Lipedema, a Rare Disease.
10.5535/arm.2011.35.6.922
- Author:
Bae Wook SHIN
1
;
Young Joo SIM
;
Ho Joong JEONG
;
Ghi Chan KIM
Author Information
1. Department of Physical Medicine and Rehabilitation, Kosin University College of Medicine, Busan 602-702, Korea. oggum@hanmail.net
- Publication Type:Case Report
- Keywords:
Lipedema;
Lymphedema;
Complex decongestive therapy
- MeSH:
Adipocytes;
Adipose Tissue;
Chronic Disease;
Female;
Food Habits;
Foot;
Humans;
Hyperplasia;
Lipid Metabolism;
Lipoma;
Lymphedema;
Palpation;
Physical Examination;
Rare Diseases
- From:Annals of Rehabilitation Medicine
2011;35(6):922-927
- CountryRepublic of Korea
- Language:English
-
Abstract:
Lipedema is a chronic disease of lipid metabolism that results in the symmetrical impairment of fatty tissue distribution and storage combined with the hyperplasia of individual fat cells. Lipedema occurs almost exclusively in women and is usually associated with a family history and characteristic features. It can be diagnosed based on clinical history and physical examination. Lipedema is usually symmetrical, but spares the feet, is often painful to palpation, and is negative for Stemmer's sign. Additionally, lipedema patients can present with microangiopathies and lipomas. The well-known therapies for lipedema include complex decongestive therapy, pneumatic compression, and diet modifications. However, whether these treatments help reduce swelling is debatable. We encountered a case of lipedema that was initially misdiagnosed as lymphedema. The patient's clinical features and history were different from those typical of lymphedema, prompting a diagnosis of lipedema and she was treated with a complex decongestive therapy program.
