Massive Obesity Simulating Lymphedema

Victor Loughlin, Marlys H. Witte, Charles L. Witte

Research output: Contribution to journalLetterpeer-review

3 Scopus citations


To the Editor: The images of massive obesity simulating lymphedema (Dec. 31 issue)1 are quite impressive. The photograph clearly shows the condition of lipomatosis of the legs, also known as lipedema. When confined to the thighs, the condition is known as “riding-breeches thighs.” When involving the whole leg, it is known as either “billiard-table legs” or “stovepipe legs.” If lymphedema were the cause of this degree of leg swelling, there would also be pitting or spreading edema on the dorsum of either foot in response to pressure, with the chronic skin changes of hyperkeratosis and increased skin markings. None of…

Original languageEnglish (US)
Pages (from-to)1496
Number of pages1
JournalNew England Journal of Medicine
Issue number20
StatePublished - May 20 1993

ASJC Scopus subject areas

  • General Medicine


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