Tradução, adaptação cultural e validação do questionário de avaliação sintomática do lipedema (QuASiL)

Amato, Alexandre Campos Moraes; Amato, Fernando Campos Moraes; Benitti, Daniel Augusto; Santos, Ricardo Virginio dos

doi:10.1590/1677-5449.200049

Cited by 4 publications

(1 citation statement)

References 18 publications

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“…The patients were evaluated by an examiner experienced in the clinical identification of lipedema. The diagnosis of lipedema remains primarily clinical, using the standardization of pertinent clinical questions from the QuASiL questionnaire 13 associated with the following criteria for classification of the group with the disease: suggestive clinical history in women after puberty; with bilateral symmetrical fat deposit below the hip, sparing of the feet (negative Stemmer sign); non-depressible edema (negative Godet's sign), resistance to elevation of the limbs; painful affected areas that are sensitive to palpation; and increased capillary fragility, with spontaneous bruising. 2 , 4…”

Section: Diagnosis Of Lipedemamentioning

confidence: 99%

Ultrasound criteria for lipedema diagnosis

et al. 2021

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Background Lipedema is characterized by the deposition of abnormal fat in the lower and upper limbs bilaterally. It is a disease with high prevalence and genetic characteristics. Non-specific and non-quantified increases in the thickness of the subcutaneous tissue have previously been demonstrated using magnetic resonance imaging and computed tomography. Objectives To evaluate the thickness of the dermis and subcutaneous tissue in predetermined areas as a distinguishing feature between individuals with and without lipedema using ultrasound. Methods Ultrasound images of 89 female patients were analyzed, including patients undergoing clinical investigation for venous insufficiency or lipedema who underwent ultrasound evaluations at our institution. Patients were divided in two groups: with lipedema clinically diagnosed and those without lipedema. They underwent a common Doppler protocol for venous mapping to assess venous insufficiency associated with the evaluation of dermis and subcutaneous thickness at pre-defined points of the lower limbs. Results There were 63 patients with lipedema. Anterior thigh, pre-tibial and lateral aspect of the leg and supra-just medial malleolar region were significantly different. Supra-just medial malleolar region was significantly different with BMI above 25. An optimal cutoff value was calculated for the ultrasound diagnosis of lipedema using thickness of the dermis and subcutaneous tissues. Conclusions Studied criteria allow use of simple and reproducible ultrasound cutoff values to diagnose lipedema in the lower limbs. Pre-tibial region thickness measurement, followed by thigh and lateral leg thickness are recommended for the ultrasound diagnosis of lipedema.

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Section: Diagnosis Of Lipedemamentioning

confidence: 99%

Ultrasound criteria for lipedema diagnosis

et al. 2021

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Lipedema Can Be Treated Non-Surgically: A Report of 5 Cases

Amato

Benitti

2021

Am J Case Rep

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Case series Patients: Femal, 39-year-old • Femal, 64-year-old • Femal, 52-year-old • Femal, 34-year-old • Femal, 90-year-old Final Diagnosis: Lipedema Symptoms: Edema • pain Medication: — Clinical Procedure: Medications Specialty: Endocrinology and Metabolic Objective: Unusual clinical course Background: Lipedema is a chronic progressive disease characterized by the abnormal accumulation of fat in the subcutaneous region. Both medical and surgical treatments have been described in international guidelines; however, the current literature is biased toward promoting liposuction as the primary treatment of lipedema, and this can lead to the misapprehension that liposuction is the only form of definitive treatment. Case Reports: In the present study, we report 5 cases at various stages of the evolution of lipedema, all with different therapeutic objectives. Case 1 reported having persistent bruising and pain, case 2 reported pain and fat deposition, case 3 reported night cramps and discomfort, case 4 reported leg thickening, and case 5 reported redness in the legs. All of were diagnosed with lipedema in different evolution stages. Our purpose was to demonstrate the possibility of non-surgical therapy, as well as to improve signs and symptoms of lipedema, using the QuASiL questionnaire and measuring changes in volumes and proportions. Good aesthetic outcomes improve both social and psychological status. Conclusions: Currently, there are many described therapies available for lipedema. Liposuction surgery for lipedema should be considered one possible tool. Treatment objectives can be different for each patient. It is imperative to understand each patient’s needs in order to offer the best therapy attainable that meets patient requirements and induces a better quality of life. Non-surgical treatment of lipedema is feasible in selected cases, and it can meet the criteria for achieving selected clinical objectives.

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Prevalência e fatores de risco para lipedema no Brasil

Amato

et al. 2022

J. vasc. bras.

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Resumo Contexto O lipedema é caracterizado por deposição anormal de gordura em glúteos e pernas bilateralmente, que pode ser acompanhada por edema, dor e sensibilidade ao toque. Ainda é frequentemente confundido com condições mais frequentes, como obesidade e linfedema. A prevalência estimada na Europa varia entre 0,06% e 39%. Objetivos Avaliar a prevalência do lipedema na população brasileira e identificar fatores de saúde relacionados a essa doença. Métodos Foi aplicado um questionário de rastreamento on-line, previamente validado em amostra representativa da população geral. O questionário de rastreamento foi distribuído e aplicado em voluntárias anônimas representativas da população geral brasileira por software dedicado a análises populacionais. Resultados Um total de 253 mulheres respondeu ao questionário, e 12,3 ± 4% (intervalo de confiança de 95%) apresentaram sintomatologia compatível com alta probabilidade de diagnóstico de lipedema. Ansiedade, depressão, hipertensão e anemia foram correlacionadas com a alta probabilidade diagnóstica da doença. Conclusões A prevalência estimada do lipedema na população de mulheres brasileiras é de 12,3%.

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Tradução, adaptação cultural e validação do questionário de avaliação sintomática do lipedema (QuASiL)

Cited by 4 publications

References 18 publications

Ultrasound criteria for lipedema diagnosis

Ultrasound criteria for lipedema diagnosis

Lipedema Can Be Treated Non-Surgically: A Report of 5 Cases

Prevalência e fatores de risco para lipedema no Brasil

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