Measurement of capillary fragility: A useful tool to differentiate lipedema from obesity?

G. Szolnoky, A. Ifeoluwa, M. Tuczai, E. Varga, M. Varga, E. Dósa-Rácz, L. Kemény

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Lipedema is a disproportional obesity featuring spontaneous or light pressure-induced pain and frequent hematoma formation due to even minor traumatic injuries. It is generally distinguished from general obesity primarily based on clinical hallmarks; however, this becomes difficult when appearing in a concomitant form (combination of obesity and lipedema). Our study group has recently demonstrated that lipedema-associated bruising is correlated with increased capillary fragility (CF) and also that CF could be significantly improved by complex decongestive physiotherapy (CDP). In this study, we measured CF in female subjects with lipedema (15) or non-complicated obesity (15) who were body mass index (BMI) and waist-to-hip ratio (WHR) matched. CF was evaluated with the vacuum suction method (VSM) using Parrot's angiosterrometer in both groups. Application of VSM resulted in a significantly higher number of petechiae in subjects with lipedema. Capillary fragility measurement appears to be a useful differential diagnostic tool between lipedema and obesity under these trial parameters.

Original languageEnglish
Pages (from-to)203-209
Number of pages7
JournalLymphology
Volume50
Issue number4
Publication statusPublished - 2017

Keywords

  • Angiosterrometry lipedema
  • Capillary fragility
  • Lipedema
  • Obesity
  • Vacuum suction

ASJC Scopus subject areas

  • Immunology and Allergy
  • Hematology

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    Szolnoky, G., Ifeoluwa, A., Tuczai, M., Varga, E., Varga, M., Dósa-Rácz, E., & Kemény, L. (2017). Measurement of capillary fragility: A useful tool to differentiate lipedema from obesity? Lymphology, 50(4), 203-209.