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A 50-year-old woman was evaluated in the obesity clinic. She complained of bilateral leg pain, edema, and decreased sensibility in the soles. At first evaluation, her weight was 210 kg and height 1.60 m with a body mass index (BMI) of 82 kg/m2. She was diagnosed with insulin resistance and hypertension and prescribed metformin 850 mg twice a day and losartan 50 mg twice a day. Due to the increased volume of both the legs, she was evaluated by the dermatology service that ruled out primary and secondary causes of lymphedema and during physical examination detected a positive Stemmer sign, in conclusion, she had obesity-induced lymphedema. Initial indicated treatment was compressive garments. She started with a reduction diet and achieved a weight loss of 34 kg (176 kg) with improvement of edema and pain. Nowadays, she is in expectation of bariatric surgery.

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2018-08-09   |   326 visitas   |   Evalua este artículo 0 valoraciones

Vol. 5 Núm.2. Abril-Junio 2018 Pags. 80-81 Rev Mex Endocrinol Metabol Nut 2018; 5(2)