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Giornale Italiano di Dermatologia e Venereologia 1998 June;133(3):171-7


language: Italian

Echographic evaluation of the topical treatment in fibrosclerotic-edematous panniculus diseases

Rossi A., Iurassich S., Rossi E., Marotta F.

Seconda Università degli Studi - Napoli, Facoltà di Medicina e Chirurgia, Cattedra di Dermatologia, Servizio Speciale di Terapia Fisica Dermatologica


Background. Edematous-fibrosclerotic panniculopathy (EFP, so called “cellulitis”) is an “ancient” aesthetic burden which has a persistent appearance and makes the skin appear irregular. Unsightly lesions of the EFP have induced dermatologists, cosmetologists and plastic surgeons to seek more than one method to alleviate the problem. The outcoming results of topical treatments have been studied using objective clinical observations and ultrasound images. The aim of this study was to give the topical treatment of EFP the right indication.
Methods. Thirty patients, females, aged from 18 to 45, affected by edematous-fibrosclerotic panniculopathy of the lower limbs, were enrolled in this study. Four different stages of the EFP were evaluated, by objective clinical observations and by ultrasound images, at the beginning and at the end of therapy. An echographical probe with a frequency of 7,5-10 MHz has been used. The cosmetic topical product has been applied twice a day and the number of applications has been limited to 120 (60 days). The patients were advised to massage a long time to facilitate the therapeutic effect. The findings obtained by clinical evaluation and the instrumental readings were described in four-stage classification.
Results. Ultrasound images could demonstrate the 1st stage of the disease, while clinical observation was not suitable. The 2nd, 3rd and 4th stages have been demonstrated by both diagnostic techniques in their pathogenetic components related to alteration of the adipose tissue. Ultrasound images could give a diagnostic disease definition and could perform the following therapeutic control.
Conclusions. Although no dermatologic traditional techniques can fully heal the EFP, the topical product at least gives the patient a psychological relief without side effects.

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