Lipœdème : une entité mal connue

摘要: Lipedema is a clinical entity frequently misdiagnosed or confound with primary lymphedema. disorder of adipose tissue that occurs almost exclusively in obese women. It characterized by bilateral enlargement from hip to ankle due abnormal depositions subcutaneous fat associated often mild edema, usually sparing the feet. Disease onset at soon after puberty. results considerable frustration and distress resulting cosmetic appearance. Patients may complain pain, tenderness, easy bruising affected areas moderate severe sensitivity digital pressure pinching. Imaging studies using computed tomography, magnetic resonance imaging, ultrasound, lymphoscintigraphy are not indicated, except if diagnosis atypic doubtful. Long-term evolution alter lymphatic system lead lipo-lymphedema specific complications such as cellulitis. management codified included weight loss (poorly improving leg appearance discomfort), psychological counselling compression therapy. Liposuction, especially tumescent local anaesthesia, reduce spontaneous pressure, improve important increase quality life.