title: Clinical aspects of advanced stage lipo-lymphedema: case report.
abstract: The aim of the current study was to alert about dermatological alterations in the clinical evolution of lipo-lymphedema. The case of a 48-year-old patient is reported with clinical diagnosis of stage II lipo-lymphedema treated in the Angiology and Vascular Surgery Service of FAMERP. On physical examination the edema was hard, not reversible during rest, with nodules in the lower one-third of the limbs and a positive Stemmer's sign. The sizes of the nodules were different between legs. This report stresses the clinical findings and the differences in each disease. Additionally a review of publications is presented. The dermatological changes occurring in the evolution of lipedema may be associated with the evolution of lipo-lymphedema.
authors.affiliation: Vascular Service, Medicine School, São José do Rio Preto, FAMERP, Brazil. godoyjmp@riopreto.com.br
authors.forename: J M
authors.initials: JM
authors.lastname: Pereira De Godoy
authors.forename: R
authors.initials: R
authors.lastname: De Moura Álvares
authors.forename: J L
authors.initials: JL
authors.lastname: Simon Torati
authors.forename: M
authors.initials: M
authors.lastname: De Fátima Guerreiro Godoy
mesh_terms: D018450:Disease Progression; D005260:Female; D006801:Humans; D007868:Leg Dermatoses / Q000209:etiology*; D008209:Lymphedema / Q000150:complications*; D008875:Middle Aged