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Journal of Education, Health and Sport

Diagnosis and management of lipoedema – a review paper
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Diagnosis and management of lipoedema – a review paper

Authors

  • Małgorzata Szypłowska Uniwersytet Medyczny w Lublinie https://orcid.org/0000-0001-9811-8776
  • Adrianna Gorecka Uniwersytet Medyczny w Lublinie https://orcid.org/0000-0003-1977-712X
  • Adrian Kuś Uniwersytet Medyczny w Lublinie https://orcid.org/0000-0002-6624-5743
  • Bartłomiej Zaremba Uniwersytet Medyczny w Lublinie https://orcid.org/0000-0002-3255-2745
  • Michał Obel Uniwersytet Medyczny w Lublinie https://orcid.org/0000-0003-1237-8732

DOI:

https://doi.org/10.12775/JEHS.2020.10.09.059

Keywords

lipoedema, lymphoedema, lipolymphoedema

Abstract

Lipoedema is a chronic progressive disorder of adipose tissue leading to an enlargement of lower extremities. It is considered to be rare; however, the prevalence of the disease is underestimated because it is commonly misdiagnosed as obesity or lymphedema and the general awareness is poor. The etiology of the disorder is considered to be multifarious, including genetic inheritance, hormonal imbalance and microcirculation alterations. Diagnosis is mainly based on medical history and physical examination. Management of lipoedema is focused on reducing the symptoms, improving the quality of life and preventing further progression of the disease. The aim of this paper is to raise the awareness of the disease and provide appropriate clinical guidance for the assessment of lipoedema. We searched through the PubMed/MEDLINE database and took into consideration all of the results available as of 6September, 2020 and outlined the current evidence regarding lipoedema epidemiology, etiology, clinical presentation, differential diagnosis, and management. Better understanding of lipoedema is crucial for establishing an early diagnosis and a proper treatment, which in turn will reduce the psychological and physical implications associated with the disease.

Author Biographies

Małgorzata Szypłowska, Uniwersytet Medyczny w Lublinie

Student

Adrianna Gorecka, Uniwersytet Medyczny w Lublinie

Student

Adrian Kuś, Uniwersytet Medyczny w Lublinie

Student

Bartłomiej Zaremba, Uniwersytet Medyczny w Lublinie

Student

Michał Obel, Uniwersytet Medyczny w Lublinie

Student

References

Child AH, Gordon KD, Sharpe P, et al. Lipedema: an inherited condition. Am J Med Genet A. 2010;152A(4):970-976. doi:10.1002/ajmg.a.33313

Schmeller W, Hueppe M, Meier-Vollrath I. Tumescent liposuction in lipoedema yields good long-term results. Br J Dermatol. 2012;166(1):161-168. doi:10.1111/j.1365-2133.2011.10566.x

Langendoen SI, Habbema L, Nijsten TE, Neumann HA. Lipoedema: from clinical presentation to therapy. A review of the literature. Br J Dermatol. 2009;161(5):980-986. doi:10.1111/j.1365-2133.2009.09413.x

Todd M. Diagnosis and management of lipoedema in the community. Br J Community Nurs. 2016;21(Suppl 10):S6-S12. doi:10.12968/bjcn.2016.21.Sup10.S6

Wold LE, Hines EA Jr, Allen EV. Lipedema of the legs; a syndrome characterized by fat legs and edema. Ann Intern Med. 1951;34(5):1243-1250. doi:10.7326/0003-4819-34-5-1243

Chen SG, Hsu SD, Chen TM, Wang H-J. Painful fat syndrome in a male patient. British Journal of Plastic Surgery. 2004;57(3):282-286. doi:10.1016/j.bjps.2003.12.020

Buso G, Depairon M, Tomson D, Raffoul W, Vettor R, Mazzolai L. Lipedema: A Call to Action!. Obesity (Silver Spring). 2019;27(10):1567-1576. doi:10.1002/oby.22597

Siems W, Grune T, Voss P, Brenke R. Anti-fibrosclerotic effects of shock wave therapy in lipedema and cellulite. Biofactors. 2005;24(1-4):275-282. doi:10.1002/biof.5520240132

Boursier V, Pecking A, Vignes S. Analyse comparative de la lymphoscintigraphie au cours des lipoedèmes et des lymphoedèmes primitifs des membres inférieurs [Comparative analysis of lymphoscintigraphy between lipedema and lower limb lymphedema]. J Mal Vasc. 2004;29(5):257-261. doi:10.1016/s0398-0499(04)96770-4

Bräutigam P, Földi E, Schaiper I, Krause T, Vanscheidt W, Moser E. Analysis of lymphatic drainage in various forms of leg edema using two compartment lymphoscintigraphy. Lymphology. 1998;31(2):43-55.

Fife CE, Maus EA, Carter MJ. Lipedema: a frequently misdiagnosed and misunderstood fatty deposition syndrome. Adv Skin Wound Care. 2010;23(2):81-94. doi:10.1097/01.ASW.0000363503.92360.91

Canning C, Bartholomew JR. Lipedema. Vasc Med. 2018;23(1):88-90. doi:10.1177/1358863X17739698

Hardy D, Williams A. Best practice guidelines for the management of lipoedema. Br J Community Nurs. 2017;22(Sup10):S44-S48. doi:10.12968/bjcn.2017.22.Sup10.S44

Shavit E, Wollina U, Alavi A. Lipoedema is not lymphoedema: A review of current literature. Int Wound J. 2018;15(6):921-928. doi:10.1111/iwj.12949

Hardy D, Williams A. Best practice guidelines for the management of lipoedema. Br J Community Nurs. 2017;22(Sup10):S44-S48. doi:10.12968/bjcn.2017.22.Sup10.S44

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Published

2020-09-22

How to Cite

1.
SZYPŁOWSKA, Małgorzata, GORECKA, Adrianna, KUŚ, Adrian, ZAREMBA, Bartłomiej and OBEL, Michał. Diagnosis and management of lipoedema – a review paper. Journal of Education, Health and Sport. Online. 22 September 2020. Vol. 10, no. 9, pp. 494-499. [Accessed 1 July 2025]. DOI 10.12775/JEHS.2020.10.09.059.
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Vol. 10 No. 9 (2020)

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Review Articles

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The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

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