A Case Report on Madelung Disease in a 59-Year-Old Man

Authors

  • Harold Jay S. Baytec, MD Mariano Marcos Memorial Hospital and Medical Center
  • Jose B. Orosa III, MD Mariano Marcos Memorial Hospital and Medical Center https://orcid.org/0009-0003-4455-3643

DOI:

https://doi.org/10.32412/pjohns.v40i.2699

Keywords:

Madelung disease, multiple symmetrical lipomatosis, Launois-Bensaude Syndrome, lipoma, neck masses, alcoholism

Abstract

Objective: To present a case of a 59-year-old male with bilateral symmetrical lipomatosis consistent with Madelung disease.

Methods:
Design: Case Report
Setting: Tertiary Government Training Hospital
Patient: One

Results: A 59-year-old alcoholic man presented with progressive, bilaterally symmetrical masses in the supraclavicular and anterior neck regions over a 12-month period. Computed tomography revealed diffuse, non-enhancing, symmetrical subcutaneous fatty deposits without delineated solid or cystic masses. The masses were surgically excised, and histopathologic analysis confirmed lipoma. Post-operative recovery was unremarkable, with significant cosmetic improvement and no recurrence in the 2 years of regular follow-up.

Conclusion: This case highlights the pathognomonic clinical presentation of Madelung disease in a middle-aged Filipino man with a long history of alcohol consumption and no familial predisposition. Recognition of its characteristic features—symmetry, fat distribution, association with alcoholism, and radiologic profile—is essential to avoid misdiagnosis and unnecessary interventions. Lipectomy achieved excellent cosmetic and clinical outcomes in this patient, underlining its role as the primary treatment modality.

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Published

2025-09-20

How to Cite

1.
Baytec HJ, Orosa J. A Case Report on Madelung Disease in a 59-Year-Old Man. Philipp J Otolaryngol Head Neck Surg [Internet]. 2025 Sep. 20 [cited 2026 May 2];:50-3. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/2699

Issue

Vol. 40 Supplement (2025): Philippine Journal of Otolaryngology Head and Neck Surgery

Section

Case Reports

License

Creative Commons License

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