“…In 1977, Akai et al reported 6 cases of membranous lipodystrophy with concomitant intra-osseous membranocystic lesions and neuropsychiatric disturbances [1]. It was almost a decade later that MFN of extra-osseous systemic tissue was reported [2,3,8,12,13]. The reported systemic adipose tissue sites in which MFN has been described to date include the breast, subcutis, chest wall and scrotum, in the clinical settings of diabetes mellitus, panniculitis, granulomatous inflammation and systemic lupus erythematosus [16].…”