Benign symmetrical lipomatosis type II in 52-year-old patient – a case report and review of literature
DOI:
https://doi.org/10.15584/przmed.2015.3.11Keywords:
benign symmetrical lipomatosis, Launois- Bensaude syndrome, Madelung’s diseaseAbstract
Benign Symmetrical Lipomatosis – BSL also called Madelung disease or Launois-Bensaude syndrome is a rare medical condition of unclear etiology which is characterized by symmetrical, progressive growth of adipose tissue. This disease mostly affects males between ages of 30 and 60 living in the Mediterranean region and eastern European countries. In about 90% of cases there is dependency between alcohol abuse and emergence of disease’s symptoms. Excess of the adipose tissue is most often accumulated around the neck area causing dyspnea and swallowing disorders. More rarely the adipose tissue is excessively stored in other parts of occasionthe body except for distal parts of upper and lower limbs. The basis to diagnose the disease is physical examination in correlation with data from anamnesis. Imaging and histopathological examination of the adipose tissue taken from places of its excessive development are helpful in diagnosis. Patients affected by BSL also often suffer from liver cirrhosis, disorder of carbohydrate metabolism, hyperlipidaemia and hyperuricaemia, impairment of renal tubules and abnormalities in blood count. The only way of treatment is surgical excision of excessively developed adipose tissue or liposuction. In this study a case of benign symmetrical lipomatosis in a 52-year-old female patient is presented together with synthetic literature review.
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References
Enzi G. Multiple symmetrical lipomatosis: an updated clinical report. Medicine 1984;63: 56-64.
Kawakami T, Takeuchi S, Soma Y. Benign symmetric lipomatosis associated with atopic dermatitis and chronic alcohol abuse in a Japanese man. Acta Derm Venereol 2009;89: 440-441.
Filgueiras FM, Stolarczuk DA, Gripp AC, Succi ICB. Benign symmetrical lipomatosisand pellagra associated with alcoholism. An Bras Dermatol 2011;86: 1189-1192.
Morinaka S, Sato T, Miyoshi H, Iwashita K. A case of multiple symmetrical lipomatosis (Madelung’s disease). Auris Nasus Larynx 1999;26: 349-353.
Brodie BC. Clinical lectures on surgery delivered at St. George’s Hospital. Lea and Blanchard, Philadelphia 1846;199-205.
Madelung OW. Ueber Den Fetthals. Archiv Fuer Klinische Chirugie 1888;37: 106-130.
Launoise PE, Bensaude R. De l’adenolipomatose symmétrique. Bull et Mem Soc Méd Hop Paris 1898;1: 298-318.
Enzi G, Busetto L, Ceschin E, Coin A, Digito M, Pigozzo S. Multiple symmetric lipomatosis: clinical aspects and outcome in a long-term longitudinal study. Int J Obes Relat Metab Disord 2002;26: 253–261.
Gomes da Silva R, Detoffol Bragança R, Ribeiro Costa C, Torres de Melo L, Weiss Telles R, Costa Silva L. Multiple symmetric lipomatosis. J Cutan Med Surg 2011;15: 230-235.
Ruzicka T, Vieluf D, Landthaler M, Braun-Falco O. Benign symmetric lipomatosis Launois-Bensaude. Report of ten cases and review of the literature. J Am Acad Dermatol 1987;17: 663-674.
Plummer C, Spring PJ, Marotta R i wsp. Multiple Symmetrical Lipomatosis - A mitochondrial disorder of brown fat. Mitochondrion 2013;13: 269–276.
Orasmo CR, Ocanha JP, Barraviera SRC, Miot HA. Do you know this syndrome? Madelung’s disease. An Bras Dermatol 2014;89: 525-526.
Angelini C. Multiple Symmetric Lipomatosis. W: Angelini C. (red.). Genetic Neuromuscular Disorders. Wydawnictwo Springer, 2014; 251-254.
Landínez-Cepeda GA, Alarcos-Tamayo EV, Millás-Gómez T, Morais-Pérez D. Laryngeal Lipoma Associated With Madelung’s Disease: A Case Report. Acta Otorrinolaringol 2012;63: 311-313.
Ikumi-shibasaki I, Ikuo-Shibasaki H, Nakamoto TS, Baccan FS, Raposo LS. Multiple symmetrical lipomatosis (Madelung`s disease). Braz J Otorhinolaryngol 2014;80:90-91.
Bergler-Czop B, Wcisło-Dziadecka D, Brzezińska-Wcisło L. Madelung’s disease in a patient with chronic renal insufficiency: a case report and review of literature. Postęp Derm Alergol 2014;31: 122-124.
Chan HF, Sun Y, Lin CH, Chen RC. Madelung’s disease associated with polyneuropathy and symptomatic hypokalemia. J Formos Med Assoc 2013;112: 283-286.
Zhenxiao SUN, Huanjun LI. Case report of comorbid alcohol-induced psychotic disorder and Madelung’s disease. Shanghai Arch Psychiatry 2014; 26: 160–164.
Zuber M, Pittasch D. Bening symmetric lipomatosis (Launois-Bensaude syndrom)- a rare cause of muscular weakness. Eur J Med Res 2006; 11: 174-177.
Meningaud JP, Pitak-Arnnop P, Bertrand JC. Multiple Symmetric Lipomatosis: Case Report and Review of the Literature. J Oral Maxillofac Surg 2007;67: 1365.
Agostini T, Perello R, Bani D, Mori A, Quattrini LA, Russo GL. Histomorphometry of dystrophic fat in a patient suffering Madelung’s disease. Reconstructive & Aesthetic Surgery 2014;67: 132–134.
Faga A,Valdatta LA, Thione A, Buoro M. Ultrasound Assisted Liposuction for the Palliative Treatment of Madelung’s Disease: A Case Report. Aesth Plast Surg 2001;25: 181-183.
Bassetto F, Scarpa C, De Stefano F, Busetto L. Surgical treatment of multiple symmetric lipomatosis with ultrasoundassisted liposuction. Ann Plast Surg 2014;730: 559-562.
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