Clinical aspects of advanced stage lipo-lymphedema: case report.
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.
Pereira De Godoy
J M
JM
Vascular Service, Medicine School, São José do Rio Preto, FAMERP, Brazil. godoyjmp@riopreto.com.br
De Moura Álvares
R
R
Simon Torati
J L
JL
De Fátima Guerreiro Godoy
M
M
D018450:Disease Progression; D005260:Female; D006801:Humans; D007868:Leg Dermatoses / Q000209:etiology*; D008209:Lymphedema / Q000150:complications*; D008875:Middle Aged