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[Unspecified gain of weight?].
I A Harsch1, R Wiedmann, T Bergmann
1Abteilung Endokrinologie und Stoffwechsel, Medizinische Klinik I der Friedrich-Alexander-Universität Erlangen-Nürnberg. Igor.harsch@med1.imed.uni-erlangen.de
Der Internist
|September 28, 2005
Summary
Multiple symmetrical lipomatosis, or Launois-Bensaude syndrome, causes non-painful fat accumulation in specific body areas. This rare condition is often misdiagnosed as obesity, highlighting the need for accurate diagnosis.
Area of Science:
- Endocrinology
- Dermatology
- Genetics
Background:
- Multiple symmetrical lipomatosis (MSL), also known as Launois-Bensaude syndrome, is a rare condition characterized by the deposition of non-encapsulated adipose tissue.
- The exact etiology of MSL remains largely unknown, though associations with alcohol abuse have been noted.
Observation:
- A 49-year-old patient presented with significant weight gain and painless enlargement of the upper arms and thighs.
- The condition spontaneously ceased but did not result in weight reduction, prompting further investigation.
- Characteristic lipomata distribution excluded the face, forearms, and shanks, aiding in diagnosis.
Findings:
- The patient was diagnosed with multiple symmetrical lipomatosis based on the distinct clinical presentation.
- Typical MSL involves lipomata accumulation in the shoulder girdle, upper arms, thorax, and thighs.
- The condition's rarity may lead to frequent misdiagnosis as simple truncal obesity.
Implications:
- Accurate diagnosis of MSL is crucial, as it is often misidentified as common obesity.
- Management strategies may include surgical interventions like liposuction or excision of lipomata.
- Patient education regarding potential benefits of alcohol cessation is important for managing MSL.