Eur J Plast Surg (2012) 35:557–560 DOI 10.1007/s00238-011-0622-x CASE REPORT Rare locations of multiple symmetric lipomatosis (Madelung’s disease) Vincenzo Penna & Niklas Iblher & Jamil Al Jamali & G. Bjöern Stark & Gunther Felmerer Received: 2 December 2010 /Accepted: 27 June 2011 /Published online: 13 July 2011 Springer-Verlag 2011 Introduction Case report Multiple symmetric lipomatosis (MSL) is a rare disease of A 68-year-old man presented with a history of alcohol unknown etiology, which is characterized by the presence abuse and cervicofacial lipomas (Fig. 1a, b). The areas of massive symmetric deposits of unencapsulated fatty involved were the facial nerve, the pubic area, and scrotum deposits around the face, back of the head, neck, upper which resulted in the buried penis syndrome (Fig. 2a, b). arms, abdomen, back, and upper leg in a very specific All other aspects of MSL (fat deposits in the upper trunk, distribution pattern giving the patients a “Michelin Man” upper arms, and thighs) were also present. The disease resemblance [1, 2]. Because of this characteristic and the began 25 years ago, but the cervicofacial and scrotal masses absolute symmetry, the condition is often dismissed as had progressively enlarged over the last 2 years. He denied
European Journal of Plastic Surgery – Springer Journals
Published: Jul 1, 2012
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