Diagnosis and management of lipoedema in the community

What is it about?

Lipoedema is a chronic progressive disorder that affects mainly women and presents as symmetrical enlargement of the buttocks and legs. It is commonly misdiagnosed as obesity or lymphoedema, but can be diagnosed through careful physical assessment. It is often accompanied by significant psychological morbidity. Lipoedema often starts around puberty, and there is often a strong family history. The condition is exacerbated by weight gain and there is anecdotal evidence that some women who are obese are seeking a diagnosis of lipoedema, either to obtain NHS-funded manual lymphatic drainage, or to medicalise their obesity and avoid acknowledging that the responsibility for their weight gain is lifestyle orientated. Management of lipoedema consists of accurate diagnosis, psychological care, management of oedema, and prevention of progression through skin care and weight management.

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