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Lipedema: an inherited condition.

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TLDR
It is proposed that lipedema is a genetic condition with either X‐linked dominant inheritance or more likely, autosomal dominant inheritance with sex limitation, and appears to be a condition almost exclusively affecting females, presumably estrogen‐requiring as it usually manifests at puberty.
Abstract
Lipedema is a condition characterized by swelling and enlargement of the lower limbs due to abnormal deposition of subcutaneous fat. Lipedema is an under-recognized condition, often misdiagnosed as lymphedema or dismissed as simple obesity. We present a series of pedigrees and propose that lipedema is a genetic condition with either X-linked dominant inheritance or more likely, autosomal dominant inheritance with sex limitation. Lipedema appears to be a condition almost exclusively affecting females, presumably estrogen-requiring as it usually manifests at puberty. Lipedema is an entity distinct from obesity, but may be wrongly diagnosed as primary obesity, due to clinical overlap. The phenotype suggests a condition distinct from obesity and associated with pain, tenderness, and easy bruising in affected areas.

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Update in the management of lipedema.

TL;DR: In this article, the authors performed a non-systematic review on the literature related to diagnosis and therapy of lipedema and found that the major aims of the management are multimodal for improvements in the quality of life; reduction in heaviness and pain, reshaping the affected limbs, weight control, improvements in mobility.
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Rest/stress intradermal lymphoscintigraphy in diagnosis of lipedema.

TL;DR: In clinically advanced lipedema stages, fat continues to build up and may block the lymphatic vessels causing a secondary lymphedema (Lipo-LymphedEMA), and lymph stagnation areas were observed.
Journal ArticleDOI

Current Mechanistic Understandings of Lymphedema and Lipedema: Tales of Fluid, Fat, and Fibrosis

TL;DR: The purpose of this review is to expose the distinct and shared clinical criteria and symptomatology, molecular regulators and pathophysiology, and genetic markers of lymphedema and lipedema to help inform future research in this field.
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A Multi-Gene Panel to Identify Lipedema-Predisposing Genetic Variants by a Next-Generation Sequencing Strategy

TL;DR: An extended NGS-based approach has identified a number of gene variants that may be important in the diagnosis of lipedema, that may affect the phenotypic presentation of Lipedema or that may cause disorders that could be confused withlipedema.
Journal ArticleDOI

Lipödem – Mythen und Fakten Teil 4

TL;DR: Darüber sollte die Liposuktion in ein Gesamtkonzept eingebunden werden, welches psychosoziale, ernährungs- and sportmedizinische Gesichtspunkte berücksichtigt.
References
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Journal ArticleDOI

Patterned loss of hair in man; types and incidence.

TL;DR: Type or categories of scalp hairiness which can be used as standards for classitication and grading of the extent of common baldness are established and the relationship of scdp types to factors which influence the development of baldness is studied.
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A constitutively activating mutation of the luteinizing hormone receptor in familial male precocious puberty

TL;DR: COS-7 cells expressing the mutant LH receptor exhibited markedly increased cyclic AMP production in the absence of agonist, suggesting that autonomous Leydig cell activity in FMPP is caused by a constitutively activated LH receptor.
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X-linked protocadherin 19 mutations cause female-limited epilepsy and cognitive impairment.

TL;DR: In this paper, a systematic resequencing of 737 X chromosome genes was carried out to identify different protocadherin 19 (PCDH19) gene mutations in seven families with EFMR.
Journal ArticleDOI

Lipedema of the legs: a syndrome characterized by fat legs and edema

TL;DR: There is little in the literature on abnormal localized depositions of body fat to clarify the syndrome of lipedema of the legs, but two of us (E. V. and E. A. H.) described it in 1940.
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