The use of high-frequency skin ultrasound in the diagnosis of lipodermatosclerosis
, oraz | 18 gru 2020
O artykule
Article Category: research-article
Data publikacji: 18 gru 2020
Zakres stron: 284 - 290
Otrzymano: 07 paź 2020
Przyjęty: 05 lis 2020
DOI: https://doi.org/10.15557/jou.2020.0050
Słowa kluczowe
© 2021 Polish Ultrasound Society. Published by Medical Communications Sp. z o.o.
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.
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Fig. 9.
Basic demographic data of patients with lipodermatosclerosis
| Patients ( |
10 |
|---|---|
| Mean age (range) | 66.3 ± 14.3 (39-81) |
| Sex (males vs females) | 1:9 |
| BMI (range) | 32.7 ± 3 (27-37) |
| Limbs (n) (right vs left vs both) | 14 (4:2:4) |
| Hypertension (%) | 9 (90) |
| Diabetes (%) | 6 (60) |
| Ischemic heart disease (%) | 5 (50) |
Skin and subcutaneous tissue HFU findings
| No. | Dermis thickness (mm) | Echogenicity of the subcutaneous tissue: involved vs healthy (thigh) | Echogenicity of the subcutaneous tissue: Involved vs healthy (thigh) | Subcutaneous calcifications: 0 - absent, 1 - sporadic, 2 - multiple | Vascular wall calcifications: 0 - absent, 1 - sporadic, 2 - multiple | Subcutaneous fibrosis: 0-absent, 1 - present | Compression elastography: subcutaneous tissue to the muscle | SR (Strain Ratio): subcutaneous tissue to the muscle – involved region | Border between the dermis and the subcutaneous tissue: 0 – blurred, 1 – clear | |
|---|---|---|---|---|---|---|---|---|---|---|
| Involved | Healthy (thigh) | |||||||||
|
|
3.67 | 1.65 | higher | higher | 2 | 2 | 1 | harder | 4.32 | 0 |
|
|
3.34 | 1.43 | higher | higher | 2 | 2 | 1 | harder | 5.42 | 1 |
|
|
2.34 | 1.65 | higher | higher | 1 | 1 | 1 | harder | 2.87 | 1 |
|
|
1.98 | 1.12 | no difference | no difference | 2 | 0 | 1 | harder | 1.56 | 1 |
|
|
1.87 | 0.98 | higher | higher | 1 | 0 | 1 | harder | 1.83 | 0 |
|
|
3.84 | 2.11 | higher | higher | 2 | 1 | 1 | harder | 6.72 | 0 |
|
|
2.45 | 1.74 | higher | higher | 2 | 2 | 1 | harder | 3.67 | 1 |
|
|
2.13 | 1.23 | no difference | higher | 2 | 1 | 1 | harder | 3.21 | 1 |
|
|
2.67 | 1.35 | higher | higher | 2 | 1 | 1 | harder | 2.74 | 1 |
|
|
3.23 | 1.46 | higher | higher | 2 | 1 | 1 | harder | 6.32 | 0 |
|
|
2.19 | 1.45 | higher | higher | 1 | 1 | 1 | harder | 2.61 | 0 |
|
|
2.72 | 1.62 | higher | higher | 1 | 1 | 1 | harder | 2.56 | 0 |
|
|
2.34 | 1.01 | higher | higher | 2 | 1 | 1 | harder | 3.71 | 0 |
|
|
2.03 | 1.54 | higher | higher | 0 | 0 | 1 | harder | 1.96 | 0 |
Skin and subcutaneous tissue radiographic findings
| No. | Thickened dermis | Calcifications in the skin and subcutaneous tissue: 0 – absent, 1 – sporadic, 2 – multiple | Blurred border between the skin and the subcutaneous tissue: 0 – blurred, 1 – clear |
|---|---|---|---|
|
|
Yes | 1 | 1 |
|
|
Yes | 2 | 0 |
|
|
Yes | 0 | 1 |
|
|
Yes | 2 | 1 |
|
|
Yes | 1 | 1 |
|
|
Yes | 2 | 0 |
|
|
Yes | 1 | 1 |
|
|
Yes | 2 | 0 |
|
|
Yes | 2 | 1 |
|
|
Yes | 2 | 0 |
|
|
Yes | 1 | 1 |
|
|
Yes | 1 | 1 |
|
|
Yes | 2 | 0 |
|
|
Yes | 0 | 1 |
Stage of chronic venous insufficiency
| Limbs ( |
14 | |
|---|---|---|
|
|
C1 (%) | 0 (0) |
| C2 (%) | 0 (0) | |
| C3 (%) | 0 (0) | |
| C4 (%) | 3 (21.4) | |
| C5 (%) | 4 (28.6) | |
| C6 (%) | 7 (50) | |
|
|
EP (%) | 8 (57.1) |
| ES (%) | 6 (42.9) | |
|
|
A1 (%) | 14 (100) |
| A2 (%) | 11 (78.6) | |
| A3 (%) | 12 (85.7) | |
| A4 (%) | 3 (21.4) | |
| A11 (%) | 3 (21.4) | |
| A13 (%) | 2 (14.3) | |
| A14 (%) | 2 (14.3) | |
| A18 (%) | 11 (78.6) | |
|
|
PR (%) | 10 (71.4) |
| PO (%) | 0 | |
| PR+O (%) | 4 (28.6) | |
|
|
13.8 ± 5.1 (6-21) | |