Center for Vascular Medicine, Hamburg, Germany.
LY.SEARCH, Institute for Basic Lymphology Research, Düsseldorf, Germany.
J Dtsch Dermatol Ges. 2024 Sep;22(9):1303-1315. doi: 10.1111/ddg.15513. Epub 2024 Aug 27.
This S2k guideline was developed on the initiative and under the German Society of Phlebology and Lymphology (DGPL) leadership. The guideline aims to optimize the diagnosis and treatment of lipedema. It is intended to bring together the different approaches of the respective professional groups in a consensus-based manner and thus offer a basic concept for the best possible treatment of patients with lipedema. Sixty recommendations were formulated and agreed on in diagnostics, conservative and surgical treatment options, psychosocial factors and self-management. The guideline is intended to reflect the current scientific knowledge and be widely used for diagnosis and treatment recommendations for patients with lipedema. In particular, the guideline comments on diagnostic criteria, differential diagnoses, and coinciding clinical pictures, their influence on diagnosis and treatment, sensible treatment measures, and self-management options. The lipedema guideline summarizes the current national and international evidence and the German expert consensus and derives recommendations for the best treatment for patients with lipedema. The recommendations in the guideline are intended as an orientation aid in the sense of action and decision-making corridors from which deviations are possible in justified cases.
本 S2k 指南由德国静脉和淋巴学会（DGPL）发起并主导制定。该指南旨在优化脂肪水肿的诊断和治疗。它旨在以共识为基础汇集各专业组的不同方法，从而为脂肪水肿患者的最佳治疗提供基本概念。在诊断、保守和手术治疗选择、社会心理因素和自我管理方面，共制定并达成了 60 项建议。该指南旨在反映当前的科学知识，并广泛用于脂肪水肿患者的诊断和治疗建议。特别是，该指南对诊断标准、鉴别诊断和同时存在的临床图片进行了评论，讨论了它们对诊断和治疗的影响、合理的治疗措施和自我管理选择。脂肪水肿指南总结了当前国内外的证据和德国专家共识，并为脂肪水肿患者的最佳治疗方法提出了建议。指南中的建议旨在作为行动指南和决策通道的指导，在合理的情况下可以偏离这些建议。
