RT Book, Section
A1 Essa, Essa M.
A1 Davis, Michael
A1 Dean, Steven M.
A2 Dean, Steven M.
A2 Satiani, Bhagwan
A2 Abraham, William T.
SR Print(0)
ID 1105292016
T1 LIPEDEMA
T2 Color Atlas and Synopsis of Vascular Diseases
YR 2015
FD 2015
PB McGraw-Hill Medical
PP New York, NY
SN 9780071749541
LK accesssurgery.mhmedical.com/content.aspx?aid=1105292016
RD 2024/04/20
AB A  50-year-old  woman  has  noticed  bilateral  enlargement  of  her  lower  legs  and  buttocks  since  she  was  in  her  early  30s.  She  states  that  her  feet  appear  normal  and  relates  a  marked  size  discrepancy  between  her  upper  body  and  lower  body  described  as  "my  upper  half  is  a  size  8  and  my  lower  half  is  a  size  20."  Her  legs  are  extremely  sore  at  the  end  of  the  day  and  bruise  easily.  Despite  weight  loss  and  exercise  her  swelling  persists.  She  has  been  evaluated  by  several  physicians  in  the  past  and  had  multiple  negative  venous  duplex  ultrasounds.  Diuretics,  compression  stockings,  and  complex  decongestive  lymphatic  physiotherapy  were  also  prescribed  without  relief.  After  her  last  physician  consultation  she  was  given  a  diagnosis  of  "lymphedema"  (Figure  70-1).