Obesity-induced Lymphedema Nonreversible following Massive Weight Loss
Identifieur interne : 000204 ( Pmc/Curation ); précédent : 000203; suivant : 000205Obesity-induced Lymphedema Nonreversible following Massive Weight Loss
Auteurs : Arin K. Greene ; Frederick D. Grant ; Reid A. MaclellanSource :
- Plastic and Reconstructive Surgery Global Open [ 2169-7574 ] ; 2015.
Abstract
Lymphedema is the progressive enlargement of tissue due to inadequate lymphatic function. Obesity-induced lymphedema of the lower extremities can occur once a patient’s body mass index (BMI) exceeds 50. We report our first patient with obesity-induced lower extremity lymphedema who was followed prospectively before and after weight loss. A 46-year-old woman with a BMI of 80 presented to our Lymphedema Program complaining of bilateral lower extremity swelling. Lymphoscintigraphy showed impaired lymphatic drainage of both lower extremities consistent with lymphedema. She was referred to a bariatric surgical weight-loss center and underwent a sleeve gastrectomy. After reaching her new steady-state BMI of 36 eighteen months following her procedure, lymphoscintigraphy showed no improvement in lower extremity lymphatic function. Patients at risk for obesity-induced lymphedema should be counseled that they should seek weight-loss interventions before their BMI reaches 50, a threshold at which point lower extremity lymphedema may occur. Unlike other comorbidities that reverse following massive weight loss, obesity-induced lymphedema may not resolve.
Url:
DOI: 10.1097/GOX.0000000000000398
PubMed: 26180727
PubMed Central: 4494496
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Maclellan</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26180727</idno><idno type="pmc">4494496</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4494496</idno><idno type="RBID">PMC:4494496</idno><idno type="doi">10.1097/GOX.0000000000000398</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000204</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000204</idno><idno type="wicri:Area/Pmc/Curation">000204</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000204</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Obesity-induced Lymphedema Nonreversible following Massive Weight Loss</title><author><name sortKey="Greene, Arin K" sort="Greene, Arin K" uniqKey="Greene A" first="Arin K." last="Greene">Arin K. Greene</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Grant, Frederick D" sort="Grant, Frederick D" uniqKey="Grant F" first="Frederick D." last="Grant">Frederick D. Grant</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Maclellan, Reid A" sort="Maclellan, Reid A" uniqKey="Maclellan R" first="Reid A." last="Maclellan">Reid A. Maclellan</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></analytic><series><title level="j">Plastic and Reconstructive Surgery Global Open</title><idno type="eISSN">2169-7574</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Summary:</title><p>Lymphedema is the progressive enlargement of tissue due to inadequate lymphatic function. Obesity-induced lymphedema of the lower extremities can occur once a patient’s body mass index (BMI) exceeds 50. We report our first patient with obesity-induced lower extremity lymphedema who was followed prospectively before and after weight loss. A 46-year-old woman with a BMI of 80 presented to our Lymphedema Program complaining of bilateral lower extremity swelling. Lymphoscintigraphy showed impaired lymphatic drainage of both lower extremities consistent with lymphedema. She was referred to a bariatric surgical weight-loss center and underwent a sleeve gastrectomy. After reaching her new steady-state BMI of 36 eighteen months following her procedure, lymphoscintigraphy showed no improvement in lower extremity lymphatic function. Patients at risk for obesity-induced lymphedema should be counseled that they should seek weight-loss interventions before their BMI reaches 50, a threshold at which point lower extremity lymphedema may occur. Unlike other comorbidities that reverse following massive weight loss, obesity-induced lymphedema may not resolve.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Greene, Ak" uniqKey="Greene A">AK Greene</name></author><author><name sortKey="Grant, Fd" uniqKey="Grant F">FD Grant</name></author><author><name sortKey="Slavin, Sa" uniqKey="Slavin S">SA Slavin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Greene, Ak" uniqKey="Greene A">AK Greene</name></author><author><name sortKey="Grant, Fd" uniqKey="Grant F">FD Grant</name></author><author><name sortKey="Slavin, Sa" uniqKey="Slavin S">SA Slavin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gloviczki, P" uniqKey="Gloviczki P">P Gloviczki</name></author><author><name sortKey="Calcagno, D" uniqKey="Calcagno D">D Calcagno</name></author><author><name sortKey="Schirger, A" uniqKey="Schirger A">A Schirger</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Flegal, Km" uniqKey="Flegal K">KM Flegal</name></author><author><name sortKey="Carroll, Md" uniqKey="Carroll M">MD Carroll</name></author><author><name sortKey="Ogden, Cl" uniqKey="Ogden C">CL Ogden</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Demaria, Ej" uniqKey="Demaria E">EJ DeMaria</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Plast Reconstr Surg Glob Open</journal-id><journal-id journal-id-type="iso-abbrev">Plast Reconstr Surg Glob Open</journal-id><journal-id journal-id-type="publisher-id">GOX</journal-id><journal-title-group><journal-title>Plastic and Reconstructive Surgery Global Open</journal-title></journal-title-group><issn pub-type="epub">2169-7574</issn><publisher><publisher-name>Wolters Kluwer Health</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26180727</article-id><article-id pub-id-type="pmc">4494496</article-id><article-id pub-id-type="art-access-id">00029</article-id><article-id pub-id-type="doi">10.1097/GOX.0000000000000398</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Reports</subject></subj-group></article-categories><title-group><article-title>Obesity-induced Lymphedema Nonreversible following Massive Weight Loss</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Greene</surname><given-names>Arin K.</given-names></name><degrees>MD, MMSc</degrees><xref ref-type="aff" rid="aff1">*</xref></contrib><contrib contrib-type="author"><name><surname>Grant</surname><given-names>Frederick D.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff1">†</xref></contrib><contrib contrib-type="author"><name><surname>Maclellan</surname><given-names>Reid A.</given-names></name><degrees>MD, MMSc</degrees><xref ref-type="aff" rid="aff1">*</xref></contrib><aff id="aff1">From the<label>*</label>Department of Plastic and Oral Surgery, Lymphedema Program, Boston Children’s Hospital, Harvard Medical School, Boston, Mass.; and<label>†</label>Division of Nuclear Medicine, Department of Radiology, Lymphedema Program, Boston Children’s Hospital, Harvard Medical School, Boston, Mass.</aff></contrib-group><author-notes><corresp id="c1">Arin K. Greene, MD, MMSc, Department of Plastic and Oral Surgery, Boston Children’s Hospital, 300 Longwood Avenue, Boston, MA 02115, E-mail: <email xlink:href="arin.greene@childrens.harvard.edu">arin.greene@childrens.harvard.edu</email></corresp></author-notes><pub-date pub-type="collection"><month>6</month><year>2015</year></pub-date><pub-date pub-type="epub"><day>08</day><month>7</month><year>2015</year></pub-date><volume>3</volume><issue>6</issue><elocation-id>e426</elocation-id><history><date date-type="received"><day>1</day><month>4</month><year>2015</year></date><date date-type="accepted"><day>24</day><month>4</month><year>2015</year></date></history><permissions><copyright-statement>Copyright © 2015 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. All rights reserved.</copyright-statement><copyright-year>2015</copyright-year><license><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially.</license-p></license></permissions><self-uri xlink:type="simple" xlink:href="gox-3-e426.pdf"></self-uri><abstract><title>Summary:</title><p>Lymphedema is the progressive enlargement of tissue due to inadequate lymphatic function. Obesity-induced lymphedema of the lower extremities can occur once a patient’s body mass index (BMI) exceeds 50. We report our first patient with obesity-induced lower extremity lymphedema who was followed prospectively before and after weight loss. A 46-year-old woman with a BMI of 80 presented to our Lymphedema Program complaining of bilateral lower extremity swelling. Lymphoscintigraphy showed impaired lymphatic drainage of both lower extremities consistent with lymphedema. She was referred to a bariatric surgical weight-loss center and underwent a sleeve gastrectomy. After reaching her new steady-state BMI of 36 eighteen months following her procedure, lymphoscintigraphy showed no improvement in lower extremity lymphatic function. Patients at risk for obesity-induced lymphedema should be counseled that they should seek weight-loss interventions before their BMI reaches 50, a threshold at which point lower extremity lymphedema may occur. Unlike other comorbidities that reverse following massive weight loss, obesity-induced lymphedema may not resolve.</p></abstract><custom-meta-group><custom-meta><meta-name>OPEN-ACCESS</meta-name><meta-value>TRUE</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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