Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Benign Symmetric Lipomatosis Associated with Alcoholism
Akiko HiroseYosuke OkadaEmiko MoritaYoshiya Tanaka
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JOURNAL OPEN ACCESS

2006 Volume 45 Issue 17 Pages 1001-1005

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Abstract

A 46-year-old man was diagnosed as having benign symmetric lipomatosis (BSL) based on the grotesque physical examination findings and subcutaneous fat tissue biopsy. Although markedly overweight, the glucose tolerance was normal and insulin levels indicated no remarkable insulin resistance on the 75 g oral glucose tolerance test. Furthermore his visceral fat tissue was very slight and the circulating adiponectin concentration was high those which suggesting a high insulin sensitivity. In addition, the relevance of alcohol in the onset of BSL is strongly suggested based on alcoholic hepatopathy and the history of the development of grotesque physical appearance associated with increased alcohol consumption.

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© 2006 by The Japanese Society of Internal Medicine
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