Vasisht Shivani, Bhatia Riti, Kumar Arvind
Dermatology, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Pathology and Laboratory Medicine, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Cureus. 2024 Mar 4;16(3):e55532. doi: 10.7759/cureus.55532. eCollection 2024 Mar.
Lipedematous scalp is a rare cutaneous disorder, characterized by subtle but conspicuous scalp swelling, usually associated with dysesthesia. The chronic recalcitrant nature of this condition can be extremely debilitating for the patient. We report a case of boggy scalp swelling and dysesthesia in a 37‑year‑old female present for five years. Magnetic resonance imaging (MRI) brain showed thickening of subcutaneous tissue of the scalp. Histopathological examination revealed thickened and edematous subcutaneous tissue, reaching up to the upper dermis. A diagnosis of lipedematous scalp was made. The patient was reassured about the benign nature of the disease and given symptomatic treatment for dysesthesia. Herein we discuss the approach to a case of boggy dysesthetic scalp swelling and the available treatment options.
脂肿性头皮是一种罕见的皮肤疾病，其特征为头皮出现细微但明显的肿胀，通常伴有感觉异常。这种疾病的慢性顽固性本质对患者而言可能极其虚弱。我们报告一例37岁女性出现头皮肿胀和感觉异常五年的病例。脑部磁共振成像（MRI）显示头皮皮下组织增厚。组织病理学检查显示皮下组织增厚且水肿，一直延伸至真皮上层。诊断为脂肿性头皮。患者被告知该疾病的良性本质，并给予感觉异常的对症治疗。在此我们讨论一例头皮肿胀伴感觉异常的病例的处理方法及可用的治疗选择。
