title: Multiple symmetric lipomatosis: a diagnostic dilemma.
abstract: Introduction. Multiple symmetric lipomatosis, or Madelung's disease, is a rare condition which is characterized with large symmetrical accumulation of noncapsulated fat tissue in upper arms, neck, and shoulder areas. The disease etiology is unknown, with the highest incidence in the Mediterranean region. Case Presentation. Here, we present the case of Madelung's disease with symmetric fat distribution throughout the neck and history of alcoholism. The patient was treated from several diseases associated with alcoholism and hospitalized several times, but the diagnosis of Madelung's disease was omitted. The thyroid gland disease was excluded, while enlargement of the neck adipose tissue was attributed to obesity. Conclusions. This study points out possible diagnostic mistakes when a physician is not aware of a differentiation diagnosis of symmetrically enlarged neck masses, especially in geographic regions with high incidence of this disease.
authors: University of Mostar School of Medicine and University of Mostar Clinical Hospital, Bijeli Brijeg bb, 88000 Mostar, Bosnia and Herzegovina.
authors: Mladen
authors: M
authors: Mimica
authors: Danijel
authors: D
authors: Pravdic
authors: Emina
authors: E
authors: Nakas-Icindic
authors: Maja
authors: M
authors: Karin
authors: Emil
authors: E
authors: Babic
authors: Monika
authors: M
authors: Tomic
authors: Milenko
authors: M
authors: Bevanda
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