Evaluation of the prevalence of concomitant idiopathic cyclic edema and cellulite

A Systematic Review of Aminaphtone from Pathophysiology to Clinical Applications: Focus on New Rheumatological Acquisitions

Aminaphtone is a chemical drug that has been used for more than thirty years to treat a variety of vascular disorders, with good clinical results and a satisfying safety profile. In the last two decades, multiple clinical studies have reported the efficacy of the drug in different clinical scenarios of altered microvascular reactivity, describing the downregulation of adhesion molecules (i.e., VCAM, ICAM, Selectins), vasoconstrictor peptides (i.e., Endothelin-1), and pro-inflammatory cytokine expression (i.e., IL-6, IL-10, VEGF, TGF-beta) by Aminaphtone. In this review, we summarize the current knowledge concerning Aminaphtone, with particular attention to rheumatological conditions in which microvascular disfunction plays a pivotal role, such as Raynaud's phenomenon and systemic sclerosis. These latter conditions may represent a promising field of application for Aminaphtone, due to the growing pre-clinical, clinical, and instrumental reports of efficacy. However, randomized, double-blind, placebo-controlled clinical trials are lacking and are desirable.

Evaluation on Effect of Acupoint Application to Treat Idiopathic Edema of Perimenopausal Women Using the Segmentation Dictionary Learning Algorithm

This study aimed to explore the effect of ultrasound imaging in the diagnosis and evaluation of acupoint application in the treatment of idiopathic edema. In this study, an ultrasound imaging diagnosis based on the segmentation dictionary learning (S-DL) algorithm was proposed. In addition, the autoencoding algorithm (ASE) was compared with the traditional dictionary learning (DL) algorithm. The treatment effect, associated quantitative integral, and quality of life score of patients in two groups were compared. The results showed that the peak signal-to-noise ratio (PSNR), root mean square error (RMSE), and structural similarity (SSIM) of the S-DL algorithm were 32.45 dB, 0.654, and 0.0012, respectively, which were quite different compared to the ASE and DL algorithms, showing statistical significance ( $P<0.05$ ). As the noise level increased, the image reconstruction quality gradually decreased, but the S-DL algorithm obtained better image quality than the DL and ASE algorithms, and the difference was statistically great ( $P<0.05$ ). There was no significant difference in the average age and average course of the disease between the experimental group and the control group ( $P>0.05$ ). The overall treatment effect of patients in the experimental group was 96.77%, while that in the control group was 45.16%, and the difference between the two was statistically significant ( $P<0.05$ ). After treatment, the semiquantitative scores of fatigue, dizziness, palpitation, frequent urination, urgent urination, and dyspepsia of the experimental group were 1.18, 0.39, 0.72, 1.21, and 0.87, respectively, which were much lower than those of the control group statistically ( $P<0.05$ ). The score of quality of life of the experimental group of patients after treatment was 91.27 points, and that of the control group was 82.35 points, showing statistically great difference ( $P<0.05$ ). It showed that the algorithm performance of S-DL was relatively good, and the acupoint application therapy was better than traditional western medicine in the treatment of idiopathic edema, which reduces the discomfort of patients to a certain extent and improves the quality of life of patients.

Pilot study of histology aspect of cellulite in seventy patients who differ in BMI and cellulite grading

BACKGROUND

Cellulite is a topographic alteration of the skin with unknown etiology and is characterized by the presence of a dimpled or puckered aspect, as resembling an orange peel and cottage cheese or as having mattress-like appearance.

AIM

The aim of this research was to find the different histological aspect of cellulite in sixty patients.

MATERIALS AND METHODS

A total of 60 women, mean age 48.8 ( ± 11.08) were included in the study. Among these, 11 women were in menopause (18.33%). All patients after physical examination, aesthetic, and dermatological evaluation were subjected to five cellulite biopsies with a 2.0 mm diameter and 1.5 mm in length in the trochanteric region affected by cellulite. The descriptive statistics were performed for each study predictors demographic age, height, bmi, waist, belly, hip thigh, and knee.

RESULTS

The histological analysis of the stained slides showed five different histological features were present in the most of patient.

CONCLUSION

In conclusion, the outcome of this study shows that the histological evidence does not characterize the different states of cellulite, but several different histological aspects were present in the same patient, which effectively eliminates staging and could consider cellulite as a degenerative disease.

Lipolymphedema Associated with Idiopathic Cyclic Edema: A Therapeutic Approach

Idiopathic cyclic edema is a type of generalized edema that mainly affects women. Diagnosis is made by the patient's clinical history and an evaluation of the accumulation of weight during the day. The objective of this study is to report the clinical control of lymphedema associated with idiopathic cyclic edema using calcium dobesilate. A 55-year-old female patient reported generalized edema for years in that she woke up in the morning with her legs swollen and the edema worsened during the day. The physical examination revealed generalized edema. After four days of treatment with calcium dobesilate, the patient returned to the Clínica Godoy, Brazil, with less edema and reductions in body weight and the amount of extracellular and intracellular fluid. With further treatment, there was a total reduction of the edema. It is concluded that calcium dobesilate helps to control lymphedema secondary to idiopathic cyclic edema.

Long term use of metformin in idiopathic cyclic edema, report of thirteen cases and review of the literature

INTRODUCTION

Idiopathic cyclic edema (ICE) is a rare cause of edema. To date, there is no standard of care. The physiopathology of ICE could be explained by an impairment of capillary permeability. In 1995, a study demonstrated the efficacy of metformin on symptoms and capillary permeability. We evaluated ICE-patients who were treated with metformin in our department.

METHODS

We retrospectively included patients diagnosed for ICE between January 1997 and October 2013. ICE was diagnosed in the presence of edema after excluding other etiologies. LANDIS test was used to support ICE diagnosis in all patients. The absence of edema at follow-up was considered as complete response (CR), partial decreased was considered as partial response (PR). Adverse events were recorded.

RESULTS

Thirteen patients have accepted to use metformin. The median treatment duration was 28.5 months [8-167] and the median follow-up of treated patients was 40.5 months [14-167]. CR was reached in 10 patients (77%), and PR in 2 patients (15%). Two patients reported side-effects as diarrheas and one of them stopped the treatment due to mild diarrhea.

CONCLUSION

We report the interest and tolerance of the long-term use of metformin in ICE. No severe adverse events were noticed. A prospective study is needed to confirm the efficacy of metformin in ICE-patients.

Cellulite: a review with a focus on subcision

Cellulite is an alteration in skin topography most often found on the buttocks and posterolateral thighs of the majority of postpubertal females. This article aims to review the background, potential pathophysiology, and potential treatment options for cellulite, highlighting subcision as an ideal therapeutic option for this cosmetically distressing condition.