title: Case report of comorbid alcohol-induced psychotic disorder and Madelung's disease.
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.
authors.affiliation: Linyi Mental Health Center, Linyi, Shandong Province, China.
authors.forename: Zhenxiao
authors.initials: Z
authors.lastname: Sun
authors.affiliation: Linyi Mental Health Center, Linyi, Shandong Province, China.
authors.forename: Huanjun
authors.initials: H
authors.lastname: Li
keywords: China; Madelung’s syndrome; alcohol use disorders; benign symmetric lipomatosis
references.citation: Ann Plast Surg. 1998 Dec;41(6):671-3
references.pmid: 9869144
references.citation: Dentomaxillofac Radiol. 2007 Jan;36(1):51-4
references.pmid: 17329589
references.citation: Aesthetic Plast Surg. 2004 Mar-Apr;28(2):108-12; discussion 113
references.pmid: 15164232
references.citation: Case Rep Otolaryngol. 2012;2012:910526
references.pmid: 22953128
references.citation: Dermatol Surg. 2003 Mar;29(3):235-40
references.pmid: 12614415
references.citation: Otolaryngol Head Neck Surg. 1993 Feb;108(2):156-9
references.pmid: 8441540
references.citation: Br J Plast Surg. 1983 Apr;36(2):187-9
references.pmid: 6831098
references.citation: An Bras Dermatol. 2011 Nov-Dec;86(6):1189-92
references.pmid: 22281911
references.citation: J Pathol. 2002 Nov;198(3):378-87
references.pmid: 12375271
references.citation: Int J Obes Relat Metab Disord. 2002 Feb;26(2):253-61
references.pmid: 11850759
references.citation: Clin Med Res. 2009 Dec;7(4):166-9
references.pmid: 20048140
references.citation: Aesthetic Plast Surg. 2003 Jul-Aug;27(4):319-21
references.pmid: 15058558
references.citation: An Med Interna. 1989 Dec;6(12):635-8
references.pmid: 2491474