Dercum disease, also referred to as Adiposis Dolorosa, is identifiable by the growth of benign, fatty tumours called lipomas. In most cases, these tumours are soft, painful and small, although lipomas associated with Dercum disease can sometimes grow quite large and reach weights of 5 kilograms when removed.
Dercum disease is most frequently seen in women between 40 and 60, with the tumours mainly developing just under the skin of the arms, legs and torso.
Research has suggested that there may be a hereditary link associated with the disease, with strong indications of the easy passage from mother to daughter, but on the whole, the causes remain unclear.
However, there does appear to be a positive link between Dercum disease and obesity. The contributory factor is suspected to be the pain experienced, which restricts movement and fosters a lack of exercise. The pain caused by the fatty lumps pressing upon nerves can be very severe, even when the sufferer is resting.
Several other symptoms can occur, which on the face of it may appear to be totally unconnected to lipoma being present. These symptoms can range from:
- Depression
- Confusion
- Forgetfulness
- Lack of concentration
- Stiffness
- Numbness
- Headaches
- Sensitive skin
- Bruising easily
- Feeling hot
Detailed discussion with the patient is the main method of diagnosis, together with tests to eliminate chances of other conditions. Treatment usually involves reducing the pain involved by using analgesic drugs, or in some cases, surgical removal, although tumours sometimes reappear.
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