TY - CHAP M1 - Book, Section TI - LIPEDEMA A1 - Essa, Essa M. A1 - Davis, Michael A1 - Dean, Steven M. A2 - Dean, Steven M. A2 - Satiani, Bhagwan A2 - Abraham, William T. Y1 - 2015 N1 - T2 - Color Atlas and Synopsis of Vascular Diseases 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). SN - PB - McGraw-Hill Medical CY - New York, NY Y2 - 2024/03/28 UR - accesssurgery.mhmedical.com/content.aspx?aid=1105292016 ER -