Rapidly Progressive Case of Type I Madelung Disease with Bilateral Parotid and Minor Salivary Glands Involvement.

We report a case of an obese 56 year old woman who presented with a sudden unexplained progression of swelling in the neck and upper thorax region associated by severe dyspnea. She was admitted with angioedema, and radiology images identified a bilateral adipose degeneration of the parotid and minor salivary glands. Several medical specialists were consulted regarding differential diagnoses such as Cushing's syndrome, but ultimately diagnosed Type 1 Madelung Disease. The patient will be kept under periodic observation and if any deterioration takes place, surgical intervention will be taken under consideration. Despite no previous findings of Madelung disease in our population this case presented a challenge requiring an urgent diagnosis reliant on the laboratory and imaging. PMID: 31422754 [PubMed - as supplied by publisher]
Source: British Journal of Biomedical Science - Category: Laboratory Medicine Tags: Br J Biomed Sci Source Type: research