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Case report of comorbid alcohol-induced psychotic disorder and Madelung's disease.

Sun Z, Li H - Shanghai Arch Psychiatry (2014)

Bottom Line: Among individuals with Madelung's syndrome, 60 to 90% have a history of chronic alcohol abuse.Based on the case history and the results of physical examination, neck CT and other routine tests, he was diagnosed with Madelung's syndrome.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: Linyi Mental Health Center, Linyi, Shandong Province, China.

ABSTRACT
Madelung's disease, also known as benign symmetric lipomatosis (BSL), multiple symmetric lipomatosis (MSL), fatty neck syndrome or Launois-Bensaude syndrome, is a rare disease characterized by the presence of multiple, symmetric, loose adipose tissues distributed around the neck, occipitalis, shoulder, back or chest. The fat masses are non-encapsulated and therefore can move freely between adjacent areas. This disease is most commonly seen among middle-aged Caucasian men of Mediterranean origins; it is rarely reported in Asia. Among individuals with Madelung's syndrome, 60 to 90% have a history of chronic alcohol abuse. We report a case of a 51-year-old Chinese man with a history of alcohol use disorder who had fat masses in his neck which gradually enlarged over a period of three years. Based on the case history and the results of physical examination, neck CT and other routine tests, he was diagnosed with Madelung's syndrome.

No MeSH data available.


Related in: MedlinePlus

Computed tomography (CT) of the neck
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sap-26-03-160-g003: Computed tomography (CT) of the neck

Mentions: The results of his laboratory tests are shown in Table 1. With the exception of slightly elevated mean corpuscular volume (MCV) and mean corpuscular hemoglobin (MCH), routine blood tests were normal. Serum chemistry showed abnormalities consistent with the liver dysfunction commonly seen with chronic alcohol abuse. And, with the exception of a slightly elevated thyroid-stimulating hormone (TSH), the thyroid function tests were normal. No abnormal results were found in his routine urine, electrocardiogram, or ultrasound of the thyroid. Computed tomography (CT) scan of his brain is shown in Figure 1: the third ventricle, the bilateral ventricle, the lateral fissure cistern and the cistern of the interhemispheric fissure were expanded and the sulci were broadened. CT scan of his neck is shown in Figure 2: it revealed extensive symmetric fat accumulation in his neck and submandibular regions in the spaces between adjacent subcutaneous or muscular structures. No capsule was seen around the fat tissue.


Case report of comorbid alcohol-induced psychotic disorder and Madelung's disease.

Sun Z, Li H - Shanghai Arch Psychiatry (2014)

Computed tomography (CT) of the neck
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4118014&req=5

sap-26-03-160-g003: Computed tomography (CT) of the neck
Mentions: The results of his laboratory tests are shown in Table 1. With the exception of slightly elevated mean corpuscular volume (MCV) and mean corpuscular hemoglobin (MCH), routine blood tests were normal. Serum chemistry showed abnormalities consistent with the liver dysfunction commonly seen with chronic alcohol abuse. And, with the exception of a slightly elevated thyroid-stimulating hormone (TSH), the thyroid function tests were normal. No abnormal results were found in his routine urine, electrocardiogram, or ultrasound of the thyroid. Computed tomography (CT) scan of his brain is shown in Figure 1: the third ventricle, the bilateral ventricle, the lateral fissure cistern and the cistern of the interhemispheric fissure were expanded and the sulci were broadened. CT scan of his neck is shown in Figure 2: it revealed extensive symmetric fat accumulation in his neck and submandibular regions in the spaces between adjacent subcutaneous or muscular structures. No capsule was seen around the fat tissue.

Bottom Line: Among individuals with Madelung's syndrome, 60 to 90% have a history of chronic alcohol abuse.Based on the case history and the results of physical examination, neck CT and other routine tests, he was diagnosed with Madelung's syndrome.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: Linyi Mental Health Center, Linyi, Shandong Province, China.

ABSTRACT
Madelung's disease, also known as benign symmetric lipomatosis (BSL), multiple symmetric lipomatosis (MSL), fatty neck syndrome or Launois-Bensaude syndrome, is a rare disease characterized by the presence of multiple, symmetric, loose adipose tissues distributed around the neck, occipitalis, shoulder, back or chest. The fat masses are non-encapsulated and therefore can move freely between adjacent areas. This disease is most commonly seen among middle-aged Caucasian men of Mediterranean origins; it is rarely reported in Asia. Among individuals with Madelung's syndrome, 60 to 90% have a history of chronic alcohol abuse. We report a case of a 51-year-old Chinese man with a history of alcohol use disorder who had fat masses in his neck which gradually enlarged over a period of three years. Based on the case history and the results of physical examination, neck CT and other routine tests, he was diagnosed with Madelung's syndrome.

No MeSH data available.


Related in: MedlinePlus