Juxta-articular adiposis dolorosa (Dercum's disease type IV): report of four cases and treatment by dermolipectomy.
Juxta-articular adiposis dolorosa is a rare subtype of Dercum's disease. It manifests mainly on the medial parts of the knees. Pain and impaired mobility are common symptoms. We report on four females (aged between 52 and 83 years) who suffered from juxta-articular adiposis dolorosa for more than 10 years. These patients were successfully treated by dermolipectomy resulting in dramatically improved pain and mobility. Adverse effects and complications were minor with a lymph fistula in a single patient which was treated by surgery.
Department of Dermatology and Allergology, Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany. uwollina@gmail.com.
Uwe
U
Wollina
Center for Rehabilitative Medicine and Physical Therapy, Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany.
Birgit
B
Heinig
Department of Dermatology and Allergology, Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany.
Dana
D
Langner
Department of Anesthesiology and Intensive Medical Care, Emergency Medicine and Pain Management, Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany.
Andreas
A
Nowak
D000274:Adiposis Dolorosa / Q000175:diagnosis* / Q000601:surgery*; D000368:Aged; D000369:Aged, 80 and over; D017577:Cutaneous Fistula / Q000209:etiology / Q000601:surgery; D005260:Female; D005402:Fistula / Q000209:etiology / Q000601:surgery; D006801:Humans; D015187:Lipectomy / Q000379:methods*; D008206:Lymphatic Diseases / Q000209:etiology / Q000601:surgery; D008875:Middle Aged; D051346:Mobility Limitation; D010147:Pain Measurement; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D012086:Reoperation
Comorbidities; Dercum’s disease; Dermolipectomy; Juxta-articular adiposis dolorosa