High-resolution cutaneous ultrasonography to differentiate lipoedema from lymphoedema.
Identifieur interne : 002B04 ( PubMed/Corpus ); précédent : 002B03; suivant : 002B05High-resolution cutaneous ultrasonography to differentiate lipoedema from lymphoedema.
Auteurs : M. Naouri ; M. Samimi ; M. Atlan ; E. Perrodeau ; C. Vallin ; G. Zakine ; L. Vaillant ; L. MachetSource :
- The British journal of dermatology [ 1365-2133 ] ; 2010.
English descriptors
- KwdEn :
- MESH :
- diagnostic imaging : Adipose Tissue, Dermis, Edema, Leg, Lipid Metabolism Disorders, Lymphedema.
- Diagnosis, Differential, Humans, Ultrasonography.
Abstract
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.
DOI: 10.1111/j.1365-2133.2010.09810.x
PubMed: 20408836
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">High-resolution cutaneous ultrasonography to differentiate lipoedema from lymphoedema.</title><author><name sortKey="Naouri, M" sort="Naouri, M" uniqKey="Naouri M" first="M" last="Naouri">M. Naouri</name><affiliation><nlm:affiliation>Department of Dermatology, Université François Rabelais, CHRU de Tours, 37044 Tours Cedex 1, France.</nlm:affiliation></affiliation></author><author><name sortKey="Samimi, M" sort="Samimi, M" uniqKey="Samimi M" first="M" last="Samimi">M. Samimi</name></author><author><name sortKey="Atlan, M" sort="Atlan, M" uniqKey="Atlan M" first="M" last="Atlan">M. Atlan</name></author><author><name sortKey="Perrodeau, E" sort="Perrodeau, E" uniqKey="Perrodeau E" first="E" last="Perrodeau">E. Perrodeau</name></author><author><name sortKey="Vallin, C" sort="Vallin, C" uniqKey="Vallin C" first="C" last="Vallin">C. Vallin</name></author><author><name sortKey="Zakine, G" sort="Zakine, G" uniqKey="Zakine G" first="G" last="Zakine">G. Zakine</name></author><author><name sortKey="Vaillant, L" sort="Vaillant, L" uniqKey="Vaillant L" first="L" last="Vaillant">L. Vaillant</name></author><author><name sortKey="Machet, L" sort="Machet, L" uniqKey="Machet L" first="L" last="Machet">L. Machet</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2010">2010</date><idno type="RBID">pubmed:20408836</idno><idno type="pmid">20408836</idno><idno type="doi">10.1111/j.1365-2133.2010.09810.x</idno><idno type="wicri:Area/PubMed/Corpus">002B04</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002B04</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">High-resolution cutaneous ultrasonography to differentiate lipoedema from lymphoedema.</title><author><name sortKey="Naouri, M" sort="Naouri, M" uniqKey="Naouri M" first="M" last="Naouri">M. Naouri</name><affiliation><nlm:affiliation>Department of Dermatology, Université François Rabelais, CHRU de Tours, 37044 Tours Cedex 1, France.</nlm:affiliation></affiliation></author><author><name sortKey="Samimi, M" sort="Samimi, M" uniqKey="Samimi M" first="M" last="Samimi">M. Samimi</name></author><author><name sortKey="Atlan, M" sort="Atlan, M" uniqKey="Atlan M" first="M" last="Atlan">M. Atlan</name></author><author><name sortKey="Perrodeau, E" sort="Perrodeau, E" uniqKey="Perrodeau E" first="E" last="Perrodeau">E. Perrodeau</name></author><author><name sortKey="Vallin, C" sort="Vallin, C" uniqKey="Vallin C" first="C" last="Vallin">C. Vallin</name></author><author><name sortKey="Zakine, G" sort="Zakine, G" uniqKey="Zakine G" first="G" last="Zakine">G. Zakine</name></author><author><name sortKey="Vaillant, L" sort="Vaillant, L" uniqKey="Vaillant L" first="L" last="Vaillant">L. Vaillant</name></author><author><name sortKey="Machet, L" sort="Machet, L" uniqKey="Machet L" first="L" last="Machet">L. Machet</name></author></analytic><series><title level="j">The British journal of dermatology</title><idno type="eISSN">1365-2133</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adipose Tissue (diagnostic imaging)</term><term>Dermis (diagnostic imaging)</term><term>Diagnosis, Differential</term><term>Edema (diagnostic imaging)</term><term>Humans</term><term>Leg (diagnostic imaging)</term><term>Lipid Metabolism Disorders (diagnostic imaging)</term><term>Lymphedema (diagnostic imaging)</term><term>Ultrasonography</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Adipose Tissue</term><term>Dermis</term><term>Edema</term><term>Leg</term><term>Lipid Metabolism Disorders</term><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Diagnosis, Differential</term><term>Humans</term><term>Ultrasonography</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20408836</PMID><DateCreated><Year>2010</Year><Month>07</Month><Day>29</Day></DateCreated><DateCompleted><Year>2011</Year><Month>02</Month><Day>10</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>25</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1365-2133</ISSN><JournalIssue CitedMedium="Internet"><Volume>163</Volume><Issue>2</Issue><PubDate><Year>2010</Year><Month>Aug</Month></PubDate></JournalIssue><Title>The British journal of dermatology</Title><ISOAbbreviation>Br. J. Dermatol.</ISOAbbreviation></Journal><ArticleTitle>High-resolution cutaneous ultrasonography to differentiate lipoedema from lymphoedema.</ArticleTitle><Pagination><MedlinePgn>296-301</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/j.1365-2133.2010.09810.x</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="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.</AbstractText><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">The purpose of our study was to demonstrate that high-resolution ultrasound imaging of the skin can differentiate lipoedema from lymphoedema.</AbstractText><AbstractText Label="METHODS" NlmCategory="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.</AbstractText><AbstractText Label="RESULTS" NlmCategory="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 hypo-echogenicity 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).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Naouri</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Dermatology, Université François Rabelais, CHRU de Tours, 37044 Tours Cedex 1, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Samimi</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Atlan</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Perrodeau</LastName><ForeName>E</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Vallin</LastName><ForeName>C</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Zakine</LastName><ForeName>G</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Vaillant</LastName><ForeName>L</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Machet</LastName><ForeName>L</ForeName><Initials>L</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2010</Year><Month>04</Month><Day>16</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Br J Dermatol</MedlineTA><NlmUniqueID>0004041</NlmUniqueID><ISSNLinking>0007-0963</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000273" MajorTopicYN="N">Adipose Tissue</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D020405" MajorTopicYN="N">Dermis</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003937" MajorTopicYN="N">Diagnosis, Differential</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004487" MajorTopicYN="N">Edema</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007866" MajorTopicYN="N">Leg</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D052439" MajorTopicYN="N">Lipid Metabolism Disorders</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014463" MajorTopicYN="N">Ultrasonography</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2010</Year><Month>4</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2010</Year><Month>4</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2011</Year><Month>2</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">20408836</ArticleId><ArticleId IdType="pii">BJD9810</ArticleId><ArticleId IdType="doi">10.1111/j.1365-2133.2010.09810.x</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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