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Vol 14, No 1 (2008)
Case report
Published online: 2008-02-07
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Lipo-lymphoedema and idiopathic cyclic oedema

José Maria Pereira de Godoy, Maria de Fátima Guerreiro Godoy, Paula Fernanda Solleira
Acta Angiologica 2008;14(1):18-19.

open access

Vol 14, No 1 (2008)
Case reports
Published online: 2008-02-07

Abstract

The case of a 56-year-old patient suffering from morbid obesity associated with lymphoedema of the lower limbs is reported. A clinical diagnosis of idiopathic cyclic oedema and stage II lipo-lymphoedema was made, characterized by hardened oedema which was irreversible during resting, and the presence of varicosities in the lower medial third of the limbs. The limb circumferences were measured. Lymphatic drainage was chosen as treatment for 15 days, which led to a reduction in the circumference of the limb. After this, the patient missed treatment for about 15 days and again presented with an increase of the oedema, but this increase improved with rest. An Unna boot was chosen due to the difficulty of using contention stockings or bandages. The association of the Unna boot accelerated the reduction of the oedema.
In conclusion, the differentiation between lipoedema and lipo-lymphoedema is difficult, so a successful treatment was achieved with the association of several therapies, including the use of a multidisciplinary healthcare team.

Abstract

The case of a 56-year-old patient suffering from morbid obesity associated with lymphoedema of the lower limbs is reported. A clinical diagnosis of idiopathic cyclic oedema and stage II lipo-lymphoedema was made, characterized by hardened oedema which was irreversible during resting, and the presence of varicosities in the lower medial third of the limbs. The limb circumferences were measured. Lymphatic drainage was chosen as treatment for 15 days, which led to a reduction in the circumference of the limb. After this, the patient missed treatment for about 15 days and again presented with an increase of the oedema, but this increase improved with rest. An Unna boot was chosen due to the difficulty of using contention stockings or bandages. The association of the Unna boot accelerated the reduction of the oedema.
In conclusion, the differentiation between lipoedema and lipo-lymphoedema is difficult, so a successful treatment was achieved with the association of several therapies, including the use of a multidisciplinary healthcare team.

Full Text:

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Keywords

lipo-lymphoedema; lipoedema; lymphoedema; obesity; treatment

About this article
Title

Lipo-lymphoedema and idiopathic cyclic oedema

Journal

Acta Angiologica

Issue

Vol 14, No 1 (2008)

Article type

Case report

Pages

18-19

Published online

2008-02-07

Page views

627

Article views/downloads

1501

Bibliographic record

Acta Angiologica 2008;14(1):18-19.

Keywords

lipo-lymphoedema
lipoedema
lymphoedema
obesity
treatment

Authors

José Maria Pereira de Godoy
Maria de Fátima Guerreiro Godoy
Paula Fernanda Solleira

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