一例典型Ⅰ型Madelung病的临床治疗

A case report of Type Ⅰ Madelung disease and literature revive

2009年9月解放军南部战区海军第一医院收治1例典型Ⅰ型Madelung病患者,为长期饮酒中老年男性,颈部皮下大量无包膜的脂肪组织环状对称性增生堆积,而身体其余部位未见明显肥胖。分3次对肿物进行切除。术后外形基本恢复正常,最后1次随访距第1次手术共8年,无明显复发,外形良好。

A male patient, with diagnose of Madelung disease, was admitted in September 2009. He has been a heavy drinker for decades before onset of the disease. This patient was characterized by the large amount of symmetrical deposits of adipose tissue in the subcutaneous layer around neck, and without obesity on other sites. The excessive adipose tissue was surgically removed by three steps. Appearance almost returned to normal. No recurrence happened after 8 years of follow-up.