Lymphology Association of North America (LANA) Practice Exam

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What is lipodermatosclerosis?

  1. Skin condition found in early stage lipedema

  2. End stage of lipedema

  3. Skin and subcutaneous tissue inflammation and induration from chronic congestion

  4. Skin and subcutaneous tissue alteration caused by radiation therapy

The correct answer is: Skin and subcutaneous tissue inflammation and induration from chronic congestion

Lipodermatosclerosis refers to the inflammation and induration (hardening) of the skin and subcutaneous tissue that occurs as a result of chronic venous insufficiency or congestion. This condition is characterized by changes in the skin's texture, which may become leathery and thickened, and it typically arises due to the accumulation of fluid and inflammatory substances in the tissues. In this context, the correct answer highlights the underlying pathological processes that lead to the symptoms associated with lipodermatosclerosis. When chronic venous insufficiency occurs, it results in inadequate drainage of lymph and blood, leading to the accumulation of fluid and inflammatory mediators in the tissues. Over time, this condition can significantly affect the skin's integrity and appearance. Other options contain elements related to lipedema or radiation therapy, which are not directly associated with the definition of lipodermatosclerosis. Understanding that lipodermatosclerosis is primarily linked to chronic venous issues helps differentiate it from other conditions of similar nomenclature or symptomatology.