Painful fat syndrome in a male patient

Shyi Gen Chen, Shih Dar Hsu, Tim Mo Chen, Hsian-Jenn Wang

Research output: Contribution to journalArticlepeer-review

45 Citations (Scopus)


Painful fat syndrome or lipoedema is a distinct clinical condition, characterised by bilateral and symmetrical enlargement of the upper and lower leg with tenderness, but excluding the feet. Lipoedema occurs almost exclusively in females, and no male patient has been reported in the literature published in English. We report on an extremely rare presentation of lipoedema in a male patient. A thorough study based on the case history, physical manifestations, and magnetic resonance imaging (MRI) provided valuable clues for a differential diagnosis. Conservative treatment using weight reduction, compression-stocking application, and diuretic therapy was not effective. Tumescent liposuction with postoperative pressure garments provided a satisfactory treatment.

Original languageEnglish
Pages (from-to)282-286
Number of pages5
JournalBritish Journal of Plastic Surgery
Issue number3
Publication statusPublished - Jan 1 2004
Externally publishedYes


  • Lipoedema
  • Lymphoedema
  • Painful fat syndrome
  • Phleboedema
  • Tumescent liposuction

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology


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