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Wiedner et al. Plast Aesthet Res 2020;7:10 I http://dx.doi.org/10.20517/2347-9264.2019.51 Page 7 of 10
Other Pathologic vein function Alcohol abuse, liver
Easy bruising Common condition Positive Stemmer sign, pathologic lymphscintigraphy test Muscle weakness, alcohol abuse, depressions damage BMI >25
Pain + - - - + - -
Disproportion + + - - + + -
Diets successflu - - - - - - +
Involvement - - + + + + +
Edema + - + + - - -
Pressure sensitivity + - - - + + - increases blood flow in deep and superficial veins [30] . Immediately after decongestive therapy, a compression bandage is applied in the form of garments or CDP can also be combined with intermittent pneumatic compression (IPC). During this therapy, chambers in the sleeves, gloves, or boots of the device are inflated rhythmically from distal to proximal by an air pump to improve venous and lymphatic drai
Fat increase + + - - + + +
Symmetry + + - - - + + Differential diagnoses criteria of lipedema listed regarding sex, onset of disease, affected localization, symmetry, pain, edema, and other symptoms wrapping to reduce edema. CDP furthermore consists of decongestive exercises and meticulous skin care [31] .
Localisation Onset Legs, arms Legs, arms Legs Legs Legs Neck, shoulder, pelvis Whole body debate about the value of the use of MLD in the routine management of lipedema [32] . treatment after at least 6-12 months, surgical treatment should be discussed.
Table 1. List of differential diagnoses criteria Sex Usually Women Lipedema puberty Usually Women Lipohypertrophy puberty Usually Women, Primary puberty men Lymphedema Adolescence Women, Phlebedema men Usually Usually Dercum’s menopause women disease Adolescence Usually Madelung’s men disease Each age Women, Obesity men
