A case of multiple symmetric lipomatosis with acute renal failure due to pulmonary thromboembolism.
- Author:
Na Ri LEE
1
;
Heung Yong JIN
;
Seoung Ju PARK
;
Il Yong YUN
;
Hyeok Jin KWON
;
Chi Young MOON
;
Won KIM
;
Sung Kwang PARK
;
Sung Kyew KANG
Author Information
1. Department of Internal Medicine, Chonbuk National University Medical School, Chonju, Korea. parksk@moak.chonbuk.ac.kr
- Publication Type:Case Report
- Keywords:
Multiple symmetric lipomatosis;
Pulmonary thromboembolism;
Acute renal failure
- MeSH:
Acidosis, Renal Tubular;
Acute Kidney Injury*;
Adipose Tissue;
Alcohol Drinking;
Dehydration;
Dyspnea;
Fluid Therapy;
Glucose;
Hemodynamics;
Hyperlipidemias;
Hyperuricemia;
Lipomatosis, Multiple Symmetrical*;
Neck;
Pulmonary Embolism*;
Rare Diseases;
Thyroid Gland;
Warfarin
- From:Korean Journal of Medicine
2002;62(5):575-580
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Multiple symmetric lipomatosis (MSL) is a rare disease characterized by the presence of diffuse, non-tender, symmetric deposits of adipose tissue on the neck, back and upper part of the trunk. It has been reported that this disease could be associated with various metabolic abnormalities such as impaired glucose tolerance, hyperuricemia, alcohol consumption, type 4 hyperlipidemia, renal tubular acidosis and thyroid disorder. We present a case of type 2 MSL with pulmonary thromboembolism. He suffered sudden dyspnea and decreased urine output. The causes of dyspnea and acute renal failure (ARF) in this case were dehydration and hemodynamic disturbance due to pulmonary thromboembolism. After thrombolytic and fluid therapy, his condition was improved. He was discharged on warfarin medication and has remained asymptomatic for 12 months.
