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Chen KK, Ni LS, Yu WH. Madelung disease: A case report. World J Clin Cases 2021; 9:1983-1988. [PMID: 33748250 PMCID: PMC7953395 DOI: 10.12998/wjcc.v9.i8.1983] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/16/2020] [Revised: 01/03/2021] [Accepted: 01/23/2021] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Madelung disease (MD) is a rare disorder of fat metabolism, resulting in diffuse, symmetrical and painless deposition of adipose tissue in subcutaneous superficial fascial space and/or deep fascia space of the head, neck and shoulders, etc.
CASE SUMMARY We report a case of MD accompanied by type 2 diabetes in a 61-year-old Chinese male. The patient presented with progressive fat deposition over the mandible, neck, abdomen and elbows. He had a history of smoking and alcohol abuse. Excessive fat deposition was seen in the mandible, elbows and the abdominal area of the patient by ultrasonic examination. Computed tomography showed diffuse and marked soft masses (fat density) in the subcutaneous superficial fascia space of the neck. The patient was diagnosed with MD. He was advised to abstain from alcohol and was followed up regularly.
CONCLUSION This report discusses the pathogenesis, diagnosis and treatment of MD, and raises the clinician’s awareness of this disease.
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Affiliation(s)
- Ke-Ke Chen
- Department of Endocrinology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang Province, China
| | - Lian-Song Ni
- Department of Endocrinology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang Province, China
| | - Wei-Hui Yu
- Department of Endocrinology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang Province, China
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Cui Y, Cui X, Gao S, Zhu Z, Yin W. Multiple symmetric lipomatosis with secondary laryngeal obstruction: A case report. Medicine (Baltimore) 2020; 99:e21014. [PMID: 32629721 PMCID: PMC7337445 DOI: 10.1097/md.0000000000021014] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
INTRODUCTION Multiple symmetric lipomatosis (MSL) is an uncommon medical condition characterized by symmetric fat accumulation mainly in the neck and other upper body regions. The involvement of the larynx is rare according to the literature, and we present a case of MSL with larynx involvement treated with a surgical approach. PATIENT CONCERNS A 55-year-old male was admitted to our hospital due to progressively aggravated breathing difficulty, and tracheotomy was performed before transfer. When he tried to block the cannula, the breathing difficulty returned. The patient's neck had been thickening for the past 2 years. DIAGNOSIS Pathological examination confirmed the diagnosis of MSL. INTERVENTIONS The patient underwent lumpectomy and neck exploration. OUTCOMES The lipoma was removed, the patient was free of any dyspnea symptoms and recovered well, and the tracheal cannula was removed at a local hospital. CONCLUSION MSL can infiltrate the larynx and grow into the preepiglottic space and paraglottic spaces, resulting in breathing difficulties. Lipomas present in the spaces described above must be removed at the same time; otherwise, symptoms of dyspnea cannot be alleviated.
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Affiliation(s)
- Yu Cui
- Departments of Otolaryngology
| | | | | | - Zhanpeng Zhu
- Departments of Neurosurgery, The First Hospital of Jilin University, Changchun, Jilin, P.R. China
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3
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Abstract
Madelung disease is an uncommon disease characterized by large subcutaneous adipose masses. Mediterranean countries show higher disease incidence. We review the current concepts concerning this pathology, including etiology, diagnosis, and treatment. Madelung disease usually affects the upper half of the body, but we describe a patient with scrotal lipomas. As this location is rare, we review the cases found in literature, as well as the specific nuances regarding local symptoms and treatment.
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4
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Choi JH, Kim BS, Sohng SH, Lee HJ, Shin DH, Choi JS, Bae YK. Fast-growing multiple symmetric lipomatosis. Yeungnam Univ J Med 2014. [DOI: 10.12701/yujm.2014.31.1.48] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Jin Hwa Choi
- Department of Dermatology, College of Medicine, Yeungnam University, Daegu, Korea
| | - Byung Su Kim
- Department of Dermatology, College of Medicine, Yeungnam University, Daegu, Korea
| | - Seung Hyun Sohng
- Department of Dermatology, College of Medicine, Yeungnam University, Daegu, Korea
| | - Hyo Jin Lee
- Department of Dermatology, College of Medicine, Yeungnam University, Daegu, Korea
| | - Dong Hoon Shin
- Department of Dermatology, College of Medicine, Yeungnam University, Daegu, Korea
| | - Jong Soo Choi
- Department of Dermatology, College of Medicine, Yeungnam University, Daegu, Korea
| | - Young Kyung Bae
- Department of Pathology, College of Medicine, Yeungnam University, Daegu, Korea
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5
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Tai CJ, Huang CT, Voon WC, Lee KT. Madelung's disease mimicking deep vein thrombosis: an unusual case. Int J Cardiol 2013; 172:e74-5. [PMID: 24411206 DOI: 10.1016/j.ijcard.2013.12.047] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/20/2013] [Accepted: 12/21/2013] [Indexed: 01/30/2023]
Affiliation(s)
- Chi-Jung Tai
- Department of Family Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
| | - Chia-Tsuan Huang
- Department of Family Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Family Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
| | - Wen-Chol Voon
- Department of Internal Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; Cardiovascular Center, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
| | - Kun-Tai Lee
- Department of Internal Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; Cardiovascular Center, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
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7
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Pauchot J, Golay A, Gumener R, Montandon D, Pittet B. La maladie de Launois-Bensaude : description, prise en charge. À propos de dix patients opérés. ANN CHIR PLAST ESTH 2009; 54:135-45. [DOI: 10.1016/j.anplas.2008.07.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2008] [Accepted: 07/25/2008] [Indexed: 12/25/2022]
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8
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Semenou D, Cœugniet E, Segard M, Martinot-Duquennoy V, Delaporte E. Maladie de Launois-Bensaude : à propos de 17 cas. ANN CHIR PLAST ESTH 2008; 53:399-407. [DOI: 10.1016/j.anplas.2007.07.007] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2007] [Accepted: 07/08/2007] [Indexed: 12/25/2022]
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9
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TAN ONDER, ERGEN DUYGU. Madelung Syndrome with Pubic Involvement. Dermatol Surg 2008. [DOI: 10.1097/00042728-200806000-00017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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10
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Affiliation(s)
- Onder Tan
- Department of Plastic Reconstructive and Aesthetic Surgery, Medical Faculty, Ataturk University, Erzurum, Turkey.
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11
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Meningaud JP, Pitak-Arnnop P, Bertrand JC. Multiple symmetric lipomatosis: case report and review of the literature. J Oral Maxillofac Surg 2007; 65:1365-9. [PMID: 17577504 DOI: 10.1016/j.joms.2005.10.045] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2005] [Revised: 10/10/2005] [Accepted: 10/17/2005] [Indexed: 12/25/2022]
Affiliation(s)
- Jean-Paul Meningaud
- Department of Maxillofacial Surgery, Pitié-Salpêtrière Hospital, Paris, France.
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12
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Ujpál M, Németh ZS, Reichwein A, Szabó GY. Long-term results following surgical treatment of benign symmetric lipomatosis (BSL). Int J Oral Maxillofac Surg 2001; 30:479-83. [PMID: 11829228 DOI: 10.1054/ijom.2001.0162] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
Benign symmetric lipomatosis is a rare disease. Its main characteristic is the symmetric deposition of fat, in an unencapsulated form, at typical sites in the body, but primarily in the head and neck region. Its aetiopathogenesis is unknown. A disturbance of lipid metabolism is involved, and there is a proven connection with chronic alcoholism. Problems with the differential diagnosis of the characteristic clinical picture arise from the fact that this disease is not widely recognized. Over a period of 30 years, the authors treated 31 patients with benign symmetric lipomatosis. They review the pertinent literature and report retrospectively on the fates of the 11 surviving patients.
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Affiliation(s)
- M Ujpál
- Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Semmelweis University, Budapest, Hungary
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Vargas-Díez E, Daudén E, Jones-Caballero M, García-Díez A. Madelung's disease involving the tongue. J Am Acad Dermatol 2000; 42:511-3. [PMID: 10688728 DOI: 10.1016/s0190-9622(00)90230-5] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
Madelung's disease or benign symmetric lipomatosis is rare. Symmetric lipomatosis of the tongue as an association of Madelung's disease is very rare; up to now only two cases of this association have been reported. We report the third case of Madelung's disease with involvement of the tongue in the form of macroglossia.
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Affiliation(s)
- E Vargas-Díez
- Department of Dermatology, Hospital Universitario de la Princesa, Madrid, Spain
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14
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Loke TK, Yung CK, Chow TL, Lo SS, Chan CS. Multiple symmetric lipomatosis in the Chinese: ultrasound, CT and MR imaging. Clin Radiol 1998; 53:903-6. [PMID: 9867274 DOI: 10.1016/s0009-9260(98)80217-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
We report four cases of multiple symmetric lipomatosis in the Chinese population. We believe that multiple symmetric lipomatosis in the Chinese is not uncommon and may be related to the increasing incidence of alcoholism. The ultrasound appearances of these lipomatous masses are presented for the first time. Heterogeneous echogenic masses with fine fibrous strands that insinuate around fascial planes, lymph nodes and vascular tissues are typical findings. Unlike diseases affecting the Western population, multiple symmetric lipomatosis in the Chinese appears to be limited to the head and neck.
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Affiliation(s)
- T K Loke
- Department of Diagnostic Radiology, United Christian Hospital, Kwun Tong, Hong Kong
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16
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Borges A, Torrinha F, Lufkin RB, Abemayor E. Laryngeal involvement in multiple symmetric lipomatosis: the role of computed tomography in diagnosis. Am J Otolaryngol 1997; 18:127-30. [PMID: 9074739 DOI: 10.1016/s0196-0709(97)90101-0] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Affiliation(s)
- A Borges
- Department of Radiology, Instituto Português de Oncologia, Lisboa, Portugal
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17
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Abstract
A case of Madelung's disease (benign multiple symmetrical lipomatosis, Launois-Bensaude syndrome) is described. The characteristic clinical features, associations with chronic alcoholism and a review of the current literature is reported.
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Affiliation(s)
- C Parmar
- Department of Oral and Maxillofacial Surgery, University Hospital Nottingham, UK
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18
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Josephson GD, Sclafani AP, Stern J. Benign symmetric lipomatosis (Madelung's disease). Otolaryngol Head Neck Surg 1996; 115:170-1. [PMID: 8758653 DOI: 10.1016/s0194-5998(96)70159-6] [Citation(s) in RCA: 26] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- G D Josephson
- Department of Otolaryngology-Head and Neck Surgery, The New York Eye and Ear Infirmary/New York Medical College, NY 10003, USA
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19
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Agrez M, Heller A, Barrie P. Benign symmetric lipomatosis. THE AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY 1995; 65:616-8. [PMID: 7661811 DOI: 10.1111/j.1445-2197.1995.tb01712.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
We report a case of massive, benign symmetric lipomatosis associated with laryngeal compression. Current views on the aetiology and management of this rare disease are discussed.
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Affiliation(s)
- M Agrez
- Department of Surgery, John Hunter Hospital, Newcastle, New South Wales, Australia
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20
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Kohan D, Miller PJ, Rothstein SG, Kaufman D. Madelung's disease: case reports and literature review. Otolaryngol Head Neck Surg 1993; 108:156-9. [PMID: 8441540 DOI: 10.1177/019459989310800208] [Citation(s) in RCA: 27] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Affiliation(s)
- D Kohan
- Department of Otolaryngology, New York University Medical Center, New York, NY 10016
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