Symmetrical fat buildup in the legs, hips, buttocks, or arms
Feet and hands usually stay normal-sized
Legs or arms feel heavy, tender, or painful
Easy bruising in affected areas
Fat does not respond much to diet or exercise
Swelling worsens during the day or with standing
A clear “cuff” or stopping point at the ankles or wrists
Skin may feel soft, nodular, or lumpy under the surface
Family history of similar body fat distribution
Symptoms often start or worsen around puberty, pregnancy, or menopause
Weight loss affects the upper body more than the affected limbs
A doctor can confirm with a physical exam and medical history