Vascular Service, Medicine School, São José do Rio Preto, FAMERP, Brazil.
G Ital Dermatol Venereol. 2010 Aug;145(4):547-9.
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.
本研究旨在提醒人们注意脂肪-淋巴水肿临床演变中的皮肤改变。报告了 1 例 48 岁患者，临床诊断为 II 期脂肪-淋巴水肿，在 FAMERP 的血管和血管外科接受治疗。体格检查时，水肿质硬，休息时不可逆转，下肢下三分之一有结节，Stemmer 征阳性。双腿结节大小不同。本报告强调了临床表现和每种疾病之间的差异。此外还对出版物进行了回顾。脂肪水肿演变过程中出现的皮肤改变可能与脂肪-淋巴水肿的演变有关。
