Department Of Dermatology, Apollo Hospital, Hyderabad, India
Received date: October 25, 2016; Accepted date: January 18, 2017; Published date: January 25, 2017
Citation: Rasheed F (2017) Dercums Disease/Adiposis Dolorosa. Pigmentary Disorders 4:252. doi:10.4172/2376-0427.1000252
Copyright: © 2017 Rasheed F. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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52 year old obese postmenopausal female presented with complaints of multiple painful lumps over the legs and thighs of 2 years days duration. Clinical examination revealed multiple tender plaques and nodules over both the legs and thighs of different sizes. Biopsy suggestive of lipoma. These features were diagnostic of a rare lipomatosis, dercum’s disease.
Adiposis dolorosa; Postmenopausal; Biopsy.
Dercum’s disease is a condition characterized by localized overgrowth of fat with painful subcutaneous plaques and ecchymoses .
52 year old obese postmenopausal female came with complaints of multiple painful lumps over both the legs and thighs of 2 years duration. She gave history of equisite pain on walking (Figure 1).
Dercum’s disease is characterized by painful deposits of adipose tissue occurring over multiple areas of the body in post-menopausal obese women associated with emotional disturbances. Diagnosis is on based triad of painful plaques, ecchymoses and obesity appearing in women with amenorrhoea and neurotic symptoms. Weight reduction, surgical excision and lidocaine can be considered .