DeFranzo A J, Hall J H, Herring S M
Department of Surgery, Bowman Gray School of Medicine.
Plast Reconstr Surg. 1990 Feb;85(2):289-92.
The clinical picture of adiposis dolorosa makes a lasting impression on the examining physician. The patient is typically an obese, asthenic woman who appears to have a low pain threshold. She has an unusual distribution of fatty tumors, and her complaint of pain in these tumors seems out of proportion to the physical findings. Alcoholism, emotional instability, and depression are common, and narcotic pain medicine is frequently requested. The patient is easily dismissed as a malingerer after a brief examination. However, liposuctioning of the painful fatty tumors appears to be both practical and effective. While adiposis dolorosa is an unusual disease, it is one that plastic surgeons can recognize and treat.
痛性肥胖症的临床表现给检查医生留下了深刻的印象。患者通常是肥胖、虚弱的女性，似乎痛阈较低。她有脂肪肿瘤的异常分布，并且她对这些肿瘤疼痛的主诉似乎与体格检查结果不成比例。酗酒、情绪不稳定和抑郁很常见，并且经常要求使用麻醉性镇痛药。经过简短检查后，患者很容易被当作装病者而不予理会。然而，对疼痛性脂肪肿瘤进行抽脂似乎既实用又有效。虽然痛性肥胖症是一种罕见的疾病，但却是整形外科医生能够识别和治疗的疾病。
