Massive Obesity Simulating Lymphedema

Kim Eagle; Marlys H. Witte; Charles L. Witte

doi:10.1056/NEJM199212313272707

Massive Obesity Simulating Lymphedema

Kim Eagle, Marlys H. Witte, Charles L. Witte

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Abstract

Panel A shows massive obesity of the lower legs of a 64-year-old woman. Note the bilateral symmetric, nonpitting swelling of the legs with sparing of the feet, which can be mistaken for lymphedema. In Panel B, a radionuclide lymphangiogram taken 30 minutes after the injection of 99mTc-labeled human albumin demonstrates normal lymphatic vessels and regional lymph nodes with prompt cephalad migration of the radionuclide. In Panel C, transaxial (above) and coronal (below) magnetic resonance images confirm the presence of diffuse subcutaneous fat deposits without the accumulation of free fluid. The irregular high-intensity subcutaneous signals on the coronal images represent venous.

Original language	English (US)
Pages (from-to)	1927
Number of pages	1
Journal	New England Journal of Medicine
Volume	327
Issue number	27
DOIs	https://doi.org/10.1056/NEJM199212313272707
State	Published - Dec 31 1992

ASJC Scopus subject areas

General Medicine

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10.1056/NEJM199212313272707

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title = "Massive Obesity Simulating Lymphedema",

abstract = "Panel A shows massive obesity of the lower legs of a 64-year-old woman. Note the bilateral symmetric, nonpitting swelling of the legs with sparing of the feet, which can be mistaken for lymphedema. In Panel B, a radionuclide lymphangiogram taken 30 minutes after the injection of 99mTc-labeled human albumin demonstrates normal lymphatic vessels and regional lymph nodes with prompt cephalad migration of the radionuclide. In Panel C, transaxial (above) and coronal (below) magnetic resonance images confirm the presence of diffuse subcutaneous fat deposits without the accumulation of free fluid. The irregular high-intensity subcutaneous signals on the coronal images represent venous.",

author = "Kim Eagle and Witte, {Marlys H.} and Witte, {Charles L.}",

year = "1992",

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doi = "10.1056/NEJM199212313272707",

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T1 - Massive Obesity Simulating Lymphedema

AU - Eagle, Kim

AU - Witte, Marlys H.

AU - Witte, Charles L.

PY - 1992/12/31

Y1 - 1992/12/31

N2 - Panel A shows massive obesity of the lower legs of a 64-year-old woman. Note the bilateral symmetric, nonpitting swelling of the legs with sparing of the feet, which can be mistaken for lymphedema. In Panel B, a radionuclide lymphangiogram taken 30 minutes after the injection of 99mTc-labeled human albumin demonstrates normal lymphatic vessels and regional lymph nodes with prompt cephalad migration of the radionuclide. In Panel C, transaxial (above) and coronal (below) magnetic resonance images confirm the presence of diffuse subcutaneous fat deposits without the accumulation of free fluid. The irregular high-intensity subcutaneous signals on the coronal images represent venous.

AB - Panel A shows massive obesity of the lower legs of a 64-year-old woman. Note the bilateral symmetric, nonpitting swelling of the legs with sparing of the feet, which can be mistaken for lymphedema. In Panel B, a radionuclide lymphangiogram taken 30 minutes after the injection of 99mTc-labeled human albumin demonstrates normal lymphatic vessels and regional lymph nodes with prompt cephalad migration of the radionuclide. In Panel C, transaxial (above) and coronal (below) magnetic resonance images confirm the presence of diffuse subcutaneous fat deposits without the accumulation of free fluid. The irregular high-intensity subcutaneous signals on the coronal images represent venous.

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Massive Obesity Simulating Lymphedema

Abstract

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