Evidence map›Paper›PMID 25044620›Full record

Trial reportObesity (Silver Spring, Md.)2014

An abnormal lymphatic phenotype is associated with subcutaneous adipose tissue deposits in Dercum's disease.

John C Rasmussen, Karen L Herbst, Melissa B Aldrich, Chinmay D Darne, I-Chih Tan, Banghe Zhu, Renie Guilliod, Caroline E Fife, Erik A Maus, Eva M Sevick-Muraca

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Obesity (Silver Spring, Md.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 35 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Regulation of Lymphatic Function in Obesity.Frontiers in physiology · 2020
    Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. [Lipedema: up-to-date of a long forgotten disease].Wiener medizinische Wochenschrift (1946) · 2017
    Review
  16. Article
  17. Differentiating lipedema and Dercum's disease.International journal of obesity (2005) · 2017
    Article
  18. Lipedema: A Relatively Common Disease with Extremely Common Misconceptions.Plastic and reconstructive surgery. Global open · 2016
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

John C RasmussenThe Brown Foundation Institute of Molecular Medicine, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
Karen L Herbst
Melissa B Aldrich
Chinmay D Darne
I-Chih Tan
Banghe Zhu
Renie Guilliod
Caroline E Fife
Erik A Maus
Eva M Sevick-Muraca
The University of Texas Health Science Center at Houston · USBrown Foundation · USMemorial Hermann · USUniversity of California System · US

Funding

Task Specific Project 4U54CA136404 · NCI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI SEVICK, EVA M. · 2008 to 2012
$5.1M
Functional lymph angiography with NIR imagingR01HL092923 · NHLBI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI SEVICK, EVA M. · 2008 to 2011
$1.5M
NCI NIH HHS U54 CA136404NHLBI NIH HHS R01 HL092923
6 · The paper itself

Abstract

objectiveInvestigational, near-infrared fluorescence (NIRF) lymphatic imaging was used to assess lymphatic architecture and contractile function in participants diagnosed with Dercum's disease, a rare, poorly understood disorder characterized by painful lipomas in subcutaneous adipose tissues.

methodsAfter informed consent and as part of an FDA-approved feasibility study to evaluate lymphatics in diseases in which their contribution has been implicated, three women diagnosed with Dercum's disease and four control subjects were imaged. Each participant received multiple intradermal and subcutaneous injections of indocyanine green (ICG, total dose ≤400 µg) in arms, legs, and/or trunk. Immediately after injection, ICG was taken up by the lymphatics and NIRF imaging was conducted.

resultsThe lymphatics in the participants with Dercum's disease were intact and dilated, yet sluggishly propelled lymph when compared to control lymphatics. Palpation of regions containing fluorescent lymphatic pathways revealed tender, fibrotic, tubular structures within the subcutaneous adipose tissue that were associated with painful nodules, and, in some cases, masses of fluorescent tissue indicating that some lipomas may represent tertiary lymphoid tissues.

conclusionsThese data support the hypothesis that Dercum's disease may be a lymphovascular disorder and suggest a possible association between abnormal adipose tissue deposition and abnormal lymphatic structure and function.

Indexed as

Adiposis DolorosaFemaleHumansIndocyanine GreenInfrared RaysLymphatic DiseasesLymphatic SystemMiddle AgedOptical ImagingPainPhenotypeSubcutaneous FatIndocyanine Green

Identifiers

PMID25044620
PMCPMC4180796
OpenAlexW1923481698

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.