Madelung’s Disease as an Example of a Metabolic Disease Associated with Alcohol Abuse—Diagnostic Importance of Computed Tomography

Przemysław Jaźwiec, Maria Pawłowska, Karolina Czerwińska, Małgorzata Poręba, Paweł Gać and Rafał Poręba
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Przemysław Jaźwiec: Specialist Medical Center in Polanica-Zdrój, Jana Pawła II 2, 57-320 Polanica Zdrój, Poland
Maria Pawłowska: Specialist Medical Center in Polanica-Zdrój, Jana Pawła II 2, 57-320 Polanica Zdrój, Poland
Karolina Czerwińska: Division of Environmental Health and Occupational Medicine, Department of Population Health, Wroclaw Medical University, Mikulicza-Radeckiego 7, 50-368 Wroclaw, Poland
Małgorzata Poręba: Department of Paralympic Sports, Wroclaw University of Health and Sport Sciences, Witelona 25a, 51-617 Wroclaw, Poland
Paweł Gać: Division of Environmental Health and Occupational Medicine, Department of Population Health, Wroclaw Medical University, Mikulicza-Radeckiego 7, 50-368 Wroclaw, Poland
Rafał Poręba: Department of Internal Medicine, Occupational Diseases and Hypertension, Wroclaw Medical University, Borowska 213, 50-556 Wroclaw, Poland

IJERPH, 2022, vol. 19, issue 9, 1-6

Abstract: Madelung’s disease is a rare metabolic disorder characterized by a symmetrical accumulation of nonencapsulated adipose tissue deposits, mainly around the head, neck and shoulders. Fat deposits can grow and put pressure on other organs causing a variety of symptoms, inter alia, dysphagia, breathing difficulties, neck stiffness and headache. Madelung’s disease is often accompanied by other disorders such as diabetes, hypertension, hypothyroidism, or liver disease. In addition to somatic issues, mental health problems may also develop causing social exclusion and depression. Middle-aged men with a history of alcohol abuse are the most commonly affected. Various imaging techniques, including computed tomography (CT), are helpful in stating the diagnosis. This paper presents a case of a 33-year-old man with extensive adipose tissue overgrowth around neck and chest. CT-enhanced scans with multiplanar reconstruction (MPR) and volume rendering technique (VRT) reconstruction are also included.

Keywords: Madelung’s disease; lipomatosis; alcohol abuse (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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