Adiposis dolorosa, also known as Dercum's disease, is a rare and chronic condition characterized by the development of painful fatty deposits in various parts of the body. These fatty deposits, known as lipomas, are typically found in the subcutaneous tissue, which is the layer of fat just beneath the skin. The exact cause of adiposis dolorosa is unknown, and it predominantly affects middle-aged women, although men can also be affected.
Painful Lipomas: The hallmark symptom of adiposis dolorosa is the presence of painful lipomas. These lipomas can vary in size and number, ranging from small pea-sized nodules to larger masses. The pain associated with these lipomas can be severe and debilitating, often described as aching, burning, or throbbing. The pain may worsen with physical activity or pressure on the affected area.
Generalized Fat Distribution: Adiposis dolorosa typically involves the symmetric distribution of lipomas throughout the body. The most commonly affected areas include the arms, legs, trunk, and buttocks. However, lipomas can also develop in less common areas such as the face, scalp, hands, and feet. The widespread distribution of lipomas contributes to the chronic and widespread pain experienced by individuals with adiposis dolorosa.
Weight Gain and Obesity: Many individuals with adiposis dolorosa experience unexplained weight gain and obesity. This weight gain is not solely due to the presence of lipomas but may be associated with metabolic abnormalities and hormonal imbalances. The excessive weight can further exacerbate the pain and discomfort associated with the condition.
Neurological Symptoms: In addition to the painful lipomas, individuals with adiposis dolorosa may also experience various neurological symptoms. These can include tingling or numbness in the affected areas, shooting or burning pain, and hypersensitivity to touch. Some individuals may also develop cognitive impairments, such as difficulty concentrating or memory problems.
Psychological Distress: Living with adiposis dolorosa can have a significant impact on an individual's mental well-being. The chronic pain, physical limitations, and changes in appearance can lead to psychological distress, including depression, anxiety, and social isolation. It is important for individuals with adiposis dolorosa to receive emotional support and appropriate mental health care.
Other Associated Symptoms: Adiposis dolorosa is often accompanied by various other symptoms, although these can vary among individuals. Some individuals may experience fatigue, sleep disturbances, gastrointestinal issues, such as bloating or constipation, and changes in appetite. These additional symptoms can further contribute to the overall burden of the condition.
It is important to note that the symptoms of adiposis dolorosa can vary widely among individuals. Some individuals may have mild symptoms and minimal pain, while others may experience severe pain and significant functional impairment. The condition is often chronic and progressive, with symptoms worsening over time.
If you suspect you may have adiposis dolorosa or are experiencing any of the symptoms mentioned, it is crucial to consult with a healthcare professional for an accurate diagnosis and appropriate management plan.