- Symmetrical abnormal fat deposition on legs, abdomen and less commonly arms. The enlargement of the legs is disproportionate in relation to the upper body.
- Oedema (swelling) is non-pitting. The feet are usually spared, except when lymphoedema co-exists (lipolymphoedema).
- Tenderness, especially of the shins, a tendency to bruise easily, and varicose veins are common.
- Joint hypermobility, demonstrating laxity of ligaments, is often present.
- As the limbs increase in size, joint strain may cause pain and dysfunction, commonly in the hips, knees, ankles and feet.
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