Certified Wound Care Nurse (CWCN) Practice Exam

Which statement about lipidema is true?

1. Lipidema usually affects one lower extremity and is painful

2. Lipidema is always bilateral and ends at the ankle

3. Lipidema has a positive Stemmer sign

4. Lipidema is characterized by pronounced fibrosis

The correct answer is: Lipidema is always bilateral and ends at the ankle

The statement that lipidema is always bilateral and ends at the ankle is accurate. In lipidema, the abnormal accumulation of fat predominantly affects the lower extremities, most commonly both legs symmetrically. This condition leads to a distinct appearance where the lower limb's circumference is disproportionately larger compared to the upper body. Typically, the swelling and fat distribution extend down to the ankles, resulting in a characteristic cuff-like appearance around the ankles, while the feet usually remain unaffected. This bilateral nature and specific demarcation at the ankle are essential in differentiating lipidema from other conditions such as lymphedema, where the distribution and involvement may vary. Understanding these characteristics can help in accurately diagnosing and managing patients presenting with such symptoms.