Multiple Symmetrical Lipomatosis in a 67-Year Old African Male: First Case Report within a Resource-Limited SettingVeronique Suttels1*, Tertius Venter2 and Michelle White3
- *Corresponding Author:
- Veronique Suttels, MD
Family Physician, Clinique Saint-Luc
BP 319 Andabizy, Toliara, Madagascar
E-mail: [email protected]
Received Date: November 1, 2015 Accepted Date: December 9, 2015 Published Date: December 13, 2015
Citation: Suttels V, Venter T, White M (2016) Multiple Symmetrical Lipomatosis in a 67-Year Old African Male: First Case Report within a Resource-Limited Setting. Trop Med Surg 4:201. doi:10.4172/2329-9088.1000201
Copyright: © 2015 Suttels, et al. 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.
Introduction: Multiple Symmetrical Lipomatosis (MSL) is a progressive disease presenting with symmetrically distributed (large) lipomata over the occiput, head, neck, shoulders and trunk resulting in gross deformity. Over 90% of cases are associated with chronic alcohol abuse, and associations with metabolic disorders are also common but malignancy is rare. To date there is only one report of MSL in an African-American patient and no reported cases in Africa.
Case Presentation: We report the case of a 67-year old African male with a history of gout and chronic heavy drinking presenting with typical features of multiple symmetrical lipomatosis. The lipomata were successfully removed by a visiting surgical mission team.
Discussion: Exact pathogenesis and incidence of MSL remain unclear. Misdiagnosis is common and diagnosis in resource-limited settings should be prompted by the history of alcohol abuse and characteristic presenting features of multiple symmetrical lipomatosis. Challenges of surgical interventions in low-resource settings are discussed.
Conclusion: Clinicians should be aware of the condition and its association with metabolic disorders and rarely malignancy. In resource-limited settings, ethical and cultural factors should be considered before proceeding to surgery.