Diagnostic algorithm to differentiate lipedema from obesity

This algorithm is intended for use in conjunction with additional UpToDate content on lipedema.

OWL: obesity without lymphedema; OIL: obesity-induced lymphedema; BMI: body mass index.

* An abnormal test shows delayed inguinal uptake of tracer and/or dermal backflow.

¶ OIL can occur with a maximum BMI history >40.

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