Madelung's disease: A benign symmetric lipomatosis

A 38-year-old male presented to the dermatology out-patient department of S.C.B. Medical College and Hospital, Cuttack, Odisha, with complaints of painless, slowly progressive, disfiguring swellings over his shoulders, arms and upper trunk since childhood.Massive deposition of fat becomes cosmetically deforming in the parotid region ("hamster cheeks"), cervical region ("horse collar") and posterior neck ("buffalo humps"), giving the patient a "pseudo-athletic appearance."Type 2 affects both men and women, producing an exaggerated female fat tissue distribution in the upper back, deltoid region, upper arms, hips and the upper thigh regions.