Rare case of multiple symmetric lipomatosis – Madelung's disease

Background:

Lipomatosis means local or generalized accumulation of fat tissue in the organism. Generally encapsulated and nonencapsulated, forms of the disease can be distinguished. Generally, there are two major types of multiple lipomatosis – familial and nonfamilial. There are congenital forms of that illness also. Multiple symmetric lipomatosis is a rare disease characterized by a symmetrical accumulation of massive adipose tissue on the neck, superior part of the trunk, and limbs1.

Objective:

To report an exclusively rare for our practice case of multiple symmetric lipomatosis in a 51-year-old male, who presented with diffuse lipomatosis – face and neck engagement, bilateral breast enlargement, upper parts of the arms and ankle involvement was seen too – typical engagement for Madelung's disease.

Results:

The patient was diagnosed and verified histologically. A consent was made the patient to be treated conservatively. After 6 months at the monitoring exam the patient showed no improvement but no worsening also.

Conclusions:

Multiple symmetric lipomatosis/Madelung's disease/, is a rare illness inappropriate for surgical and difficult for conservative thrreatment.

Keywords:

Breast enlargement, multiple symmetric lipomatosis, alcohol abuse, Madelung's disease

Publication History

Publication Date:
23 April 2019 (online)