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(76) found no difference in mean DHEAS levels in ASD boys aged 48 compared to controls, however ASD boys were more likely to have detectable levels of DHEAS, suggesting potential earlier adrenal activation

and Type V, although less common, is characterized by fat distribution predominantly in the calves Notably, some literature also describes involvement of the lower abdomen, especially in Types I and II, although this is not consistently reflected across all classification systems.8,15,21,22 Regarding morphological appearance, lipedema progresses through four clinical stages (Table 2): Stage I is characterized by smooth skin with thickened but soft subcutaneous tissue containing small nodules

Lim CL, Mackinnon LT

doi: 10.1016/s0196-0644(98)70229-x