Dercum’s Disease in A 38 Year Old White Male with Attempted Surgical Treatment: Case Report

A 38 year old white male presented to his primary care provider with a chief complaint of right lower quadrant pain and a 20 year history of multiple fatty tissue growths around his abdomen, back, upper and lower extremities. His pain was primarily located in the right lower quadrant and contained entirely in an apparent lipoma in that area.

For this patient, surgical management via lipectomy was attempted for the most problematic lipomas as they presented. This was also done to obtain specimens for pathologic review to aid in diagnosing the patient’s symptoms. Though pain in the symptomatic lipomas had total improvement, other areas are persistently and increasingly becoming symptomatic. It is unfortunate, but this is similar to other cases of attempted surgical management with local excision. Liposuction has shown some efficacy when compared to control groups, but the increase in quality of life was deemed so insignificant as to not warrant the procedure. In this patient’s case, surgical excision offers relief for short periods of time but the rapid development of pain in other lipomas diminishes its efficacy as a primary treatment. Thusly other options must be explored.

Shaknovsky DO TJ, Salna IV DO J, Tosto Jr ST (2019) Dercum’s Disease in A 38 Year Old White Male with Attempted Surgical Treatment: Case Report. J Dermatol Surg Res Ther 2019: 59-63.

FULL TEXT with photos: https://norcaloa.com/journals/DERM/DERM-202021.pdf

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