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[Lipoatrophia semicircularis--an orthopedic diagnosis?]
J Cossmann1, U A Wagner, O Schmitt
1Klinik und Poliklinik f. Orthopädie Universität Bonn.
Zeitschrift Fur Orthopadie Und Ihre Grenzgebiete
|September 16, 1998
Summary
Lipoatrophia semicircularis (LAS) is a rare condition causing localized fatty tissue loss. A case study suggests a link between LAS and lumbar spine dysfunction, recommending spinal investigation for diagnosis.
Area of Science:
- Dermatology
- Neurology
- Orthopedics
Background:
- Lipoatrophia semicircularis (LAS) is characterized by isolated, circular, and painless fatty atrophy, typically affecting the lower extremities.
- The condition manifests with skin changes over days to weeks, and its etiology remains unknown.
- LAS is infrequently recognized by orthopedic specialists.
Observation:
- A case report details LAS in a 43-year-old woman with associated segmental dysfunction of the third ipsilateral lumbar root.
- Passive motion of the lumbar spine induced referred pain in the atrophic area.
Findings:
- The case highlights a potential association between lumbar radiculopathy and Lipoatrophia semicircularis.
- Morphological recognition is key for diagnosing LAS, often negating the need for extensive diagnostic measures.
Implications:
- This case suggests that spinal segmental investigation may be beneficial in diagnosing Lipoatrophia semicircularis.
- Increased awareness among orthopedists can improve diagnostic accuracy for this rare condition.