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Lower extremity lymphatic function predicted by body mass index: a lymphoscintigraphic study of obesity and lipedema.

Arin K GreeneChristopher L Sudduth
Published in: International journal of obesity (2005) (2020)
The risk of lymphedema in patients with obesity and lipedema can be predicted by BMI; confirmation requires lymphoscintigraphy. Individuals with OIL are at risk for cellulitis and MLL. Patients with a BMI > 40 are first managed with weight loss. Excisional procedures can further reduce extremity size once BMI has been lowered.
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