HIV Lipodystrophy: Review of the Syndrome and Report of a Case Treated with Liposuction

Dermatologic Surgery

Back to Choose a Journal

Back to List of Articles
2001 Abstract

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: 11359503Comment in:

Dermatol Surg. 2001 Jun;27(6):610.

Department of Dermatology, Tulane University School of Medicine, New Orleans,
Louisiana, USA.

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.

To increase awareness of this syndrome among dermatologists and dermatologic surgeons and to review its various treatment options, including liposuction.

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.

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.

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