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.
MeSH terms
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Alcoholism / complications
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Alcoholism / diagnosis
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Follow-Up Studies
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Genital Diseases, Male / complications
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Genital Diseases, Male / diagnosis*
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Gynecomastia / complications
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Gynecomastia / diagnosis*
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Gynecomastia / surgery
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Humans
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Lipectomy / methods
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Lipomatosis, Multiple Symmetrical / complications
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Lipomatosis, Multiple Symmetrical / diagnosis*
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Lipomatosis, Multiple Symmetrical / surgery
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Male
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Mastectomy / methods
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Middle Aged
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Rare Diseases
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Risk Assessment
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Scrotum / physiopathology*
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Severity of Illness Index
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Smoking / adverse effects
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Treatment Outcome