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Is lymphostasis an aggravant of lipedema?

Identifieur interne : 001E50 ( PubMed/Corpus ); précédent : 001E49; suivant : 001E51

Is lymphostasis an aggravant of lipedema?

Auteurs : Maria De Fátima Guerreiro Godoy ; Edivandra Buzato ; Patricia Amador Franco Brigidio ; José Maria Pereira De Godoy

Source :

RBID : pubmed:23185156

Abstract

A 54-year-old female patient reported that a characteristic of her family was 'fat legs' with postural edema since adolescence. Over the years the patient had been gaining weight with an increase in fatty tissue in the legs and arms. At the age of 24 years she started taking oral contraceptives and noted worse swelling and pain in the lower limbs. She was advised to suspend the use of the contraceptives and to start using a transdermal lymphatic system drug and physical exercise which partially improved the symptoms. Three years ago she noted that the swelling was increasing without improvement and sought a physician who raised the hypothesis of lymphedema and referred her to a specialized center. Lipedema and lymphedema was diagnosed in the physical examination. A 3-day intensive treatment program (8 h daily) was started for lymphedema which included manual and mechanical lymph drainage associated with short-strech (<50 mm Hg) compression stockings custom made using a cotton-polyester fabric. Volumetry and perimetry were performed before starting and after the treatment and the legs were photographed. Volumetric and perimetric reductions were obtained suggesting the involvement of regional cutaneous lymphostasis in this disease.

DOI: 10.1159/000342073
PubMed: 23185156

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pubmed:23185156

Le document en format XML

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<div type="abstract" xml:lang="en">A 54-year-old female patient reported that a characteristic of her family was 'fat legs' with postural edema since adolescence. Over the years the patient had been gaining weight with an increase in fatty tissue in the legs and arms. At the age of 24 years she started taking oral contraceptives and noted worse swelling and pain in the lower limbs. She was advised to suspend the use of the contraceptives and to start using a transdermal lymphatic system drug and physical exercise which partially improved the symptoms. Three years ago she noted that the swelling was increasing without improvement and sought a physician who raised the hypothesis of lymphedema and referred her to a specialized center. Lipedema and lymphedema was diagnosed in the physical examination. A 3-day intensive treatment program (8 h daily) was started for lymphedema which included manual and mechanical lymph drainage associated with short-strech (<50 mm Hg) compression stockings custom made using a cotton-polyester fabric. Volumetry and perimetry were performed before starting and after the treatment and the legs were photographed. Volumetric and perimetric reductions were obtained suggesting the involvement of regional cutaneous lymphostasis in this disease.</div>
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<RefSource>Lymphology. 2008 Mar;41(1):40-4</RefSource>
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<RefSource>J Cutan Pathol. 2009 Dec;36(12):1293-8</RefSource>
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<RefSource>Vasa. 2011 Jul;40(4):271-9</RefSource>
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<RefSource>Br J Dermatol. 2009 Nov;161(5):980-6</RefSource>
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<RefSource>G Ital Dermatol Venereol. 2010 Aug;145(4):547-9</RefSource>
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<RefSource>Microvasc Res. 2009 May;77(3):335-9</RefSource>
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