LymphedemaV1, PascalFrancis, Corpus, bibRecord, 000236

High-resolution cutaneous ultrasonography to differentiate lipoedema from lymphoedema

Identifieur interne : 000236 ( PascalFrancis/Corpus ); précédent : 000235; suivant : 000237

High-resolution cutaneous ultrasonography to differentiate lipoedema from lymphoedema

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

Source :

British journal of dermatology : (1951) [ 0007-0963 ] ; 2010.

RBID : Pascal:10-0400217

Descripteurs français

Pascal (Inist)
- Lipoedème, Lymphoedème, Echographie, Haute résolution, Peau, Diagnostic, Dermatologie.

English descriptors

KwdEn :
- Dermatology, Diagnosis, Echography, High resolution, Lipoedema, Lymphedema, Skin.

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. 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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

A01	`01`	`1`		`@0 0007-0963`
A02	`01`			`@0 BJDEAZ`
A03		`1`		`@0 Br. j. dermatol. : (1951)`
A05				`@2 163`
A06				`@2 2`
A08	`01`	`1`	`ENG`	`@1 High-resolution cutaneous ultrasonography to differentiate lipoedema from lymphoedema`
A11	`01`	`1`		`@1 NAOURI (M.)`
A11	`02`	`1`		`@1 SAMIMI (M.)`
A11	`03`	`1`		`@1 ATLAN (M.)`
A11	`04`	`1`		`@1 PERRODEAU (E.)`
A11	`05`	`1`		`@1 VALLIN (C.)`
A11	`06`	`1`		`@1 ZAKINE (G.)`
A11	`07`	`1`		`@1 VAILLANT (L.)`
A11	`08`	`1`		`@1 MACHET (L.)`
A14	`01`			`@1 Department of Dermatology, Université François Rabelais, CHRU de Tours @2 37044 Tours @3 FRA @Z 1 aut. @Z 2 aut. @Z 7 aut. @Z 8 aut.`
A14	`02`			`@1 Department of Plastic Surgery, CHRU @2 Tours @3 FRA @Z 3 aut. @Z 6 aut.`
A14	`03`			`@1 Inserm CIC 202 @2 Tours @3 FRA @Z 4 aut.`
A14	`04`			`@1 Department of Radiology, CHRU @2 Tours @3 FRA @Z 5 aut.`
A14	`05`			`@1 UMR, Inserm U930, CNRS ERL 3106 @2 Tours @3 FRA @Z 7 aut. @Z 8 aut.`
A20				`@1 296-301`
A21				`@1 2010`
A23	`01`			`@0 ENG`
A43	`01`			`@1 INIST @2 1043 @5 354000194135000080`
A44				`@0 0000 @1 © 2010 INIST-CNRS. All rights reserved.`
A45				`@0 27 ref.`
A47	`01`	`1`		`@0 10-0400217`
A60				`@1 P`
A61				`@0 A`
A64	`01`	`1`		`@0 British journal of dermatology : (1951)`
A66	`01`			`@0 GBR`
C01	`01`		`ENG`	@0 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.
C02	`01`	`X`		`@0 002B08J`
C02	`02`	`X`		`@0 002B12B04`
C03	`01`	`X`	`FRE`	`@0 Lipoedème @5 01`
C03	`01`	`X`	`ENG`	`@0 Lipoedema @5 01`
C03	`01`	`X`	`SPA`	`@0 Lipoedema @5 01`
C03	`02`	`X`	`FRE`	`@0 Lymphoedème @5 02`
C03	`02`	`X`	`ENG`	`@0 Lymphedema @5 02`
C03	`02`	`X`	`SPA`	`@0 Linfedema @5 02`
C03	`03`	`X`	`FRE`	`@0 Echographie @5 04`
C03	`03`	`X`	`ENG`	`@0 Echography @5 04`
C03	`03`	`X`	`SPA`	`@0 Ecografía @5 04`
C03	`04`	`X`	`FRE`	`@0 Haute résolution @5 07`
C03	`04`	`X`	`ENG`	`@0 High resolution @5 07`
C03	`04`	`X`	`SPA`	`@0 Alta resolucion @5 07`
C03	`05`	`X`	`FRE`	`@0 Peau @5 08`
C03	`05`	`X`	`ENG`	`@0 Skin @5 08`
C03	`05`	`X`	`SPA`	`@0 Piel @5 08`
C03	`06`	`X`	`FRE`	`@0 Diagnostic @5 09`
C03	`06`	`X`	`ENG`	`@0 Diagnosis @5 09`
C03	`06`	`X`	`SPA`	`@0 Diagnóstico @5 09`
C03	`07`	`X`	`FRE`	`@0 Dermatologie @5 13`
C03	`07`	`X`	`ENG`	`@0 Dermatology @5 13`
C03	`07`	`X`	`SPA`	`@0 Dermatología @5 13`
C07	`01`	`X`	`FRE`	`@0 Exploration ultrason @5 37`
C07	`01`	`X`	`ENG`	`@0 Sonography @5 37`
C07	`01`	`X`	`SPA`	`@0 Exploración ultrasonido @5 37`
C07	`02`	`X`	`FRE`	`@0 Pathologie de la peau @5 38`
C07	`02`	`X`	`ENG`	`@0 Skin disease @5 38`
C07	`02`	`X`	`SPA`	`@0 Piel patología @5 38`
C07	`03`	`X`	`FRE`	`@0 Pathologie du tissu adipeux @5 39`
C07	`03`	`X`	`ENG`	`@0 Adipose tissue disorders @5 39`
C07	`03`	`X`	`SPA`	`@0 Tejido adiposo patología @5 39`
C07	`04`	`X`	`FRE`	`@0 Pathologie de l'appareil circulatoire @5 40`
C07	`04`	`X`	`ENG`	`@0 Cardiovascular disease @5 40`
C07	`04`	`X`	`SPA`	`@0 Aparato circulatorio patología @5 40`
C07	`05`	`X`	`FRE`	`@0 Pathologie des vaisseaux lymphatiques @5 41`
C07	`05`	`X`	`ENG`	`@0 Lymphatic vessel disease @5 41`
C07	`05`	`X`	`SPA`	`@0 Linfático patología @5 41`
N21				`@1 256`
N44	`01`			`@1 OTO`
N82				`@1 OTO`

Format Inist (serveur)

NO :	PASCAL 10-0400217 INIST
ET :	High-resolution cutaneous ultrasonography to differentiate lipoedema from lymphoedema
AU :	NAOURI (M.); SAMIMI (M.); ATLAN (M.); PERRODEAU (E.); VALLIN (C.); ZAKINE (G.); VAILLANT (L.); MACHET (L.)
AF :	Department of Dermatology, Université François Rabelais, CHRU de Tours/37044 Tours/France (1 aut., 2 aut., 7 aut., 8 aut.); Department of Plastic Surgery, CHRU/Tours/France (3 aut., 6 aut.); Inserm CIC 202/Tours/France (4 aut.); Department of Radiology, CHRU/Tours/France (5 aut.); UMR, Inserm U930, CNRS ERL 3106/Tours/France (7 aut., 8 aut.)
DT :	Publication en série; Niveau analytique
SO :	British journal of dermatology : (1951); ISSN 0007-0963; Coden BJDEAZ; Royaume-Uni; Da. 2010; Vol. 163; No. 2; Pp. 296-301; Bibl. 27 ref.
LA :	Anglais
EA :	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.
CC :	002B08J; 002B12B04
FD :	Lipoedème; Lymphoedème; Echographie; Haute résolution; Peau; Diagnostic; Dermatologie
FG :	Exploration ultrason; Pathologie de la peau; Pathologie du tissu adipeux; Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques
ED :	Lipoedema; Lymphedema; Echography; High resolution; Skin; Diagnosis; Dermatology
EG :	Sonography; Skin disease; Adipose tissue disorders; Cardiovascular disease; Lymphatic vessel disease
SD :	Lipoedema; Linfedema; Ecografía; Alta resolucion; Piel; Diagnóstico; Dermatología
LO :	INIST-1043.354000194135000080
ID :	10-0400217

Links to Exploration step

Pascal:10-0400217

Le document en format XML

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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">High-resolution cutaneous ultrasonography to differentiate lipoedema from lymphoedema</title>
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<s3>FRA</s3>
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<title level="j" type="abbreviated">Br. j. dermatol. : (1951)</title>
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<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>
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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>
</front>
</TEI>
<inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0007-0963</s0>
</fA01>
<fA02 i1="01"><s0>BJDEAZ</s0>
</fA02>
<fA03 i2="1"><s0>Br. j. dermatol. : (1951)</s0>
</fA03>
<fA05><s2>163</s2>
</fA05>
<fA06><s2>2</s2>
</fA06>
<fA08 i1="01" i2="1" l="ENG"><s1>High-resolution cutaneous ultrasonography to differentiate lipoedema from lymphoedema</s1>
</fA08>
<fA11 i1="01" i2="1"><s1>NAOURI (M.)</s1>
</fA11>
<fA11 i1="02" i2="1"><s1>SAMIMI (M.)</s1>
</fA11>
<fA11 i1="03" i2="1"><s1>ATLAN (M.)</s1>
</fA11>
<fA11 i1="04" i2="1"><s1>PERRODEAU (E.)</s1>
</fA11>
<fA11 i1="05" i2="1"><s1>VALLIN (C.)</s1>
</fA11>
<fA11 i1="06" i2="1"><s1>ZAKINE (G.)</s1>
</fA11>
<fA11 i1="07" i2="1"><s1>VAILLANT (L.)</s1>
</fA11>
<fA11 i1="08" i2="1"><s1>MACHET (L.)</s1>
</fA11>
<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>
<sZ>8 aut.</sZ>
</fA14>
<fA14 i1="02"><s1>Department of Plastic Surgery, CHRU</s1>
<s2>Tours</s2>
<s3>FRA</s3>
<sZ>3 aut.</sZ>
<sZ>6 aut.</sZ>
</fA14>
<fA14 i1="03"><s1>Inserm CIC 202</s1>
<s2>Tours</s2>
<s3>FRA</s3>
<sZ>4 aut.</sZ>
</fA14>
<fA14 i1="04"><s1>Department of Radiology, CHRU</s1>
<s2>Tours</s2>
<s3>FRA</s3>
<sZ>5 aut.</sZ>
</fA14>
<fA14 i1="05"><s1>UMR, Inserm U930, CNRS ERL 3106</s1>
<s2>Tours</s2>
<s3>FRA</s3>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
</fA14>
<fA20><s1>296-301</s1>
</fA20>
<fA21><s1>2010</s1>
</fA21>
<fA23 i1="01"><s0>ENG</s0>
</fA23>
<fA43 i1="01"><s1>INIST</s1>
<s2>1043</s2>
<s5>354000194135000080</s5>
</fA43>
<fA44><s0>0000</s0>
<s1>© 2010 INIST-CNRS. All rights reserved.</s1>
</fA44>
<fA45><s0>27 ref.</s0>
</fA45>
<fA47 i1="01" i2="1"><s0>10-0400217</s0>
</fA47>
<fA60><s1>P</s1>
</fA60>
<fA61><s0>A</s0>
</fA61>
<fA64 i1="01" i2="1"><s0>British journal of dermatology : (1951)</s0>
</fA64>
<fA66 i1="01"><s0>GBR</s0>
</fA66>
<fC01 i1="01" l="ENG"><s0>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.</s0>
</fC01>
<fC02 i1="01" i2="X"><s0>002B08J</s0>
</fC02>
<fC02 i1="02" i2="X"><s0>002B12B04</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE"><s0>Lipoedème</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG"><s0>Lipoedema</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA"><s0>Lipoedema</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE"><s0>Lymphoedème</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG"><s0>Lymphedema</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA"><s0>Linfedema</s0>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE"><s0>Echographie</s0>
<s5>04</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG"><s0>Echography</s0>
<s5>04</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA"><s0>Ecografía</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE"><s0>Haute résolution</s0>
<s5>07</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG"><s0>High resolution</s0>
<s5>07</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA"><s0>Alta resolucion</s0>
<s5>07</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Peau</s0>
<s5>08</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Skin</s0>
<s5>08</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Piel</s0>
<s5>08</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE"><s0>Diagnostic</s0>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>Diagnosis</s0>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Diagnóstico</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE"><s0>Dermatologie</s0>
<s5>13</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG"><s0>Dermatology</s0>
<s5>13</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA"><s0>Dermatología</s0>
<s5>13</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Exploration ultrason</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Sonography</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Exploración ultrasonido</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Pathologie de la peau</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Skin disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Piel patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Pathologie du  tissu adipeux</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Adipose tissue disorders</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Tejido adiposo patología</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Pathologie de l'appareil circulatoire</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Cardiovascular disease</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Aparato circulatorio patología</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE"><s0>Pathologie des vaisseaux lymphatiques</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG"><s0>Lymphatic vessel disease</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA"><s0>Linfático patología</s0>
<s5>41</s5>
</fC07>
<fN21><s1>256</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
</fN82>
</pA>
</standard>
<server><NO>PASCAL 10-0400217 INIST</NO>
<ET>High-resolution cutaneous ultrasonography to differentiate lipoedema from lymphoedema</ET>
<AU>NAOURI (M.); SAMIMI (M.); ATLAN (M.); PERRODEAU (E.); VALLIN (C.); ZAKINE (G.); VAILLANT (L.); MACHET (L.)</AU>
<AF>Department of Dermatology, Université François Rabelais, CHRU de Tours/37044 Tours/France (1 aut., 2 aut., 7 aut., 8 aut.); Department of Plastic Surgery, CHRU/Tours/France (3 aut., 6 aut.); Inserm CIC 202/Tours/France (4 aut.); Department of Radiology, CHRU/Tours/France (5 aut.); UMR, Inserm U930, CNRS ERL 3106/Tours/France (7 aut., 8 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>British journal of dermatology : (1951); ISSN 0007-0963; Coden BJDEAZ; Royaume-Uni; Da. 2010; Vol. 163; No. 2; Pp. 296-301; Bibl. 27 ref.</SO>
<LA>Anglais</LA>
<EA>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.</EA>
<CC>002B08J; 002B12B04</CC>
<FD>Lipoedème; Lymphoedème; Echographie; Haute résolution; Peau; Diagnostic; Dermatologie</FD>
<FG>Exploration ultrason; Pathologie de la peau; Pathologie du  tissu adipeux; Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques</FG>
<ED>Lipoedema; Lymphedema; Echography; High resolution; Skin; Diagnosis; Dermatology</ED>
<EG>Sonography; Skin disease; Adipose tissue disorders; Cardiovascular disease; Lymphatic vessel disease</EG>
<SD>Lipoedema; Linfedema; Ecografía; Alta resolucion; Piel; Diagnóstico; Dermatología</SD>
<LO>INIST-1043.354000194135000080</LO>
<ID>10-0400217</ID>
</server>
</inist>
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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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