Evaluation and management of the fat leg syndrome.
Identifieur interne : 003770 ( PubMed/Corpus ); précédent : 003769; suivant : 003771Evaluation and management of the fat leg syndrome.
Auteurs : Anne G. Warren ; Brian A. Janz ; Loren J. Borud ; Sumner A. SlavinSource :
- Plastic and reconstructive surgery [ 1529-4242 ] ; 2007.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Edema, Lymphedema.
- etiology : Edema, Lymphedema.
- therapy : Edema, Lymphedema.
- Algorithms, Female, Humans, Leg, Male, Subcutaneous Fat, Syndrome.
Abstract
After studying this article, the participant should be able to: 1. Discuss the initial evaluation of a patient presenting with lower extremity enlargement. 2. Distinguish underlying medical conditions causing lower extremity enlargement, including lymphedema and lipedema. 3. Discuss appropriate management and treatment for patients presenting with these conditions.
DOI: 10.1097/01.prs.0000244909.82805.dc
PubMed: 17255648
Links to Exploration step
pubmed:17255648Le document en format XML
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Slavin</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2007">2007</date><idno type="RBID">pubmed:17255648</idno><idno type="pmid">17255648</idno><idno type="doi">10.1097/01.prs.0000244909.82805.dc</idno><idno type="wicri:Area/PubMed/Corpus">003770</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003770</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Evaluation and management of the fat leg syndrome.</title><author><name sortKey="Warren, Anne G" sort="Warren, Anne G" uniqKey="Warren A" first="Anne G" last="Warren">Anne G. Warren</name><affiliation><nlm:affiliation>Harvard Medical School, Boston, MA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Janz, Brian A" sort="Janz, Brian A" uniqKey="Janz B" first="Brian A" last="Janz">Brian A. Janz</name></author><author><name sortKey="Borud, Loren J" sort="Borud, Loren J" uniqKey="Borud L" first="Loren J" last="Borud">Loren J. Borud</name></author><author><name sortKey="Slavin, Sumner A" sort="Slavin, Sumner A" uniqKey="Slavin S" first="Sumner A" last="Slavin">Sumner A. Slavin</name></author></analytic><series><title level="j">Plastic and reconstructive surgery</title><idno type="eISSN">1529-4242</idno><imprint><date when="2007" type="published">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Algorithms</term><term>Edema (diagnosis)</term><term>Edema (etiology)</term><term>Edema (therapy)</term><term>Female</term><term>Humans</term><term>Leg</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (etiology)</term><term>Lymphedema (therapy)</term><term>Male</term><term>Subcutaneous Fat</term><term>Syndrome</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Edema</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Edema</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Edema</term><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Algorithms</term><term>Female</term><term>Humans</term><term>Leg</term><term>Male</term><term>Subcutaneous Fat</term><term>Syndrome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">After studying this article, the participant should be able to: 1. Discuss the initial evaluation of a patient presenting with lower extremity enlargement. 2. Distinguish underlying medical conditions causing lower extremity enlargement, including lymphedema and lipedema. 3. Discuss appropriate management and treatment for patients presenting with these conditions.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">17255648</PMID><DateCreated><Year>2007</Year><Month>01</Month><Day>26</Day></DateCreated><DateCompleted><Year>2007</Year><Month>02</Month><Day>20</Day></DateCompleted><DateRevised><Year>2015</Year><Month>06</Month><Day>24</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1529-4242</ISSN><JournalIssue CitedMedium="Internet"><Volume>119</Volume><Issue>1</Issue><PubDate><Year>2007</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Plastic and reconstructive surgery</Title><ISOAbbreviation>Plast. Reconstr. Surg.</ISOAbbreviation></Journal><ArticleTitle>Evaluation and management of the fat leg syndrome.</ArticleTitle><Pagination><MedlinePgn>9e-15e</MedlinePgn></Pagination><Abstract><AbstractText Label="LEARNING OBJECTIVES" NlmCategory="OBJECTIVE">After studying this article, the participant should be able to: 1. Discuss the initial evaluation of a patient presenting with lower extremity enlargement. 2. Distinguish underlying medical conditions causing lower extremity enlargement, including lymphedema and lipedema. 3. Discuss appropriate management and treatment for patients presenting with these conditions.</AbstractText><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Given the epidemic of obesity in the United States, many patients will consult the plastic surgeon with complaints of lower extremity enlargement secondary to "fat legs." In addition to cosmetic disfigurement, some patients may suffer from underlying medical conditions that are responsible for their symptoms. Knowledge of these other causes, including lymphedema and a disorder of abnormal fat deposition known as lipedema, ensures appropriate management and/or surgical treatment for affected patients.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Initial evaluation for lower extremity enlargement should include a discussion of pertinent medical history and a focused physical examination for findings that might indicate a pathologic underlying cause. When indicated, patients should undergo additional testing, including radiologic studies, to confirm their diagnoses.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">For those patients found to have lymphatic dysfunction, conservative management, such as massage therapy, use of compression garments, and limb elevation, should be initially recommended. Excisional or suction-assisted lipectomy may be considered in patients who fail conservative therapy. More extensive consultation with the plastic surgeon is recommended for patients seeking aesthetic improvement in contour and shape of large legs without a specified underlying abnormality.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Patients with lower extremity enlargement may present to the plastic surgeon unsure of the specific cause of their deformity. A broad differential diagnosis exists for their presentation, which can be narrowed by using the common features and unique manifestations of the conditions.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Warren</LastName><ForeName>Anne G</ForeName><Initials>AG</Initials><AffiliationInfo><Affiliation>Harvard Medical School, Boston, MA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Janz</LastName><ForeName>Brian A</ForeName><Initials>BA</Initials></Author><Author ValidYN="Y"><LastName>Borud</LastName><ForeName>Loren J</ForeName><Initials>LJ</Initials></Author><Author ValidYN="Y"><LastName>Slavin</LastName><ForeName>Sumner A</ForeName><Initials>SA</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Plast Reconstr Surg</MedlineTA><NlmUniqueID>1306050</NlmUniqueID><ISSNLinking>0032-1052</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000465" MajorTopicYN="N">Algorithms</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004487" MajorTopicYN="N">Edema</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007866" MajorTopicYN="Y">Leg</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D050151" MajorTopicYN="Y">Subcutaneous Fat</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013577" MajorTopicYN="N">Syndrome</DescriptorName></MeshHeading></MeshHeadingList><NumberOfReferences>25</NumberOfReferences></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2007</Year><Month>1</Month><Day>27</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2007</Year><Month>2</Month><Day>21</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2007</Year><Month>1</Month><Day>27</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">17255648</ArticleId><ArticleId IdType="doi">10.1097/01.prs.0000244909.82805.dc</ArticleId><ArticleId IdType="pii">00006534-200701000-00055</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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