Trauma-induced adiposis dolorosa (Dercum's disease)

BMJ Case Rep. 2018 Mar 28:2018:bcr2017223869. doi: 10.1136/bcr-2017-223869.

Abstract

We present a case of a 39-year-old man who presented with chronic bilateral upper extremity pain associated with innumerable angiomyolipomas that developed 5 years after a motor vehicle accident involving his upper extremities. Our case notes the rare nature of painful adipose tissue deposits and the diagnostic challenges.

Keywords: dermatology; musculoskeletal and joint disorders; pain (neurology); skin.

Publication types

  • Case Reports

MeSH terms

  • Accidents, Traffic*
  • Adipose Tissue
  • Adiposis Dolorosa / drug therapy
  • Adiposis Dolorosa / etiology*
  • Adiposis Dolorosa / physiopathology
  • Adult
  • Amitriptyline / therapeutic use
  • Analgesics, Non-Narcotic / therapeutic use
  • Angiomyolipoma / etiology
  • Angiomyolipoma / physiopathology
  • Angiomyolipoma / surgery
  • Baclofen / therapeutic use
  • Chronic Pain / drug therapy
  • Chronic Pain / etiology
  • Chronic Pain / physiopathology
  • Clonidine / analogs & derivatives
  • Clonidine / therapeutic use
  • Diagnosis, Differential
  • Humans
  • Ibuprofen / therapeutic use
  • Male
  • Muscle Relaxants, Central / therapeutic use
  • Tomography, X-Ray Computed
  • Upper Extremity / physiopathology
  • Upper Extremity / surgery

Substances

  • Analgesics, Non-Narcotic
  • Muscle Relaxants, Central
  • Amitriptyline
  • tizanidine
  • Baclofen
  • Clonidine
  • Ibuprofen