Exophytic Adiposis Dolorosa (Dercum's Disease) of the Thigh: A Case Report.
adiposis dolorosa
dercum's diseases
dermolipectomy
thigh mass
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
15 Mar 2020
15 Mar 2020
Historique:
entrez:
18
4
2020
pubmed:
18
4
2020
medline:
18
4
2020
Statut:
epublish
Résumé
Adiposis dolorosa or Dercum's disease is a rare lipomatous disorder characterized by painful lipomas. In this article, we report a case of rather large exophytic adiposis dolorosa causing difficulties with ambulation, and our surgical management of the disorder. To our knowledge, this is the first reported case of a large exophytic adiposis dolorosa of the upper medial thigh causing problems with mobility. This is also the first reported case of the use of a delayed split-thickness skin graft (STSG) after interval use of wound vacuum-assisted closure (VAC) following dermolipectomy. A 77-year-old female presented with a chronic mass on the medial aspect of her right thigh for over 40-50 years. She had noticed a recent rapid increase in size, causing some discomfort and interference with mobility and activities of daily living. The patient underwent an MRI with finding consistent with adiposis dolorosa. She underwent dermolipectomy and reconstruction of the resulting defect with a combination of partial primary closure, wound VAC, and delayed closure using STSG. Dermolipectomy with interval application of a wound VAC combined with delayed reconstruction with STSG is a feasible option for patients with large lesions of the extremity that causes difficulty with mobility and activities of daily living.
Identifiants
pubmed: 32300502
doi: 10.7759/cureus.7282
pmc: PMC7159143
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e7282Informations de copyright
Copyright © 2020, Opoku-Agyeman et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
J Dermatol Surg Oncol. 1989 Dec;15(12):1294-6
pubmed: 2687341
Ann Rheum Dis. 1990 Jun;49(6):403-4
pubmed: 2383065
Plast Reconstr Surg. 1990 Feb;85(2):289-92
pubmed: 2300638
G Ital Dermatol Venereol. 2010 Apr;145(2):151-9
pubmed: 20467389
Orphanet J Rare Dis. 2012 Apr 30;7:23
pubmed: 22546240
Clin Orthop Relat Res. 1986 Apr;(205):251-3
pubmed: 3698384
J Am Podiatry Assoc. 1979 Jun;69(6):389-91
pubmed: 448038
Pain Med. 2011 Jun;12(6):942-52
pubmed: 21481169
Wien Med Wochenschr. 2015 Sep;165(17-18):374-7
pubmed: 26289595
J Cutan Med Surg. 2006 Jan-Feb;10(1):7-10
pubmed: 17241565
Joint Bone Spine. 2004 Mar;71(2):147-9
pubmed: 15050201