aid in differentiating lymphoedema from lipoedema in women with swollen legs?

Auteurs : S. Birkballe [Danemark] ; M R Jensen ; S. Noerregaard ; F. Gottrup ; T. Karlsmark

Source :

RBID : pubmed:24033279

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English descriptors

Abstract

Distinguishing lymphoedema from lipoedema in women with swollen legs can be difficult. Local tissue water content can be quantified using tissue dielectric constant (TDC) measurements.

DOI: 10.1111/bjd.12589
PubMed: 24033279

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pubmed:24033279

Le document en format XML

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<title xml:lang="en">Can tissue dielectric constant measurement aid in differentiating lymphoedema from lipoedema in women with swollen legs?</title>
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<name sortKey="Birkballe, S" sort="Birkballe, S" uniqKey="Birkballe S" first="S" last="Birkballe">S. Birkballe</name>
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<nlm:affiliation>Department of Dermatology and Copenhagen Wound Healing Centre, Copenhagen Lymphoedema Centre, Bispebjerg University Hospital, Bispebjerg bakke 23, DK-2400, Copenhagen NV, Denmark.</nlm:affiliation>
<country xml:lang="fr">Danemark</country>
<wicri:regionArea>Department of Dermatology and Copenhagen Wound Healing Centre, Copenhagen Lymphoedema Centre, Bispebjerg University Hospital, Bispebjerg bakke 23, DK-2400, Copenhagen NV</wicri:regionArea>
<wicri:noRegion>Copenhagen NV</wicri:noRegion>
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<name sortKey="Jensen, M R" sort="Jensen, M R" uniqKey="Jensen M" first="M R" last="Jensen">M R Jensen</name>
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<name sortKey="Noerregaard, S" sort="Noerregaard, S" uniqKey="Noerregaard S" first="S" last="Noerregaard">S. Noerregaard</name>
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<name sortKey="Gottrup, F" sort="Gottrup, F" uniqKey="Gottrup F" first="F" last="Gottrup">F. Gottrup</name>
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<nlm:affiliation>Department of Dermatology and Copenhagen Wound Healing Centre, Copenhagen Lymphoedema Centre, Bispebjerg University Hospital, Bispebjerg bakke 23, DK-2400, Copenhagen NV, Denmark.</nlm:affiliation>
<country xml:lang="fr">Danemark</country>
<wicri:regionArea>Department of Dermatology and Copenhagen Wound Healing Centre, Copenhagen Lymphoedema Centre, Bispebjerg University Hospital, Bispebjerg bakke 23, DK-2400, Copenhagen NV</wicri:regionArea>
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<title level="j">The British journal of dermatology</title>
<idno type="eISSN">1365-2133</idno>
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<term>Adult</term>
<term>Aged</term>
<term>Ankle</term>
<term>Body Water (physiology)</term>
<term>Case-Control Studies</term>
<term>Diagnosis, Differential</term>
<term>Edema (etiology)</term>
<term>Electrodiagnosis (methods)</term>
<term>Female</term>
<term>Foot</term>
<term>Humans</term>
<term>Leg</term>
<term>Lipedema (diagnosis)</term>
<term>Lymphedema (diagnosis)</term>
<term>Middle Aged</term>
<term>Observer Variation</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Biais de l'observateur</term>
<term>Cheville</term>
<term>Diagnostic différentiel</term>
<term>Eau corporelle (physiologie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jambe</term>
<term>Jeune adulte</term>
<term>Lipoedème (diagnostic)</term>
<term>Lymphoedème (diagnostic)</term>
<term>Oedème (étiologie)</term>
<term>Pied</term>
<term>Sujet âgé</term>
<term>Électrodiagnostic ()</term>
<term>Études cas-témoins</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Lipedema</term>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr">
<term>Lipoedème</term>
<term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Edema</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Electrodiagnosis</term>
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<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr">
<term>Eau corporelle</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Body Water</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Oedème</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Ankle</term>
<term>Case-Control Studies</term>
<term>Diagnosis, Differential</term>
<term>Female</term>
<term>Foot</term>
<term>Humans</term>
<term>Leg</term>
<term>Middle Aged</term>
<term>Observer Variation</term>
<term>Young Adult</term>
</keywords>
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<term>Adulte d'âge moyen</term>
<term>Biais de l'observateur</term>
<term>Cheville</term>
<term>Diagnostic différentiel</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jambe</term>
<term>Jeune adulte</term>
<term>Pied</term>
<term>Sujet âgé</term>
<term>Électrodiagnostic</term>
<term>Études cas-témoins</term>
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<front>
<div type="abstract" xml:lang="en">Distinguishing lymphoedema from lipoedema in women with swollen legs can be difficult. Local tissue water content can be quantified using tissue dielectric constant (TDC) measurements.</div>
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<DateCreated>
<Year>2014</Year>
<Month>01</Month>
<Day>21</Day>
</DateCreated>
<DateCompleted>
<Year>2015</Year>
<Month>01</Month>
<Day>14</Day>
</DateCompleted>
<DateRevised>
<Year>2014</Year>
<Month>01</Month>
<Day>21</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">1365-2133</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>170</Volume>
<Issue>1</Issue>
<PubDate>
<Year>2014</Year>
<Month>Jan</Month>
</PubDate>
</JournalIssue>
<Title>The British journal of dermatology</Title>
<ISOAbbreviation>Br. J. Dermatol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Can tissue dielectric constant measurement aid in differentiating lymphoedema from lipoedema in women with swollen legs?</ArticleTitle>
<Pagination>
<MedlinePgn>96-102</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1111/bjd.12589</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Distinguishing lymphoedema from lipoedema in women with swollen legs can be difficult. Local tissue water content can be quantified using tissue dielectric constant (TDC) measurements.</AbstractText>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To examine whether TDC measurements can differentiate untreated lower extremity lymphoedema from lipoedema, and to test interobserver agreement.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Thirty-nine women participated in the study; 10 patients with lipoedema (LipP), nine patients with untreated lymphoedema (U-LP), 10 patients with lymphoedema treated with compression bandaging for ≥ 4 weeks (T-LP) and 10 healthy controls. All subjects were measured at three predefined sites (foot, ankle and lower leg). All groups except U-LP were measured by three blinded investigators. Using a handheld device, a 300-MHz electromagnetic wave is transmitted into the skin via a 2.5-mm depth probe. TDC calculated from the reflected wave is directly proportional to tissue water content ranging from 1 (vacuum) to 78.5 (pure water).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Mean ± SD TDC values for U-LP were 48.8 ± 5.2. TDC values of T-LP, LipP and controls were 34.0 ± 6.6, 29.5 ± 6.2 and 32.3 ± 5.7, respectively. U-LP had significantly higher TDC values in all measurement sites compared with all other groups (P < 0.001). A cut-off value of 40 for ankle and lower-leg measurements correctly differentiated all U-LP from LipP and controls. Intraclass correlation coefficients were 0.94 for the ankle and the lower leg and 0.63 for the foot.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">TDC values of U-LP were significantly higher than those of T-LP, LipP and controls and may aid in differentiating lymphoedema from lipoedema. Interobserver agreement was high in ankle and lower-leg measurements but low in foot measurements.</AbstractText>
<CopyrightInformation>© 2013 British Association of Dermatologists.</CopyrightInformation>
</Abstract>
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<LastName>Birkballe</LastName>
<ForeName>S</ForeName>
<Initials>S</Initials>
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<Affiliation>Department of Dermatology and Copenhagen Wound Healing Centre, Copenhagen Lymphoedema Centre, Bispebjerg University Hospital, Bispebjerg bakke 23, DK-2400, Copenhagen NV, Denmark.</Affiliation>
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<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<DescriptorName UI="D007866" MajorTopicYN="N">Leg</DescriptorName>
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<DescriptorName UI="D065134" MajorTopicYN="N">Lipedema</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName>
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<DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
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<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<DescriptorName UI="D015588" MajorTopicYN="N">Observer Variation</DescriptorName>
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<DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
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