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Obesity-induced Lymphedema Nonreversible following Massive Weight Loss

Lymphedema is the progressive enlargement of tissue due to inadequate lymphatic function. Obesity-induced lymphedema of the lower extremities can occur once a patient’s body mass index (BMI) exceeds 50. We report our first patient with obesity-induced lower extremity lymphedema who was followed pros...

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Autores principales: Greene, Arin K., Grant, Frederick D., Maclellan, Reid A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4494496/
https://www.ncbi.nlm.nih.gov/pubmed/26180727
http://dx.doi.org/10.1097/GOX.0000000000000398
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author Greene, Arin K.
Grant, Frederick D.
Maclellan, Reid A.
author_facet Greene, Arin K.
Grant, Frederick D.
Maclellan, Reid A.
author_sort Greene, Arin K.
collection PubMed
description Lymphedema is the progressive enlargement of tissue due to inadequate lymphatic function. Obesity-induced lymphedema of the lower extremities can occur once a patient’s body mass index (BMI) exceeds 50. We report our first patient with obesity-induced lower extremity lymphedema who was followed prospectively before and after weight loss. A 46-year-old woman with a BMI of 80 presented to our Lymphedema Program complaining of bilateral lower extremity swelling. Lymphoscintigraphy showed impaired lymphatic drainage of both lower extremities consistent with lymphedema. She was referred to a bariatric surgical weight-loss center and underwent a sleeve gastrectomy. After reaching her new steady-state BMI of 36 eighteen months following her procedure, lymphoscintigraphy showed no improvement in lower extremity lymphatic function. Patients at risk for obesity-induced lymphedema should be counseled that they should seek weight-loss interventions before their BMI reaches 50, a threshold at which point lower extremity lymphedema may occur. Unlike other comorbidities that reverse following massive weight loss, obesity-induced lymphedema may not resolve.
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spelling pubmed-44944962015-07-15 Obesity-induced Lymphedema Nonreversible following Massive Weight Loss Greene, Arin K. Grant, Frederick D. Maclellan, Reid A. Plast Reconstr Surg Glob Open Case Reports Lymphedema is the progressive enlargement of tissue due to inadequate lymphatic function. Obesity-induced lymphedema of the lower extremities can occur once a patient’s body mass index (BMI) exceeds 50. We report our first patient with obesity-induced lower extremity lymphedema who was followed prospectively before and after weight loss. A 46-year-old woman with a BMI of 80 presented to our Lymphedema Program complaining of bilateral lower extremity swelling. Lymphoscintigraphy showed impaired lymphatic drainage of both lower extremities consistent with lymphedema. She was referred to a bariatric surgical weight-loss center and underwent a sleeve gastrectomy. After reaching her new steady-state BMI of 36 eighteen months following her procedure, lymphoscintigraphy showed no improvement in lower extremity lymphatic function. Patients at risk for obesity-induced lymphedema should be counseled that they should seek weight-loss interventions before their BMI reaches 50, a threshold at which point lower extremity lymphedema may occur. Unlike other comorbidities that reverse following massive weight loss, obesity-induced lymphedema may not resolve. Wolters Kluwer Health 2015-07-08 /pmc/articles/PMC4494496/ /pubmed/26180727 http://dx.doi.org/10.1097/GOX.0000000000000398 Text en Copyright © 2015 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. All rights reserved. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially.
spellingShingle Case Reports
Greene, Arin K.
Grant, Frederick D.
Maclellan, Reid A.
Obesity-induced Lymphedema Nonreversible following Massive Weight Loss
title Obesity-induced Lymphedema Nonreversible following Massive Weight Loss
title_full Obesity-induced Lymphedema Nonreversible following Massive Weight Loss
title_fullStr Obesity-induced Lymphedema Nonreversible following Massive Weight Loss
title_full_unstemmed Obesity-induced Lymphedema Nonreversible following Massive Weight Loss
title_short Obesity-induced Lymphedema Nonreversible following Massive Weight Loss
title_sort obesity-induced lymphedema nonreversible following massive weight loss
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4494496/
https://www.ncbi.nlm.nih.gov/pubmed/26180727
http://dx.doi.org/10.1097/GOX.0000000000000398
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