Naef Vincienne, Alvarez Martinez David, Cortes Begonia
Service de dermatologie et vénéréologie, Département de médecine, HUG, 1211 Genève 14.
Rev Med Suisse. 2021 Mar 31;17(732):616-620.
Lipedema is an infrequently recognized disorder. It is characterized by bilateral painful enlargement of the legs due to abnormal depositions of subcutaneous fat, that can result in considerable disability. The diagnosis is established on the basis of medical history and clinical findings. Early diagnosis of this disorder is necessary to start adapted management and prevent progression and complications of the disease. Currently there is no curative treatment. The conservative treatment requires a multidimensional approach including manual lymph drainage, compression garments and management or prevention of obesity as well as other comorbidities. In some cases, surgery may be considered.
脂肪性水肿是一种较少被认识的病症。其特征是由于皮下脂肪异常沉积导致双腿双侧疼痛性肿大，这可能会导致相当程度的残疾。诊断基于病史和临床检查结果。对该病症进行早期诊断对于开始适当的治疗并预防疾病进展及并发症是必要的。目前尚无治愈性疗法。保守治疗需要采取多维度方法，包括手法淋巴引流、压力衣以及肥胖症的管理或预防以及其他合并症。在某些情况下，可考虑手术治疗。
