Specialist Medical Center in Polanica-Zdrój, Jana Pawła II 2, 57-320 Polanica Zdrój, Poland.
Division of Environmental Health and Occupational Medicine, Department of Population Health, Wroclaw Medical University, Mikulicza-Radeckiego 7, 50-368 Wroclaw, Poland.
Int J Environ Res Public Health. 2022 Apr 24;19(9):5168. doi: 10.3390/ijerph19095168.
Madelung's disease is a rare metabolic disorder characterized by a symmetrical accumulation of nonencapsulated adipose tissue deposits, mainly around the head, neck and shoulders. Fat deposits can grow and put pressure on other organs causing a variety of symptoms, inter alia, dysphagia, breathing difficulties, neck stiffness and headache. Madelung's disease is often accompanied by other disorders such as diabetes, hypertension, hypothyroidism, or liver disease. In addition to somatic issues, mental health problems may also develop causing social exclusion and depression. Middle-aged men with a history of alcohol abuse are the most commonly affected. Various imaging techniques, including computed tomography (CT), are helpful in stating the diagnosis. This paper presents a case of a 33-year-old man with extensive adipose tissue overgrowth around neck and chest. CT-enhanced scans with multiplanar reconstruction (MPR) and volume rendering technique (VRT) reconstruction are also included.
马德隆氏病是一种罕见的代谢紊乱，其特征是无包膜脂肪组织沉积的对称性积聚，主要发生在头部、颈部和肩部周围。脂肪沉积会生长并对其他器官施加压力，导致各种症状，如吞咽困难、呼吸困难、颈部僵硬和头痛。马德隆氏病常伴有其他疾病，如糖尿病、高血压、甲状腺功能减退或肝病。除了躯体问题，还可能出现心理健康问题，导致社会排斥和抑郁。受影响最多的是有酗酒史的中年男性。包括计算机断层扫描（CT）在内的各种成像技术有助于做出诊断。本文介绍了一例 33 岁男性颈部和胸部周围广泛的脂肪组织过度生长。还包括 CT 增强扫描的多平面重建（MPR）和容积再现技术（VRT）重建。
