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KMID : 0361420110350060922
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Journal of Korean Academy of Rehabilitation Medicine
2011 Volume.35 No. 6 p.922 ~ p.927
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Lipedema, a Rare Disease
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Shin Bae-Wook
Sim Young-Joo
Jeong Ho-Joong
Kim Ghi-Chan
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Abstract
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Lipedema is a chronic disease of lipid metabolism that results in the symmetrical impairment of fatty tissue distribution and storage combined with the hyperplasia of individual fat cells. Lipedema occurs almost exclusively in women and is usually associated with a family history and characteristic features. It can be diagnosed based on clinical history and physical examination. Lipedema is usually symmetrical, but spares the feet, is often painful to palpation, and is negative for Stemmer’s sign. Additionally, lipedema patients can present with microangiopathies and lipomas. The well-known therapies for lipedema include complex decongestive therapy, pneumatic compression, and diet modifi cations. However, whether these treatments help reduce swelling is debatable. We encountered a case of lipedema that was initially misdiagnosed as lymphedema. The patient’s clinical features and history were diff erent from those typical of lymphedema, prompting a diagnosis of lipedema and she was treated with a complex decongestive therapy program.
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KEYWORD
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Lipedema, Lymphedema, Complex decongestive therapy
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