Syndrome in Question

• Autor(a) principal: Orasmo, Cínthia Rosane
• Data de Publicação: 2014
• Outros Autores: Ocanha, Juliana Polizel, Barraviera, Silvia Regina Catharino, Miot, Hélio Amante [UNESP]
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://dx.doi.org/10.1590/abd1806-4841.20142859; http://hdl.handle.net/11449/109582
• topic: Alcoholism; Lipectomy; Lipoma; Lipomatosis; Lipomatosis, multiple symmetrical

A 48-year-old male patient with chronic alcoholism presented with a soft, bulky, asymptomatic, and slow-growing mass in the posterior region of the neck, as well as nodules in the deltoid region and posterior triangle of the sternocleidomastoid muscle. Needle aspiration confirmed the diagnosis of lipoma. Multiple symmetric lipomatosis (Madelung's disease) is a rare proliferation of adipocytes, of unknown etiology, most common in middle-aged men and mainly associated with alcoholism. It predominantly affects the neck and upper trunk, causing compressive symptoms or a imparting a pseudoathletic appearance. Surgical resection or liposuction is the most effective treatment, despite frequent recurrence.