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Madelung disease: a rare case associated with gynaecomastia and scrotal involvement
Zivorad S Nikolić1, Jelena V Jeremić, Lazar J Drčić
1Clinic for Maxillofacial Surgery, Faculty of Stomatology , Belgrade.
Abstract:
Madelung disease is rare, and characterised by accumulation of fatty non-encapsulated tissue in the head, neck, shoulders, and upper extremities. The aetiology is not completely known, but the association with alcohol intake is clear. We present a neglected case that was associated with bilateral asymmetrical gynaecomastia. To the best of our knowledge, this is a pattern of involvement not previously reported. The treatment of choice is lipectomy for severe cases and liposuction for less extensive accumulations of fat.
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