{
  "id": "SCR-LIP-000358",
  "statement": "The authors propose a clinical-ultrasonographic diagnostic algorithm for abdominal lipedema using maximum criteria (symmetric abdominal fat deposition + ultrasonographic evidence + inelastic skin), major criteria (pain on palpation + non-response to diet/exercise), and minor criteria (easy bruising + heaviness), correlating abdominal involvement with lipedema stage (31% in stage II, 70% in stage III).",
  "statement_pt": "Os autores propõem um algoritmo diagnóstico clínico-ultrassonográfico para o lipedema abdominal usando critérios máximos (deposição simétrica de gordura abdominal + evidência ultrassonográfica + pele inelástica), critérios maiores (dor à palpação + não-resposta a dieta/exercício) e critérios menores (hematomas fáceis + sensação de peso), correlacionando o envolvimento abdominal com o estágio do lipedema (31% no estágio II, 70% no estágio III).",
  "claim_type": "clinical_association",
  "context": {
    "population": "—",
    "condition": "lipedema",
    "exposure": "—",
    "comparator": "—",
    "outcome": "—",
    "scope": "auto-ingested from Layer 1 surveillance"
  },
  "knowledge_state": "emerging",
  "evidence_confidence": "low",
  "evidence": [
    {
      "ref": "DOI:10.1007/s00266-025-05192-1",
      "stance": "refines",
      "study_design": "case_series",
      "n": null,
      "risk_of_bias": "unknown",
      "grade": "low",
      "year": 2025,
      "amato_authored": false,
      "note": "The article proposes new diagnostic criteria and an algorithm for abdominal lipedema, correlating findings with existing lipedema staging, directly addressing clinical criteria and classification; it refines/extends existing diagnostic fram"
    }
  ],
  "relations": [],
  "gaps": "Auto-ingested single source; not yet human-reviewed.",
  "primary_amato_source": null,
  "curators": [],
  "provenance": {
    "auto": true,
    "engine": "anthropic/claude-opus-4.8",
    "question": "SQ-LIP-000022",
    "source": "library",
    "ingested": "2026-05-31"
  },
  "created": "2026-05-31",
  "updated": "2026-05-31",
  "history": [
    {
      "date": "2026-05-31",
      "event": "created",
      "detail": "auto-ingested for SQ-LIP-000022"
    }
  ],
  "license": "CC-BY-4.0",
  "answers_questions": [
    {
      "id": "SQ-LIP-000022",
      "role": "refines",
      "question": "What clinical criteria and stage/type classification systems are used to diagnose and grade lipedema, and how reliable are they?",
      "url": "https://scientificclaims.org/q/SQ-LIP-000022.html"
    }
  ],
  "url": "https://scientificclaims.org/c/SCR-LIP-000358.html"
}