title: Benign symmetrical lipomatosis and pellagra associated with alcoholism.
abstract: A 42-year-old male patient, alcoholic, presented showing signs of tumors in the neck and around the shoulders, scaly, erythematous-violaceous lesions and some bullous lesions in sun-exposed areas of upper and lower limbs. Based on clinical features, laboratory tests and imaging studies we have established the diagnosis of pellagra associated with benign symmetrical lipomatosis, both justified by chronic alcoholism. Treated with intravenous B-complex and oriented about the importance of alcohol withdrawal, the patient showed complete remission of skin lesions, but with no change in the lipomatosis.
authors.affiliation: University Hospital Pedro Ernesto, State University of Rio de Janeiro, Brazil. nandafilgas@ig.com.br
authors.forename: Fernanda de Marca
authors.initials: Fde M
authors.lastname: Filgueiras
authors.forename: Dionne de Almeida
authors.initials: Dde A
authors.lastname: Stolarczuk
authors.forename: Alexandre Carlos
authors.initials: AC
authors.lastname: Gripp
authors.forename: Isabel Cristina Brasil
authors.initials: IC
authors.lastname: Succi
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000150:complications* / Q000175:diagnosis; D006257:Head / Q000473:pathology; D006801:Humans; D008069:Lipomatosis, Multiple Symmetrical / Q000150:complications* / Q000175:diagnosis; D008297:Male; D009333:Neck / Q000473:pathology; D010383:Pellagra / Q000150:complications* / Q000175:diagnosis; D012782:Shoulder / Q000473:pathology; D012867:Skin / Q000473:pathology