Madelung disease: Multiple symmetric lipomatosis

March 18, 2014
| Reprints
Imaging Clinic

Patients with multiple symmetric lipomatosis commonly also suffer from various neuropathies, especially paresthesias and autonomic neuropathy.

A 56-year-old African-American man presented to the emergency department with dyspnea and dysphagia with drooling. On his initial evaluation, disproportionate obesity of the face, neck and shoulders was noted. The patient's history was significant for obstructive sleep apnea, end-stage renal disease, alcoholic liver disease, pulmonary hypertension, and alcoholic cardiomyopathy. He had a multidecade history of heavy alcohol abuse but had quit drinking 2 years previously.

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