Madelung's disease as a rare cause of obstructive sleep apnea

• Autor(a) principal: Fonseca,Vitor Alexandre Oliveira
• Data de Publicação: 2009
• Outros Autores: Alves,Carlos, Marques,Helena, Camacho,Elvira, Saraiva,António Pinto
• Tipo de documento: Relatório
• Idioma: eng
• Título da fonte: Jornal Brasileiro de Pneumologia (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132009001000013
• topic: Lipomatosis; multiple symmetrical; Sleep apnea, obstructive; Continuous positive airway pressure; Masks

Madelung's disease, or multiple symmetric lipomatosis, is a rare disease, characterized by accumulation of unencapsulated fat, generally located symmetrically around the neck and shoulders. Here, we present the case of a patient with diffuse lipomatosis accompanied by obstructive sleep apnea due to cervical involvement and facial deformity, which made it necessary to use nasal pillows for ventilation. The patient was hospitalized with a diagnosis of pneumonia and required noninvasive ventilation due to severe hypercapnia. A brief review of the literature was made, and we describe and discuss the investigation of this rare clinical case.