TY - JOUR T1 - Lymphoscintigraphic findings in patients with lipedema JO - Revista Española de Medicina Nuclear e Imagen Molecular (English Edition) T2 - AU - Forner-Cordero,I. AU - Oliván-Sasot,P. AU - Ruiz-Llorca,C. AU - Muñoz-Langa,J. SN - 22538089 M3 - 10.1016/j.remnie.2018.10.013 DO - 10.1016/j.remnie.2018.10.013 UR - https://www.elsevier.es/en-revista-revista-espanola-medicina-nuclear-e-425-articulo-lymphoscintigraphic-findings-in-patients-with-S2253808918301046 AB - IntroductionLipoedema is a syndrome that is characterized by edema, an accumulation of fat, pain and haematomas in the lower limbs that principally affects women. Diagnosis is currently based on clinical criteria, since there is no accurate diagnostic imaging for the condition. The aim of our study was to describe the lymphoscintigraphic findings in patients with lipoedema. Material and methodA prospective cohort study of women with clinical criteria of lipoedema who underwent lymphoscintigraphy. Two independent nuclear physicians described and classified the lymphoscintigraphy findings in different grades of severity, according to the migration and distribution of the radiopharmaceutical.Eighty-three patients were included with a median age of 49.7 years (range: 18–80) and a mean body mass index (BMI) of 29.9kg/m2 (95% CI: 28.4–31.3). ResultsLymphoscintigraphy showed alterations in 47% of the patients, most were low (35.9%) or low-moderate grade (48.7%). None of the patients were severely affected (no migration of the radiopharmaceutical).The degree of lymphoscintigraphic involvement showed no relation to age (p=0.674), Stemmer's sign (p=0.506), or BMI (p=0.832). We found lymphoscintigraphy findings in all the clinical stages of lipoedema, with no significant differences between the grade of lymphoscintigraphic involvement and the clinical stage of lipoedema (p=0.142). ConclusionAlthough lymphoscintigraphy has been used to differentiate lipoedema from lymphoedema, we found frequent alterations in the patients with lipoedema, therefore the presence of findings does not rule out a diagnosis of lipoedema. ER -