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Wiener Medizinische Wochenschrift

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01.09.2015 | brief report

Juxta-articular adiposis dolorosa (Dercum’s disease type IV): report of four cases and treatment by dermolipectomy

verfasst von: Prof. Uwe Wollina, Birgit Heinig, Dipl-Med, Dana Langner, Andreas Nowak, MD

Erschienen in: Wiener Medizinische Wochenschrift | Ausgabe 17-18/2015

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Summary

Juxta-articular adiposis dolorosa is a rare subtype of Dercum’s disease. It manifests mainly on the medial parts of the knees. Pain and impaired mobility are common symptoms. We report on four females (aged between 52 and 83 years) who suffered from juxta-articular adiposis dolorosa for more than 10 years. These patients were successfully treated by dermolipectomy resulting in dramatically improved pain and mobility. Adverse effects and complications were minor with a lymph fistula in a single patient which was treated by surgery.

Vorheriger Artikel Pädiatrische Heimbeatmung – practical approach

Hansson E, Svensson H, Brorson H. Review of Dercum’s disease and proposal of diagnostic criteria, diagnostic methods, classification and management. Orphanet J Rare Dis. 2012;7:23.PubMedCentralCrossRefPubMed

Stutz J. Liposuktion beim Lipödem zur Verhinderung von Gelenkspätkomplikationen. Vasomed. 2011;23:2–6.

Ruhdorfer A, Wirth W, Dannhauer T, Eckstein F. Longitudinal (4 year) change of thigh muscle and adipose tissue distribution in chronically painful vs painless knees—data from the Osteoarthritis Initiative. Osteoarthr Cartil. 2015. doi:10.1016/j.joca.2015.04.004. [Epub ahead of print].

Richter M, Trzeciak T, Owecki M, Pucher A, Kaczmarczyk J. The role of adipocytokines in the pathogenesis of knee joint osteoarthritis. Int Orthop. 2015;39(6):1211–7.CrossRefPubMed

Schmeller W, Meier-Vollrath I. Tumescent liposuction: a new and successful therapy for lipedema. J Cutan Med Surg. 2006;10(1):7–10.CrossRefPubMed

Wollina U, Goldman A, Heinig B. Microcannular tumescent liposuction in advanced lipedema and Dercum’s disease. G Ital Dermatol Venereol. 2010;145(2):151–9.PubMed

Daabiss M. American Society of Anaesthesiologists physical status classification. Indian J Anaesth. 2011;55(2):111–5.PubMedCentralCrossRefPubMed

Wollina U, Heinig B, Schönlebe J, Nowak A. Debulking surgery for elephantiasis nostras with large ectatic podoplanin-negative lymphatic vessels in patients with lipo-lymphedema. Eplasty. 2014;14:e11.PubMedCentralPubMed

Kim DI, Lee BB, Huh S, Lee SJ, Hwang JH, Kim YI. Excision of subcutaneous tissue and deep muscle fascia for advanced lymphedema. Lymphology. 1998;31(4):190–4.PubMed

10.

WHO. http://apps.who.int/bmi/index.jsp?introPage=intro_3.html (2006). Accessed 30 June 2015.

11.

Hansson E, Svensson H, Stenram U, Brorson H. Histology of adipose tissue inflammation in Dercum’s disease, obesity and normal weight controls: a case control study. J Inflamm (Lond). 2011;8(1):24.CrossRef

12.

Held JL, Andrew JA, Kohn SR. Surgical amelioration of Dercum’s disease: a report and review. J Dermatol Surg Oncol. 1989;15(12):1294–6.CrossRefPubMed

13.

Hansson E, Svensson H, Brorson H. Liposuction may reduce pain in Dercum’s disease (adiposis dolorosa). Pain Med. 2011;12(6):942–52.CrossRefPubMed

14.

Bertheuil N, Huguier V, Beuzeboc M, Aillet S, Watier E. Knee dermolipectomy: a simple operation with significant functional improvement. Aesthetic Plast Surg. 2013;37(1):117–20.CrossRefPubMed

15.

Rasmussen JC, Herbst KL, Aldrich MB, et al. An abnormal lymphatic phenotype is associated with subcutaneous adipose tissue deposits in Dercum’s disease. Obesity (Silver Spring). 2014;22(10):2186–92.CrossRef

16.

Schacht V, Ramirez MI, Hong YK, et al. T1alpha/podoplanin deficiency disrupts normal lymphatic vasculature formation and causes lymphedema. EMBO J. 2003;22(14):3546–56.PubMedCentralCrossRefPubMed

Titel: Juxta-articular adiposis dolorosa (Dercum’s disease type IV): report of four cases and treatment by dermolipectomy
verfasst von: Prof. Uwe Wollina
Birgit Heinig, Dipl-Med
Dana Langner
Andreas Nowak, MD
Publikationsdatum: 01.09.2015
Verlag: Springer Vienna
Erschienen in: Wiener Medizinische Wochenschrift / Ausgabe 17-18/2015
Print ISSN: 0043-5341
Elektronische ISSN: 1563-258X
DOI: https://doi.org/10.1007/s10354-015-0378-1

Springer Medizin Österreich

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