Skip to main content
Top
Published in: Journal of Cardiothoracic Surgery 1/2020

01-12-2020 | Liposuction | Case report

Madelung’s disease and pulmonary aspergillosis: a case report and literature review

Authors: Weijiang Ma, Xilong Zhao, Xu Li, Chenxi Zang, Limin Yang, Yan Wang, Xin Liu

Published in: Journal of Cardiothoracic Surgery | Issue 1/2020

Login to get access

Abstract

Background

Madelung’s disease (MD) is a rare disorder of fat metabolism, which is usually associated with diabetes, hyperuricemia, liver disease, nevertheless there is no report of a patient with MD and pulmonary aspergillosis (PA). This article aimed to enhance the awareness of this two diseases and discuss the possible mechanism of the combination of them preliminarily.

Case presentation

In this case, we described a 56-year-old male patient with cough, expectoration and dyspnea. His neck has a very peculiar appearance. Chest enhanced CT scan showed there were multiple nodules in both lungs, some of which had cavities and the mediastinal lymph nodes were swollen. Ultrasound scan of the neck showed diffuse hyperplasia of subcutaneous fat in neck and bilateral supraclavicular fossa. Fortunately, after performing pulmonary wedge resection aimed at pathological examination and giving relevant treatments, this patient was finally diagnosed as MD with PA, and his symptoms were significantly relieved.

Conclusions

MD is rare, the phenomenon that MD combined with PA is rarer. Immune disorder may be the possible mechanism.
Literature
1.
go back to reference Lee DH, Lim SC, Lee JK. Laryngeal involvement in Madelung disease. Otolaryngol Head Neck Surg. 2011;144(3):481–2.CrossRef Lee DH, Lim SC, Lee JK. Laryngeal involvement in Madelung disease. Otolaryngol Head Neck Surg. 2011;144(3):481–2.CrossRef
2.
go back to reference Brodie BC. Lectures Illustrative Of Various Subjects In Pathology And Surgery. In: Lecture XIV: On fatty or Adipose Tumors. London: Longman, Brown, Green and Longmans; 1846. p. 275–82. Brodie BC. Lectures Illustrative Of Various Subjects In Pathology And Surgery. In: Lecture XIV: On fatty or Adipose Tumors. London: Longman, Brown, Green and Longmans; 1846. p. 275–82.
3.
go back to reference Mevio E, Sbrocca M, Mullace M, Viglione S, Mevio N. Multiple symmetric lipomatosis: a review of 3 cases. Case Rep Otolaryngol. 2012;2012:910526.PubMedPubMedCentral Mevio E, Sbrocca M, Mullace M, Viglione S, Mevio N. Multiple symmetric lipomatosis: a review of 3 cases. Case Rep Otolaryngol. 2012;2012:910526.PubMedPubMedCentral
4.
go back to reference Gao H, Xin ZY, Yin X, Zhang Y, Jin QL, Wen XY. Madelung disease: a case report. Medicine (Baltimore). 2019;98(3):e14116.CrossRef Gao H, Xin ZY, Yin X, Zhang Y, Jin QL, Wen XY. Madelung disease: a case report. Medicine (Baltimore). 2019;98(3):e14116.CrossRef
5.
go back to reference Parmar C, Blackburn C. Madelung's disease: an uncommon disorder of unknown aetiology? Br J Oral Maxillofac Surg. 1996;34(5):467–70.CrossRef Parmar C, Blackburn C. Madelung's disease: an uncommon disorder of unknown aetiology? Br J Oral Maxillofac Surg. 1996;34(5):467–70.CrossRef
6.
go back to reference Tadisina KK, Mlynek KS, Hwang LK, Riazi H, Papay FA, Zins JE. Syndromic lipomatosis of the head and neck: a review of the literature. Aesthet Plast Surg. 2015;39(3):440–8.CrossRef Tadisina KK, Mlynek KS, Hwang LK, Riazi H, Papay FA, Zins JE. Syndromic lipomatosis of the head and neck: a review of the literature. Aesthet Plast Surg. 2015;39(3):440–8.CrossRef
7.
go back to reference Brea-García B, Cameselle-Teijeiro J, Couto-González I, Taboada-Suárez A, González-Álvarez E. Madelung's disease: comorbidities, fatty mass distribution, and response to treatment of 22 patients. Aesthet Plast Surg. 2013;7(2):409–16.CrossRef Brea-García B, Cameselle-Teijeiro J, Couto-González I, Taboada-Suárez A, González-Álvarez E. Madelung's disease: comorbidities, fatty mass distribution, and response to treatment of 22 patients. Aesthet Plast Surg. 2013;7(2):409–16.CrossRef
8.
go back to reference Plummer C, Spring PJ, Marotta R, Chin J, Taylor G, Sharpe D, Athanasou NA, Thyagarajan D, Berkovic SF. Multiple symmetrical Lipomatosis--a mitochondrial disorder of brown fat. Mitochondrion. 2013;13(4):269–76.CrossRef Plummer C, Spring PJ, Marotta R, Chin J, Taylor G, Sharpe D, Athanasou NA, Thyagarajan D, Berkovic SF. Multiple symmetrical Lipomatosis--a mitochondrial disorder of brown fat. Mitochondrion. 2013;13(4):269–76.CrossRef
9.
go back to reference Economides NG, Liddell HT. Benign symmetric lipomatosis (Madelung's disease). South Med J. 1986;79(8):1023–5.CrossRef Economides NG, Liddell HT. Benign symmetric lipomatosis (Madelung's disease). South Med J. 1986;79(8):1023–5.CrossRef
10.
go back to reference Gámez J, Playán A, Andreu AL, Bruno C, Navarro C, Cervera C, Arbós MA, Schwartz S, Enriquez JA, Montoya J. Familial multiple symmetric lipomatosis associated with the A8344G mutation of mitochondrial DNA. Neurology. 1998;51(1):258–60.CrossRef Gámez J, Playán A, Andreu AL, Bruno C, Navarro C, Cervera C, Arbós MA, Schwartz S, Enriquez JA, Montoya J. Familial multiple symmetric lipomatosis associated with the A8344G mutation of mitochondrial DNA. Neurology. 1998;51(1):258–60.CrossRef
11.
go back to reference Enzi G, Busetto L, Sergi G, Coin A, Inelmen EM, Vindigni V, Bassetto F, Cinti S. Multiple symmetric lipomatosis: a rare disease and its possible links to brown adipose tissue. Nutr Metab Cardiovasc Dis. 2015;25(4):347–53.CrossRef Enzi G, Busetto L, Sergi G, Coin A, Inelmen EM, Vindigni V, Bassetto F, Cinti S. Multiple symmetric lipomatosis: a rare disease and its possible links to brown adipose tissue. Nutr Metab Cardiovasc Dis. 2015;25(4):347–53.CrossRef
12.
go back to reference Graham KG, Nasir A. Chronic Cavitary pulmonary Aspergillosis: a case report and review of the literature. Am J Case Rep. 2019;20:1220–4.CrossRef Graham KG, Nasir A. Chronic Cavitary pulmonary Aspergillosis: a case report and review of the literature. Am J Case Rep. 2019;20:1220–4.CrossRef
13.
go back to reference Yagi K, Ushikubo M, Maeshima A, Konishi M, Fujimoto K, Tsukamoto M, Araki K, Kamei K, Oyamada Y, Oshima H. Invasive pulmonary aspergillosis due to Aspergillus lentulus in an adult patient: a case report and literature review. J Infect Chemother. 2019;25(7):547–51.CrossRef Yagi K, Ushikubo M, Maeshima A, Konishi M, Fujimoto K, Tsukamoto M, Araki K, Kamei K, Oyamada Y, Oshima H. Invasive pulmonary aspergillosis due to Aspergillus lentulus in an adult patient: a case report and literature review. J Infect Chemother. 2019;25(7):547–51.CrossRef
14.
go back to reference Maskey-Warzęchowska M, Nejman-Gryz P, Osinka K, Lis P, Malesa K, Górska K, Krenke R. Acute response to cigarette smoking assessed in exhaled breath condensate in patients with chronic obstructive pulmonary disease and healthy smokers. Adv Exp Med Biol. 2017;944:73–80.CrossRef Maskey-Warzęchowska M, Nejman-Gryz P, Osinka K, Lis P, Malesa K, Górska K, Krenke R. Acute response to cigarette smoking assessed in exhaled breath condensate in patients with chronic obstructive pulmonary disease and healthy smokers. Adv Exp Med Biol. 2017;944:73–80.CrossRef
Metadata
Title
Madelung’s disease and pulmonary aspergillosis: a case report and literature review
Authors
Weijiang Ma
Xilong Zhao
Xu Li
Chenxi Zang
Limin Yang
Yan Wang
Xin Liu
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2020
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/s13019-020-01166-3

Other articles of this Issue 1/2020

Journal of Cardiothoracic Surgery 1/2020 Go to the issue