Lipid Storage and Metabolism Disorders
Madelung Disease (Multiple Symmetric Lipomatosis – MSL)
Madelung Disease is a rare condition characterized by fat deposits or symmetrical growth of lipomas around the shoulders, neck, and upper body. Some may experience rapid growth of fatty deposits over the course of several months, while others may experience a slower progression over time. Madelung generally affects men with a history of alcohol abuse, those of Mediterranean descent, and individuals between the ages of 30-60 years old. However, non-alcoholics and women alike can also develop the disease. The exact cause of Madelung is unknown, but there may be a strong correlation between alcoholism and those who later develop the disease. Roughly 90% of those affected by Madelung have a history of alcohol abuse.
Symptoms
Like any other disease, Madelung signs and symptoms vary from person to person. One warning sign is the presence of fat deposits or lipomas on the left side of the body. These masses generally form on the left side of the body before the right, and are found near blood vessels and veins. The growth of these lipomas around the neck and shoulders can lead to excruciating pain and decreased mobility. Madelung Disease may also cause nerve damage and neurological complications such as difficulty swallowing, hoarseness or strained voice, fluctuations in heart rate and blood pressure, shortness of breath, and difficulty sleeping.
Diagnosis
Madelung Disease is diagnosed based on a thorough physical examination and medical history review. Imaging studies such as a computed tomography (CT scan) and/or magnetic resonance imaging (MRI) also prove to be helpful. A MRI scan is a preferred method to detect lipomas and possibly a biopsy to confirm diagnosis.
Treatment of Madelung Disease:
Historically, the removal of multiple fatty tumors result in multiple incisions, leaving the patient with a multitude of scars.
Liposuction has been a less invasive option, however it is difficult to remove the whole tumor which commonly causes it to return.
We have an innovative method, developed by Dr. Volshteyn to remove the fatty tumor utilizing ultrasonic destruction with minimal incisions. The tumor becomes a liquid consistency in this process and can be gently suctioned through the same small incisions.
Minimal scarring
Little to no discomfort or downtime
Ideal for removal of multiple lipomas
Can be done under local anesthesia
In many cases no sutures are needed
Call us today to schedule your consultation 732-641-3350
Dercum’s Disease
Dercum’s Disease is a rare condition characterized by painful lipomas, or benign fatty tumors, primarily located on the abdomen and legs. According to the National Organization for Rare Disorders, it occurs in more women than men. The cause of Dercum’s Disease is unknown, but research indicates that it may be an autoimmune disorder or a problem associated with metabolizing fat in the endocrine system.
Symptoms
The Four Primary Symptoms of Dercum’s Disease:
Multiple painful fatty masses
Obesity
Weakness and fatigue
Mental disturbances, emotional instability, depression, confusion, and dementia.
In addition, lipomas can further cause nerve compression resulting in weakness and pain.
Diagnosis
The diagnosis is based on clinical criteria, physical examination, and by excluding differential diagnosis. MRI, CT scans, and biopsies can be helpful in identifying Dercum’s Disease. There is no current cure for the disease.
Treatment of Dercum’s Disease
Medication to relieve pain
Traditionally, surgical removal of the fatty tumor(s) is performed, however the patient is left with scarring and in cases of multiple fatty tumors, multiple scars are accrued.
A less invasive option has been liposuction, however it is difficult to remove the entire tumor resulting in future recurrence.
Dr. Volshteyn has developed an innovative method of removing the fatty tumor utilizing ultrasonic destruction with minimal incisions. This process turns the tumor into a liquid consistency and then gently suctioned out through the same small incision.
Minimal scarring
Little to no discomfort or downtime
Ideal for removal of multiple lipomas
Can be done under local anesthesia
In many cases no sutures are needed
Call us today to schedule your consultation 732-641-3350
Familial Multiple Lipomatosis (FML)
Familial Multiple Lipomatosis is an extremely rare condition characterized by multiple lipomas, generally painless, distributed throughout the body and extremities. Diagnosis occurs when it is found in more than one family member, sometimes over numerous generations.
Symptoms
Lipomas found in areas not on the head or shoulders are a primary symptom of Familial Multiple Lipomatosis. The lipomas can occur on the hypodermis, the lower layer of the skin, and connective tissues. They tend to be painless, but can cause irritation. Progression of lipomas can lead to disfigurement, impaired mobility, or even disability.
Diagnosis
Physical examination and medical history review by a licensed physician specializing in lipid fat disorders
Treatment of Familial Multiple Lipomatosis
In the past, surgical removal was always the option, however patients end up with unsightly scarring.
Liposuction was utilized to minimize scarring, however it is very difficult to remove the entire tumor. If the entire tumor is not removed, the risk of the mass recurring increases greatly.
We have a process that converts the tumor into a liquid consistency, and can be removed by suctioning through a small incision. Dr. Volshteyn has contrived a cutting-edge method of removing these tumors with ultrasonic destruction with minimal incisions.
Little to no discomfort or downtime
Ideal for removal of multiple lipomas
Can be done under local anesthesia
In many cases no sutures are needed
Call us today to schedule your consultation 732-641-3350
Lipedema
Lipedema, also known as painful fat syndrome, is a chronic disease most common in females. The swelling and expansion of fatty tissue occurs mainly in the hip region and upper and lower extremities. Lipedema is extremely rare in males and is often misdiagnosed as Lymphedema, which is similar and can be present at birth or developed later on.
For more comprehensive information click to our main Lipedema page https://www.atlanticsurgicalassociates.com/lipedema/
Call us today to schedule your consultation 732-641-3350
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