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Phlebologie 2023; 52(06): 266-286
DOI: 10.1055/a-2090-0877
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Lipohyperplasia Dolorosa – Rewatched

Article in several languages: deutsch | English
Erich Brenner
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Abstract

This review summarizes current data to bring the discussion about lipoedema, which was conducted emotionally by Bertsch and Erbacher in their series of articles “Lipoedema – Myths and Facts”, back to a factual level.

The issue of progression cannot be answered from the available data.

The issue of psychological disorders preceding the onset of lipohyperplasia dolorosa (LiDo), as postulated by Erbacher and Bertsch, has not been clarified overall.

There are no valid data that LiDo alone leads to increased fluid retention in the affected extemitic segments. “Lipolymphoedema,” defined as stage VI, represents an unfortunate connection of LiDo with obesity-associated lymphoedema in the presence of coincident obesity. Nevertheless, complex physical decongestive therapy or at least compression therapy is likely to show positive effects if decongestive effects are disregarded.

Probably one of the biggest problems of the disease LiDo is the coincident occurrence of overweight and obesity. This obesity develops independently of LiDo and masks the disproportionate fat distribution disorder of LiDo. So far, there is no evidence that weight loss has an effect on the symptoms typical of LiDo, but of course on the coincident obesity.

Keywords

lipoedema - oedema - genetics - hormones - coincident obesity


Publication History

Article published online:
23 October 2023

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