Phlebology · 2021
Standard of care for lipedema in the United States.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Herbst Karen L, Kahn Linda Anne, Iker Emily, Ehrlich Chuck, Wright Thomas, McHutchison Lindy, Schwartz Jaime, Sleigh Molly, Donahue Paula Mc, Lisson Kathleen H, Faris Tami, Miller Janis, Lontok Erik, Schwartz Michael S, Dean Steven M, Bartholomew John R, Armour Polly, Correa-Perez Margarita, Pennings Nicholas, Wallace Edely L, Larson Ethan
Аннотация
BACKGROUND: Lipedema is a loose connective tissue disease predominantly in women identified by increased nodular and fibrotic adipose tissue on the buttocks, hips and limbs that develops at times of hormone, weight and shape change including puberty, pregnancy, and menopause. Lipedema tissue may be very painful and can severely impair mobility. Non-lipedema obesity, lymphedema, venous disease, and hypermobile joints are comorbidities. Lipedema tissue is difficult to reduce by diet, exercise, or bariatric surgery.
METHODS: This paper is a consensus guideline on lipedema written by a US committee following the Delphi Method. Consensus statements are rated for strength using the GRADE system.
RESULTS: Eighty-five consensus statements outline lipedema pathophysiology, and medical, surgical, vascular, and other therapeutic recommendations. Future research topics are suggested.
CONCLUSION: These guidelines improve the understanding of the loose connective tissue disease, lipedema, to advance our understanding towards early diagnosis, treatments, and ultimately a cure for affected individuals.
METHODS: This paper is a consensus guideline on lipedema written by a US committee following the Delphi Method. Consensus statements are rated for strength using the GRADE system.
RESULTS: Eighty-five consensus statements outline lipedema pathophysiology, and medical, surgical, vascular, and other therapeutic recommendations. Future research topics are suggested.
CONCLUSION: These guidelines improve the understanding of the loose connective tissue disease, lipedema, to advance our understanding towards early diagnosis, treatments, and ultimately a cure for affected individuals.