Lipedema: lo que debemos conocer

Autores/as

  • Dra. Luz Quirós Siniterra de Vásquez
  • Dra. Vanessa Uclés Villalobos

DOI:

https://doi.org/10.54376/rcmui.v1i1.113

Palabras clave:

Lipidema, Obesidad, Linfedema, Ginoide, Liposución

Resumen

El lipedema es un trastorno crónico que se presenta en mujeres durante la pubertad u otros momentos de cambios hormonales como en el embarazo o la menopausia.  Es caracterizado por una obesidad desproporcionada de las extremidades, especialmente en caderas y piernas, asociado a hematomas con mínimo trauma y dolor espontáneo o inducido por presión. Usualmente es mal diagnoticado e infratratado y suele confundirse con otras enfermedades como la obesidad y linfedema. Su causa aún se sigue estudiando, existen hipótesis sobre su origen poligenético regulado por los estrógenos, por el inicio de la enfermedad en etapas de cambio hormonal y debido a que se presenta mayormente en mujeres. Los tratamiento para el lipedema se basa en seis pilares: 1) Fisioterapia-ejercicios, 2) Terapia compresiva, 3) Control de peso, 4) Liposucción, 5) Terapia psicosocial-6) Automanejo.

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Citas

Allen EV, Hines EA. Lipedema of the legs: A syndrome characterized by fat legs and orthostatic edema. Proc Staff Mayo Clinic. 1940;15:184---7.

Torre YS, Wadeea R, Rosas V, Herbst KL. Lipedema: friend and foe. Horm Mol Biol Clin Investig. 2018 Mar 9;33(1):/j/hmbci.2018.33.issue-1/hmbci-2017-0076/hmbci-2017-0076.xml. doi: 10.1515/hmbci-2017-0076. PMID: 29522416; PMCID: PMC5935449. DOI: https://doi.org/10.1515/hmbci-2017-0076

Vaquero Ramiro E, Gutiérrez Retortillo M, Goiri Noguera D, Morello Ostos P, Solera-Martínez M. Diagnóstico y tratamiento del lipedema en España. Resultados de encuesta online [Diagnosis and treatment of lipedema in Spain. Results of an online survey]. Rehabilitacion (Madr). 2021 Jan 15:S0048-7120(20)30149-3. Spanish. doi: 10.1016/j.rh.2020.12.001. Epub ahead of print. PMID: 33461763. DOI: https://doi.org/10.1016/j.rh.2020.12.001

Paolacci S, Precone V, Acquaviva F, Chiurazzi P, Fulcheri E, Pinelli M, Buffelli F, Michelini S, Herbst KL, Unfer V, Bertelli M; GeneOb Project. Genetics of lipedema: new perspectives on genetic research and molecular diagnoses. Eur Rev Med Pharmacol Sci. 2019 Jul;23(13):5581-5594. doi: 10.26355/eurrev_201907_18292. PMID: 31298310.

Kruppa P, Georgiou I, Biermann N, Prantl L, Klein-Weigel P, Ghods M. Lipedema-Pathogenesis, Diagnosis, and Treatment Options. Dtsch Arztebl Int. 2020 Jun 1;117(22-23):396-403. doi: 10.3238/arztebl.2020.0396. PMID: 32762835; PMCID: PMC7465366. DOI: https://doi.org/10.3238/arztebl.2020.0396

AH Child, KD Gordon, P. Scharpe et al. Lipedema: A hereditary disease. (Am J Med Genet A 2010), 152: 970-6. PMID: 20358611 (PubMed: indexado para MEDLINE). DOI: https://doi.org/10.1002/ajmg.a.33313

WOLD LE, HINES EA Jr, ALLEN EV. Lipedema of the legs; a syndrome characterized by fat legs and edema. Ann Intern Med. 1951 May;34(5):1243-50. doi: 10.7326/0003-4819-34-5-1243. PMID: 14830102. DOI: https://doi.org/10.7326/0003-4819-34-5-1243

Harwood CA, Bull RH, Evans J, Mortimer PS. Lymphatic and venous function in lipoedema. Br J Dermatol. 1996 Jan;134(1):1-6. PMID: 8745878. DOI: https://doi.org/10.1111/j.1365-2133.1996.tb07831.x

Herpertz U. Krankheitsspektrum, des Lipödems an einer Lymphologischen , Fachklinik-Erscheinungsformen, Mischbilder und Behandlungsmöglichkeiten, vasomed 1997; 5: 301-307.

Halk AB, Damstra RJ. First Dutch guidelines on lipedema using the international classification of functioning, disability and health. Phlebology. 2017 Apr;32(3):152-159. doi: 10.1177/0268355516639421. Epub 2016 Jul 9. PMID: 27075680. DOI: https://doi.org/10.1177/0268355516639421

Meier-Vollrath I, Schmeller W. Lipödem--aktueller Stand, neue Perspektiven [Lipoedema--current status, new perspectives]. J Dtsch Dermatol Ges. 2004 Mar;2(3):181-6. German. doi: 10.1046/j.1439-0353.2004.04051.x. PMID:16281634. http://dx.doi.org/10.1046/j.1439-0353.2004.04051.x. DOI: https://doi.org/10.1046/j.1439-0353.2004.04051.x

Alcolea JM, Alonso Álvarez B, Arroyo Bielsa A, Domingo P, Galindo García A, Gracia Graells M, et al. Documento Consenso Lipedema 2018. Incluye estado actual del lipedema 2019. 2018 [consultado 30 Jul 2020] . https://aelinfedema.org/wpcontent/uploads/2019/11/Consenso-Lipedema-v.Sep2019.pdf.

Buck DW 2nd, Herbst KL. Lipedema: A Relatively Common Disease with Extremely Common Misconceptions. Plast Reconstr Surg Glob Open. 2016 Sep 28;4(9):e1043. doi: 10.1097/GOX.0000000000001043. PMID: 27757353; PMCID: PMC5055019. DOI: https://doi.org/10.1097/GOX.0000000000001043

http://dx.doi.org/10.1111/ddg.13036. DOI: https://doi.org/10.1111/ddg.13036

Williams A. A review of the literature relating to liposuction in women with lipoedema and Dercum’s disease. J Lymphoedem 2019, 14: 12-6

Crescenzi R, Donahue PMC, Weakley S, Garza M, Donahue MJ, Herbst KL. Lipedema and Dercum's Disease: A New Application of Bioimpedance. Lymphat Res Biol. 2019 Dec;17(6):671-679. doi: 10.1089/lrb.2019.0011. Epub 2019 Aug 13. PMID: 31408408; PMCID: PMC6919257. DOI: https://doi.org/10.1089/lrb.2019.0011

Reich-Schupke S, Schmeller W, Brauer WJ, Cornely ME, Faerber G, Ludwig M, Lulay G, Miller A, Rapprich S, Richter DF, Schacht V, Schrader K, Stücker M, Ure C. S1 guidelines: Lipedema. J Dtsch Dermatol Ges. 2017 Jul;15(7):758-767. doi: 10.1111/ddg.13036. PMID: 28677175. DOI: https://doi.org/10.1111/ddg.13036

Földi E, Földi M. Lipedema. textbook of lymphology. Foldi. En: Földi E, Földi M, editores. 2. Munich, Alemania Elsevier: 2006. págs. 417–427/

Bano G, Mansour S, Brice G, Ostergaard P, Mortimer PS, Jeffery S, Nussey S. Pit-1 mutation and lipoedema in a family. Exp Clin Endocrinol Diabetes. 2010 Jun;118(6):377-80. doi: 10.1055/s-0029-1224154. Epub 2009 Jul 16. PMID: 19609847. http://dx.doi.org/10.1055/s-0029-1224154. DOI: https://doi.org/10.1055/s-0029-1224154

Chen SG, Hsu SD, Chen TM, Wang HJ. Painful fat syndrome in a male patient. Br J Plast Surg. 2004 Apr;57(3):282-6. doi: 10.1016/j.bjps.2003.12.020. PMID: 15006533. http://dx.doi.org/10.1016/j.bjps.2003.12.02 DOI: https://doi.org/10.1016/j.bjps.2003.12.020

Forner-Cordero I, Szolnoky G, Forner-Cordero A, Kemény L. Lipedema: an overview of its clinical manifestations, diagnosis and treatment of the disproportional fatty deposition syndrome - systematic review. Clin Obes. 2012 Jun;2(3-4):86-95. doi: 10.1111/j.1758-8111.2012.00045.x. Epub 2012 Aug 3. PMID: 25586162. DOI: https://doi.org/10.1111/j.1758-8111.2012.00045.x

Tiwari A, Myint F, Hamilton G. Management of lower limb lymphoedema in the United Kingdom. Eur J Vasc Endovasc Surg. 2006 Mar;31(3):311-5. doi: 10.1016/j.ejvs.2005.09.017. Epub 2005 Dec 1. PMID: 16324854. DOI: https://doi.org/10.1016/j.ejvs.2005.09.017

Romeijn JRM, de Rooij MJM, Janssen L, Martens H. Exploration of Patient Characteristics and Quality of Life in Patients with Lipoedema Using a Survey. Dermatol Ther (Heidelb). 2018 Jun;8(2):303-311. doi: 10.1007/s13555-018-0241-6. Epub 2018 May 10. PMID: 29748843; PMCID: PMC6002318. http://dx.doi.org/10.1007/ s13555-018-0241-6. DOI: https://doi.org/10.1007/s13555-018-0241-6

Fetzer A, Fetzer S. Lipoedema UK Big Survey 2014 Research Report. 2016 [consultado 10 Feb 2020] Disponible en: https://www.lipoedema.co.uk/wp-content/uploads/ 2016/04/UK-Big-Surey-version-web.pdf.

Bauer AT, von Lukowicz D, Lossagk K, Aitzetmueller M, Moog P, Cerny M, Erne H, Schmauss D, Duscher D, Machens HG. New Insights on Lipedema: The Enigmatic Disease of the Peripheral Fat. Plast Reconstr Surg. 2019 Dec;144(6):1475-1484.doi:10.1097/PRS.0000000000006280. PMID: 31764671. DOI: https://doi.org/10.1097/PRS.0000000000006280

Shavit E, Wollina U, Alavi A. Lipoedema is not lymphoedema: A review of current literature. Int Wound J. 2018 Dec;15(6):921-928. doi: 10.1111/iwj.12949. Epub 2018 Jun 29. PMID: 29956468. DOI: https://doi.org/10.1111/iwj.12949

Herbst KL, MIrkovskaya L, Bharhagava A, Chava Y, Te CH. Lipedema fat and signs and symptoms of illness, increase with advancing stage. Arch Medicine. 2015;7:1---8.

Hardy D, Williams A. Best practice guidelines for the management of lipoedema. Br J Community Nurs. 2017 Oct 1;22(Sup10):S44-S48. doi: 10.12968/bjcn.2017.22.Sup10.S44. PMID: 28961048. DOI: https://doi.org/10.12968/bjcn.2017.22.Sup10.S44

Todd M. Diagnosis and management of lipoedema in the community. Br J Community Nurs. 2016 Oct;21(Suppl 10):S6-S12. doi: 10.12968/bjcn.2016.21.Sup10.S6. PMID: 27715138. http://dx.doi.org/10.12968/bjcn.2016.21.Sup10.S6. DOI: https://doi.org/10.12968/bjcn.2016.21.Sup10.S6

Buso G, Depairon M, Tomson D, Raffoul W, Vettor R, Mazzolai L. Lipedema: A Call to Action! Obesity (Silver Spring). 2019 Oct;27(10):1567-1576. doi: 10.1002/oby.22597. PMID: 31544340; PMCID: PMC6790573. http://dx.doi.org/10.1002/oby.22597. DOI: https://doi.org/10.1002/oby.22597

Szolnoky G, Varga E, Varga M, Tuczai M, Dósa-Rácz E, Kemény L. Lymphedema treatment decreases pain intensity in lipedema. Lymphology. 2011 Dec;44(4):178-82. PMID: 22458119.

Bosman J. Lipoedema: Poor knowledge, neglect or disinterest? J Lymphoedema. 2011;6:109---11.

Sandhofer M, Hanke CW, Habbema L, Podda M, Rapprich S, Schmeller W, Herbst K, Anderhuber F, Pilsl U, Sattler G, Sandhofer M, Moosbauer W, Sattler S, Schauer P, Faulhaber J, Maier S, Barsch M, Mindt S, Halk AB. Prevention of Progression of Lipedema With Liposuction Using Tumescent Local Anesthesia: Results of an International Consensus Conference. Dermatol Surg. 2020 Feb;46(2):220-228. doi: 10.1097/DSS.0000000000002019. PMID: 31356433. DOI: https://doi.org/10.1097/DSS.0000000000002019

Peprah K, MacDougall D. Liposuction for the treatment of 34. lipedema: A review of clinical effectiveness and guidelines. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health. 2019 [consultado 10 Feb 2020] Disponible en: https://www.cadth.ca/sites/default/files/pdf/htis/2019/RC1133%20Liposuction%20for%20Lipedema%20Report%20Final.pdf.

Crescenzi R, Donahue PMC, Weakley S, Garza M, Donahue MJ, Herbst KL. Lipedema and Dercum's Disease: A New Application of Bioimpedance. Lymphat Res Biol. 2019 Dec;17(6):671-679. doi: 10.1089/lrb.2019.0011. Epub 2019 Aug 13. PMID: 31408408; PMCID: PMC6919257. DOI: https://doi.org/10.1089/lrb.2019.0011

Atan T, Bahar-Özdemir Y. The Effects of Complete Decongestive Therapy or Intermittent Pneumatic Compression Therapy or Exercise Only in the Treatment of Severe Lipedema: A Randomized Controlled Trial. Lymphat Res Biol. 2021 Feb;19(1):86-95. doi: 10.1089/lrb.2020.0019. Epub 2020 Dec 9. PMID: 33297826. DOI: https://doi.org/10.1089/lrb.2020.0019

Volkan-Yazıcı M, Yazici G, Esmer M. The Effects of Complex Decongestive Physiotherapy Applications on Lower Extremity Circumference and Volume in Patients with Lipedema. Lymphat Res Biol. 2021 Feb;19(1):111-114. doi: 10.1089/lrb.2020.0080. Epub 2020 Oct 30. Erratum in: Lymphat Res Biol. 2021 Apr;19(2):204. PMID: 33124947. DOI: https://doi.org/10.1089/lrb.2020.0080.correx

Iker E, Mayfield CK, Gould DJ, Patel KM. Characterizing Lower Extremity Lymphedema and Lipedema with Cutaneus Ultrasonography and an Objective Computer-Assisted Measurement of Dermal Echogenicity. Lymphat Res Biol. 2019 Oct;17(5):525-530. doi: 10.1089/lrb.2017.0090. Epub 2019 Jan 7.PMID: 30615553 DOI: https://doi.org/10.1089/lrb.2017.0090

Keith L, Seo CA, Rowsemitt C, Pfeffer M, Wahi M, Staggs M, Dudek J, Gower B, Carmody M. Ketogenic diet as a potential intervention for lipedema. Med Hypotheses. 2021 Jan;146:110435. doi: 10.1016/j.mehy.2020.110435. Epub 2020 Nov 27. PMID: 33303304. DOI: https://doi.org/10.1016/j.mehy.2020.110435

Monnin-Delhom ED, Gallix BP, Achard C, Bruel JM, Janbon C.High resolution unenhanced computed tomography in patients with swollen legs.Lymphology. 2002 Sep;35(3):121-8.PMID: 12363222.

Vaughan BF. CT of swollen legs. Clin Radiol. 1990 Jan;41(1):24-30. doi: 10.1016/s0009-9260(05)80927-4. PMID: 2297962. DOI: https://doi.org/10.1016/S0009-9260(05)80927-4

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Publicado

14-02-2022

Cómo citar

Quirós Siniterra de Vásquez , L. ., & Uclés Villalobos , V. (2022). Lipedema: lo que debemos conocer. Revista De La Facultad De Medicina De La Universidad De lberoamérica, 1(1). https://doi.org/10.54376/rcmui.v1i1.113

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