METHODOLOGY
Nine morbidly obese patients, with lymphedema, were evaluated over anapproximate six month period. The lymphedema presented on the lowerext remities or abdominal pannus. Four criteria, including dry/flaky/scaly skin, erythema, fungal component, and maceration along with pain, odor and pruritus were evaluated on an initial physician visit. Over time, the lesions resolved completely, but left him with a darkly discolored, though healthy, abdominal pannus. His chronic symptoms were controlled and his quality of life improved with ongoing use of the Olivamine containing skin care products.

CASE STUDY – DVDV
is a 54 year old male weighing 455 pounds with a body mass index greater than 60. He presents with severe localized lymphedema and multiple scaly lesions to the abdominal pannus. He experienced severe skin manifestations including maceration, pain, edema, erythema, and a bacterial infection. He wasplaced on systemic antibiotics and the Olivamine containing skin care products. DV experienced a significant reduction in skin symptoms after only 8 days. Theskin care regimen included cleansing lotion, zinc protectant paste, dimethicone/silicone barrier and the antifungal cream.

Final physician evaluations werenoted for each patient. All patients were treated in the office and then given Olivamine containing products for self-care. Patient protocols were based on thelocation of the lymphedema and their symptoms.