[Comparative analysis of lymphoscintigraphy between lipedema and lower limb lymphedema].
Identifieur interne : 003996 ( PubMed/Checkpoint ); précédent : 003995; suivant : 003997[Comparative analysis of lymphoscintigraphy between lipedema and lower limb lymphedema].
Auteurs : V. Boursier [France] ; A. Pecking ; S. VignesSource :
- Journal des maladies vasculaires [ 0398-0499 ] ; 2004.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Diagnostic différentiel, Enfant, Femelle, Humains, Jambe (imagerie diagnostique), Lymphoedème (imagerie diagnostique), Maladies du tissu conjonctif (imagerie diagnostique), Mâle, Noeuds lymphatiques (imagerie diagnostique), Scintigraphie, Sujet âgé, Tissu adipeux (imagerie diagnostique).
- MESH :
- imagerie diagnostique : Jambe, Lymphoedème, Maladies du tissu conjonctif, Noeuds lymphatiques, Tissu adipeux.
- Adolescent, Adulte, Adulte d'âge moyen, Diagnostic différentiel, Enfant, Femelle, Humains, Mâle, Scintigraphie, Sujet âgé.
English descriptors
- KwdEn :
- MESH :
- diagnostic imaging : Adipose Tissue, Connective Tissue Diseases, Leg, Lymph Nodes, Lymphedema.
- Adolescent, Adult, Aged, Child, Diagnosis, Differential, Female, Humans, Male, Middle Aged, Radionuclide Imaging.
Abstract
Lipedema is characterized by bilateral enlargement of the legs due to abnormal deposition of fat tissue from pelvis to ankles. It is seen most frequently in obese women. Lipedema appears to be a distinct clinical entity but may be confounded with lymphedema.
PubMed: 15738837
Affiliations:
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pubmed:15738837Le document en format XML
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<affiliation wicri:level="3"><nlm:affiliation>Unité de Lymphologie, Hôpital Cognacq-Jay, Site Broussais, 102 rue Didot, 75674 Paris Cedex 14, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Unité de Lymphologie, Hôpital Cognacq-Jay, Site Broussais, 102 rue Didot, 75674 Paris Cedex 14</wicri:regionArea>
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<author><name sortKey="Pecking, A" sort="Pecking, A" uniqKey="Pecking A" first="A" last="Pecking">A. Pecking</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adipose Tissue (diagnostic imaging)</term>
<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Child</term>
<term>Connective Tissue Diseases (diagnostic imaging)</term>
<term>Diagnosis, Differential</term>
<term>Female</term>
<term>Humans</term>
<term>Leg (diagnostic imaging)</term>
<term>Lymph Nodes (diagnostic imaging)</term>
<term>Lymphedema (diagnostic imaging)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Radionuclide Imaging</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Diagnostic différentiel</term>
<term>Enfant</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jambe (imagerie diagnostique)</term>
<term>Lymphoedème (imagerie diagnostique)</term>
<term>Maladies du tissu conjonctif (imagerie diagnostique)</term>
<term>Mâle</term>
<term>Noeuds lymphatiques (imagerie diagnostique)</term>
<term>Scintigraphie</term>
<term>Sujet âgé</term>
<term>Tissu adipeux (imagerie diagnostique)</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Adipose Tissue</term>
<term>Connective Tissue Diseases</term>
<term>Leg</term>
<term>Lymph Nodes</term>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Jambe</term>
<term>Lymphoedème</term>
<term>Maladies du tissu conjonctif</term>
<term>Noeuds lymphatiques</term>
<term>Tissu adipeux</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Child</term>
<term>Diagnosis, Differential</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Radionuclide Imaging</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Diagnostic différentiel</term>
<term>Enfant</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Scintigraphie</term>
<term>Sujet âgé</term>
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<front><div type="abstract" xml:lang="en">Lipedema is characterized by bilateral enlargement of the legs due to abnormal deposition of fat tissue from pelvis to ankles. It is seen most frequently in obese women. Lipedema appears to be a distinct clinical entity but may be confounded with lymphedema.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">15738837</PMID>
<DateCreated><Year>2005</Year>
<Month>03</Month>
<Day>01</Day>
</DateCreated>
<DateCompleted><Year>2005</Year>
<Month>09</Month>
<Day>29</Day>
</DateCompleted>
<DateRevised><Year>2016</Year>
<Month>11</Month>
<Day>24</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">0398-0499</ISSN>
<JournalIssue CitedMedium="Print"><Volume>29</Volume>
<Issue>5</Issue>
<PubDate><Year>2004</Year>
<Month>Dec</Month>
</PubDate>
</JournalIssue>
<Title>Journal des maladies vasculaires</Title>
<ISOAbbreviation>J Mal Vasc</ISOAbbreviation>
</Journal>
<ArticleTitle>[Comparative analysis of lymphoscintigraphy between lipedema and lower limb lymphedema].</ArticleTitle>
<Pagination><MedlinePgn>257-61</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="UNLABELLED">Lipedema is characterized by bilateral enlargement of the legs due to abnormal deposition of fat tissue from pelvis to ankles. It is seen most frequently in obese women. Lipedema appears to be a distinct clinical entity but may be confounded with lymphedema.</AbstractText>
<AbstractText Label="AIM OF THE STUDY" NlmCategory="OBJECTIVE">To analyze and to compare between lipedema and lymphedema the qualitative and quantitative aspects of lymphoscintigraphy.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Fifteen women with lipedema were recruited. Mean age of onset of lipedema was 31.5 +/- 15 years. Body mass index was 35.1 +/- 7.9 kg/m2, 13 women were obese. Lipedema was compared to 15 cases of primary lymphedema (women: 13, men: 2) of the lower limbs (unilateral: 13, bilateral: 2), with a mean age at onset of 28.7 +/- 12.6 years. Lymphoscintigraphy of the lower limbs with morphologic (visualization of inguinal lymph nodes) and kinetic (half-life, lymphatic speed of the colloid) studies was performed in all cases.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Absence of visualization of inguinal lymph nodes was observed in 14/15 cases of lymphedema and in 1/15 cases of lipedema (p<0.001). In the 13 cases of unilateral lymphedema, colloid half-life was higher in the pathologic limb than in the controlateral limb (230 +/- 92 vs 121 +/- 36 minutes, p<0.01) and lymphatic speed of the colloid was slower (6.91 +/- 0.86 vs 8.16 +/- 1.02 cm/min, p<0.001). The two patients with bilateral lymphedema had an increased half-life and decreased lymphatic speed of the colloid. Colloid half-life was significantly higher in lipedema than in controlateral limbs of lymphedema (154 +/- 23 vs 121 +/- 36 minutes, p<0.01) with no difference in lymphatic speed of the colloid. Colloid half-life was significantly higher in lymphedema than in lipedema (230 +/- 92 vs 154 +/- 23 minutes, p<0.01) and the lymphatic speed of the colloid was slower (6.91 +/- 0.86 vs 8.10 +/- 0.45 cm/min, p<0.001).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Lower limb lymphoscintigraphy showed lymphatic insufficiency in lipedema without morphologic abnormality as seen in lymphedema. Lymphoscintigraphy is not indispensable but is a useful tool when diagnosis is doubtful. Treatment is difficult and may include weight loss and possible surgery.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Boursier</LastName>
<ForeName>V</ForeName>
<Initials>V</Initials>
<AffiliationInfo><Affiliation>Unité de Lymphologie, Hôpital Cognacq-Jay, Site Broussais, 102 rue Didot, 75674 Paris Cedex 14, France.</Affiliation>
</AffiliationInfo>
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<Language>fre</Language>
<PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType>
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<VernacularTitle>Analyse comparative de la lymphoscintigraphie au cours des lipoedèmes et des lymphoedèmes primitifs des membres inférieurs.</VernacularTitle>
</Article>
<MedlineJournalInfo><Country>France</Country>
<MedlineTA>J Mal Vasc</MedlineTA>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000273" MajorTopicYN="N">Adipose Tissue</DescriptorName>
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</MeshHeading>
<MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
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<MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<MeshHeading><DescriptorName UI="D003240" MajorTopicYN="N">Connective Tissue Diseases</DescriptorName>
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<MeshHeading><DescriptorName UI="D003937" MajorTopicYN="N">Diagnosis, Differential</DescriptorName>
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<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName UI="D007866" MajorTopicYN="N">Leg</DescriptorName>
<QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName>
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<MeshHeading><DescriptorName UI="D008198" MajorTopicYN="N">Lymph Nodes</DescriptorName>
<QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName>
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<MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName>
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<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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