Presentation
Posterior interscapular swelling, likely lipoma.
Patient Data
Age: 17 years
From the case:
Buffalo hump
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Non capsulated cevicodorsal subcutaneous fat proliferation.
Case Discussion
A Buffalo hump represents abnormal subcutaneous fat accumulation in the cervicodorsal region.
Buffalo hump may be caused by:
- endogenous or exogenous steroid excess (Cushing's, adrenal or pituitary tumors)
- protease inhibitor in antiretoviral therapy in HIV patients
- obesity
- madelung disease (multiple symmetrical lipomatosis) which is often associated with excess alcohol uptake
Removal of the offending cause may lead to resolution even without liposuction
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