0105-497 Chastain
Chastain MA, Chastain JB, Coleman WP.
HIV lipodystrophy: review of the syndrome and report of a case treated with
liposuction. Dermatol Surg. 2001 May;27(5):497-500. PMID: 11359503
Comment in:
Dermatol Surg. 2001 Jun;27(6):610.
Department of Dermatology, Tulane University School of Medicine, New Orleans,
Louisiana, USA. mchastain@pol.net
BACKGROUND: A syndrome characterized by loss of fat on the face and limbs,
localized fatty deposits on the trunk, and metabolic disturbances is becoming
increasingly recognized in the human immunodeficiency virus (HIV) patient
population. OBJECTIVE: To increase awareness of this syndrome among
dermatologists and dermatologic surgeons and to review its various treatment
options, including liposuction. METHODS: We present a patient with HIV
lipodystrophy syndrome who underwent tumescent liposuction. We also describe our
experience with liposuction in the management of this condition and review the
treatment options that have been proposed in the literature. RESULTS: In the
medical management of HIV lipodystrophy, various agents have been utilized but
most have yielded disappointing results. Preliminary evidence on the use of
tumescent liposuction in these patients suggests that significant improvement in
the cosmetic disfigurement can be achieved. CONCLUSION: This syndrome is common
among HIV-infected patients and remains difficult to treat. Although medical
therapy may be preferable in most patients, liposuction represents a viable
option in selected individuals.
Publication Types:
Case Reports
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