Multidisciplinary diagnostic dilemma in differentiating Madelung’s disease — the value of superb microvascular imaging technique: A case report

Dapkutė, Austėja; Kausaite, Dominyka; Strainiene, Sandra; Talijunas, Andrius; Butrimienė, İrena

doi:10.12998/wjcc.v9.i21.6145

Cited by 2 publications

(1 citation statement)

References 22 publications

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“…One study reported that an MD patient with type 2 diabetes was treated conservatively[ 29 ]. The second study reported a superb microvascular imaging technique for suspecting and confirming MD[ 30 ], and the third case study reported that a patient had a concomitant incarcerated femoral hernia and had undergone surgical treatment for complications but did not receive surgery for the masses secondary to MD[ 8 ]. We proposed a staged operation plan to remove the masses in our patient to reduce the risk of postoperative hematomas or seromas and to prevent airway obstruction.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic and surgical challenges of progressive neck and upper back painless masses in Madelung’s disease: A case report and review of literature

Zhou¹,

Li²,

Ruan³

2022

WJCC

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BACKGROUND Madelung’s disease (MD) is a chronic alcoholism-associated metabolic syndrome characterized by symmetrical subcutaneous deposition of adipose tissue in the head, neck, shoulders, back, trunk, and nerve roots of the upper and lower limbs. It is relatively rare in Asian individuals and is prone to misdiagnosis. Herein, we report a case of a patient with MD who had undergone surgical management at our hospital, and we discuss the pathogenesis, diagnosis, and treatment of MD. CASE SUMMARY We report a case of MD in a 65-year-old man of Han descent. The patient had multiple, painless progressive masses for more than five years in the neck and more than 30 years in the upper back. Because of neck mobility limitations and progressive cosmetic deformities caused by the masses, he was admitted to our hospital. He drank approximately 500 mL of liquor per day and smoked heavily for more than 30 years. Contrast-enhanced computed tomography of the neck and chest documented abundant unencapsulated, subcutaneous fatty deposits. We prepared a staged operation plan. The patient was diagnosed with MD; he was advised to abstain from alcohol and was followed up regularly. After a 3-month follow-up, no recurrence of fat accumulation was found in the surgical areas. CONCLUSION This report presents a case of surgical treatment for MD to improve clinicians' understanding of the disease.

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Section: Discussionmentioning

confidence: 99%

Diagnostic and surgical challenges of progressive neck and upper back painless masses in Madelung’s disease: A case report and review of literature

Zhou¹,

Li²,

Ruan³

2022

WJCC

View full text Add to dashboard Cite

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Multiple symmetrical lipomatosis: A literature review and case report of a patient with Madelung’s disease

Frąk,

Gocel,

Sieniawski

et al. 2023

Pol Przegl Chir

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Madelung’s disease is a rare condition characterised by the symmetric growth of fatty tumours (lipomas) around the neck, shoulders, upper arms, and trunk.We present a description of a male patient with extensive adipose tissue overgrowth around the neck. Once the possibility of malignancy was excluded, patient’s history, clinical and radiological findings suggest the diagnosis of MD. The two-stage surgery was established and the patient underwent the lipectomy of the lipomas around the neck. This article analyzed the clinical data with Madelung’s disease, discussed its aetiology, clinical manifestations, diagnosis, and treatment methods, and provided help for clinical diagnosis and treatment.

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Multidisciplinary diagnostic dilemma in differentiating Madelung’s disease — the value of superb microvascular imaging technique: A case report

Cited by 2 publications

References 22 publications

Diagnostic and surgical challenges of progressive neck and upper back painless masses in Madelung’s disease: A case report and review of literature

Diagnostic and surgical challenges of progressive neck and upper back painless masses in Madelung’s disease: A case report and review of literature

Multiple symmetrical lipomatosis: A literature review and case report of a patient with Madelung’s disease

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