Benign symmetric lipomatosis

Synonym(s)

Madelung's disease; cervical lipomatosis; Launois-Bensaude syndrome; multiple symmetrical lipomatosis; horse-collar neck

Definition

Progressive, symmetric deposition of adipose tissue around the postauricular area, neck, and shoulders

Pathogenesis

Sympathetic denervation locally may be an etiologic factor

Clinical manifestation

Diffuse and symmetrical fat deposition in a "horse-collar" distribution around the neck; occasional fat deposition at other sites

Differential diagnosis

Obesity; Dercum's disease; multiple hereditary lipomatosis; lymphadenopathy; soft tissue neoplasms

Therapy

Liposuction; surgical excision

Therapy

Topical corticosteroid, mid potency

References

Ruzicka T, Vieluf D, Landthaler M, Braun-Falco O (1987) Benign symmetric lipomatosis Launois-

94 Benzoyl peroxide

Bensaude. Report of ten cases and review of the literature. Journal of the American Academy of Dermatology 17(4)1663-674

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