Image in medicine
Madelung's disease
Síndrome de Madelung
Sara López-García, José Ramón Vizán-Caravaca
, Elisabeth García-Cortacero
Corresponding author
Servicio de Medicina Interna, Hospital Santa Ana, Motril, Granada, Spain
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He showed no constitutional symptoms, pruritus, profuse sweating, fever and no infectious symptomatology.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Physical examination revealed a pseudoathletic build and the presence of rubbery, painless, mobile, confluent and bilateral masses in neck, nape and supraclavicular fossa of about 4–5<span class="elsevierStyleHsp" style=""></span>cm (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>), and without overlying skin alterations.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Additional tests showed GGT 87<span class="elsevierStyleHsp" style=""></span>IU/l and MCV 102.3<span class="elsevierStyleHsp" style=""></span>fl, with negative serologies, tumor markers and acute phase reactants. The X-ray showed a significant increase in soft tissue in neck and chest (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). 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