title: Madelung's disease as a rare cause of obstructive sleep apnea.
abstract: Madelung's disease, or multiple symmetric lipomatosis, is a rare disease, characterized by accumulation of unencapsulated fat, generally located symmetrically around the neck and shoulders. Here, we present the case of a patient with diffuse lipomatosis accompanied by obstructive sleep apnea due to cervical involvement and facial deformity, which made it necessary to use nasal pillows for ventilation. The patient was hospitalized with a diagnosis of pneumonia and required noninvasive ventilation due to severe hypercapnia. A brief review of the literature was made, and we describe and discuss the investigation of this rare clinical case.
authors.affiliation: Department of Pulmonology, Hospital Nossa Senhora do Rosário - HNSR - Barreiro, Portugal. vitor_fonseca@sapo.pt
authors.forename: Vitor Alexandre Oliveira
authors.initials: VA
authors.lastname: Fonseca
authors.forename: Carlos
authors.initials: C
authors.lastname: Alves
authors.forename: Helena
authors.initials: H
authors.lastname: Marques
authors.forename: Elvira
authors.initials: E
authors.lastname: Camacho
authors.forename: António Pinto
authors.initials: AP
authors.lastname: Saraiva
mesh_terms: D005151:Facial Injuries / Q000209:etiology; D006801:Humans; D008069:Lipomatosis, Multiple Symmetrical / Q000150:complications* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D020181:Sleep Apnea, Obstructive / Q000209:etiology*