11 July 2022
: Case report 
A Case Series of Lymphatic Injuries After Suction Lipectomy in Women with Lipedema
Unusual clinical course, Unusual or unexpected effect of treatment, Diagnostic / therapeutic accidents, Clinical situation which can not be reproduced for ethical reasons
Thomas F. Wright1ABCDEF*, Karen L. Herbst2CDEFDOI: 10.12659/AJCR.935016
Am J Case Rep 2022; 23:e935016
Table 2. Differences and Similarities in Lipedema and Lymphedema.
| Lipedema | Lymphedema | |
|---|---|---|
| Lymphatic flow | Impaired/altered | Obstructed |
| Affected limbs | Symmetric | Often asymmetric |
| Hands/feet | Spared | Affected |
| Damage to lymphatics | Genetic | Acquired >genetic |
| Affected tissue | Hypodermis | Skin epidermis and dermis and hypodermis |
| Fluid | Bound to glycosaminoglycan | Free and bound to glycosaminoglycan |
| Sex predominance | Female | Male and female equal |
| Family history | Likely female in affected | Not likely |
| Resistance to weight loss | Yes | Only in affected limb/s |
| Stemmer sign | Negative | Positive |
| * Fat tissue below the skin. | ||