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Annales de chirurgie plastique esthétique
Volume 50, n° 3
pages 247-250 (juin 2005)
Doi : 10.1016/j.anplas.2004.12.007
Received : 19 August 2004 ;  accepted : 13 December 2004
Maladie de Dercum : une complication grave au cours d'une maladie rare. À propos d'un cas
Dercum's disease: a severe complication in a rare disease. A case report
 

D. Haddad , B. Athmani, A. Costa, S. Cartier
Service de chirurgie plastique et maxillofaciale, centre hospitalier de Gonesse, 25, rue Pierre-de-Theilley, 95503 Gonesse, France 

*Auteur correspondant.
Résumé

La maladie de Dercum ou adipose douloureuse est une pathologie rare et méconnue. La présentation clinique est caractéristique avec quatre symptômes cardinaux. Elle se manifeste par des douleurs au niveau de tumeurs adipeuses, en général chez la femme ménopausée. Le but de cet article est de présenter la maladie à partir d'un cas clinique peu fréquent : un choc septique secondaire à une stéatocutanéonécrose d'une tumeur adipeuse. La maladie reste rare. L'étiologie est à ce jour inconnue, et différentes hypothèses (endocriniennes, métabolique, génétique) sont avancées. De multiples complications peuvent survenir mais les septicémies graves sont peu rencontrées. Le traitement est soit médical (perte de poids, corticoïdes, lidocaïne intraveineuse) soit chirurgical (exérèse-suture, lipoaspiration).

The full text of this article is available in PDF format.
Abstract

Dercum's disease or adiposis dolorasa is unusual and unknown. Four symptoms are typical. It is characterized by painful subcutaneous fatty tumors in postmenopausal woman. We present this disease through the study of an uncommon clinical case: a sceptic choc following the "steato-cutaneous-necrosis» of a fatty tumor. The disease remains rare. The etiology is to this day unknown and different hypothesis (endocrinous, metabolic, genetics) are put forward. Multiple complications can occur but severe septicemia is rare. The treatment can be medical (loss of weight, corticoids, intravenous lidocaine) or surgical (surgical excision or liposuction).

The full text of this article is available in PDF format.

Mots clés : Adipose douloureuse, Postménopause, Obésité, Stéatocutanéonécrose, Septicémie

Keywords : Adiposis dolorosa, Postmenopausal, Obesity, Steatocutaneousnecrosis, Septicaemia




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