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25.558H8.75V11.23H4.336v14.328zM27.188 0H2.167C.97 0 0 .991 0 2.215v25.57C0 29.01.97 30 2.167 30h25.02c1.198 0 2.168-.991 2.168-2.215V2.215C29.355.99 28.385 0 27.188 0z" mask="url(#linkedin_b)"></path></g></svg></span></a><a class="ymkqeb-6 eSleFW" href="https://twitter.com/intent/tweet?url=https://tcs-mymed.ch/fr/maladies_et_symptomes/diseases/393&text=Lipomatosis dolorosa+&hashtags=" target="_blank"><span class="sc-138090s-0 liCewX"><svg xmlns="http://www.w3.org/2000/svg" width="41" height="30" viewBox="0 0 41 30"><g fill="none" fill-rule="evenodd"><path fill="currentColor" d="M12.385 30c14.861 0 22.988-11.54 22.988-21.548 0-.328-.007-.654-.023-.98a15.906 15.906 0 0 0 4.03-3.92 16.976 16.976 0 0 1-4.64 1.192c1.669-.937 2.95-2.421 3.553-4.19a16.862 16.862 0 0 1-5.13 1.839C31.69.92 29.59 0 27.266 0c-4.463 0-8.081 3.392-8.081 7.573 0 .594.07 1.172.21 1.727C12.68 8.983 6.724 5.97 2.74 1.387a7.19 7.19 0 0 0-1.094 3.806c0 2.628 1.426 4.948 3.595 6.305a8.432 8.432 0 0 1-3.66-.948l-.001.097c0 3.668 2.785 6.73 6.482 7.424a8.612 8.612 0 0 1-3.649.13c1.029 3.009 4.011 5.199 7.548 5.26-2.766 2.032-6.25 3.242-10.035 3.242A17.52 17.52 0 0 1 0 26.598C3.576 28.746 7.821 30 12.385 30"></path></g></svg></span></a></div></div><hr class="d5c7y9-0 jAAhhm"/></div></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 cpBNPQ"><h3>Definition</h3><p>Unter einer Lipomatose versteht man eine diffuse Zunahme des Fettgewebes an bestimmten Körperstellen. Drei Krankheitsbilder werden unter diesem Oberbegriff zusammengefasst:</p> <br> <ul> <li>die benigne (gutartige) symmetrische Lipomatose Launois-Bensaude, siehe detailliertes Krankheitsbild</li> <li>die familiäre multiple Lipomatose, siehe detailliertes Krankheitsbild </li> <li>die Lipomatosis dolorosa, Morbus Dercum <br></li> </ul> <p>Alle diese Krankheitsbilder sind sehr selten und das medizinische Wissen über die Ursachen und die Behandlung noch unvollständig.</p> <br> <br> <p>Die Lipomatosis doloroasa ist definiert durch ein generalisiertes Übergewicht beziehungsweise. eine Fettleibigkeit in Verbindung mit chronischen, d. h. mindestens 3 Monate andauernd, Schmerzen im Fettgewebe. Betroffen sind vorwiegend Beine und Arme, der Rumpf, die Beckenregion und das Gesäss. Der Morbus Dercum tritt in der Regel zwischen dem 35. und 50 Lebensjahr auf, wobei Frauen ganz überwiegend betroffen sind. </p> <br></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 cpBNPQ"><h3>Ursachen</h3><p>Die genaue Ursache der Krankheit Lipomatosis doloroasa ist nicht bekannt. Diskutiert werden Hormonstörungen, Druck des Fettgewebes auf Nervenfasern, Funktionsstörungen des Fettgewebes und chronische Entzündungsprozesse. Überzeugende Belege für eine dieser Theorien existieren jedoch nicht. </p></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 cpBNPQ"><h3>Symptome (Beschwerden)</h3><p>Die Patienten mit Lipomatosis doloroasa berichten über anhaltende Schmerzen und vermehrte Berührungsempfindlichkeit im vermehrten Fettgewebe, welches nicht auf diätetische Massnahmen anspricht. Je nach Ausdehnung von Fettgewebevermehrung und Schmerzen unterscheidet man 4 Formen des Morbus Dercum:</p> <br> <br> <ul> <li>1. generalisierte diffuse Form: ausgedehnt vermehrtes und schmerzhaftes Fettgewebe ohne abgrenzbare Tumore (Lipome) </li> </ul> <ul> <li>2. generalisierte knotige Form: ausgedehnt vermehrtes und schmerzhaftes Fettgewebe mit Schmerzverstärkung im Bereich zahlreicher Fettgewebetumoren (Lipome) </li> </ul> <ul> <li>3. Lokalisierte knotige Form: Schmerzen nur im Bereich zahlreicher Lipome </li> </ul> <ul> <li>4. Juxta-artikuläre Form: umschriebene schmerzhafte Fettansammlungen z. B. im Bereich der Innenseite des Kniegelenkes.</li> </ul> <br> <p> </p></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 cpBNPQ"><h3>Diagnose (Untersuchung)</h3><p>Die Diagnose einer Lipomatosis doloroasa wird aufgrund der Patientenangaben sowie einer vollständigen körperlichen Untersuchung durch einen mit diesem Krankheitsbild vertrauten Arzt gestellt. Weitere Massnahmen sind in der Regel nicht erforderlich. Unter anderem müssen ein Lipödem, eine Fibromyalgie und eine benigne symmetrische Lipomatose ausgeschlossen werden.</p></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 cpBNPQ"><h3>Therapie (Behandlung)</h3><p>Eine allgemein anerkannte Therapie bei Lipomatosis doloroasa existiert nicht. In den meisten Fällen wird zur operativen Entfernung des überschüssigen Fettgewebes (Lipektomie) oder zur Fettabsaugung (Liposuktion) geraten. Die Ergebnisse sind zunächst ermutigend. Leider kehren die Schmerzen in den meisten Fällen nach einer gewissen Zeit wieder auf. Traditionelle Schmerzmittel haben zumeist keinen Effekt. Über positive Ergebnisse mit lokal wirksamen Betäubungsmitteln (z. B. Novocain, Lidocain) wird berichtet, die entweder in das Fettgewebe oder in eine Vene gespritzt bzw. infundiert werden. Auch Cortison wurde erfolgreich eingesetzt. </p></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 cpBNPQ"><h3>Mögliche Komplikationen</h3><p>Lipomatosis doloroasa kann durch extreme Fettgewebsvermehrung zu Bewegungseinschränkungen sowie zu Gelenkproblemen führen. Überzufällig häufig leiden die Betroffenen an Schlafstörungen, Beeinträchtigungen des Gedächtnisses und der Konzentration, Angstzuständen und Depressionen. Auch ein schneller Herzschlag, Atemnot, Zuckerkrankheit, ausgeprägte Schwäche sowie Muskelschmerzen wurden beschrieben.</p></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 cpBNPQ"><h3>Vorbeugemassnahmen (Präventionsmassnahmen)</h3><p>Geeignete Präventionsmassnahmen existieren nicht. 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Frauen sind häufig betroffen.","locale":"fr","ogType":"article","title":"Lipomatosis dolorosa (Morbus Dercum)","url":"https://tcs-mymed.ch/fr/maladies_et_symptomes/diseases/393"},"author":"superuser","link":"https://www.sprechzimmer.ch/Krankheitsbilder/Lipomatosis_dolorosa.html","description":"","language":"fr","canonical":"https://www.sprechzimmer.ch/Krankheitsbilder/Lipomatosis_dolorosa.html","title":"Lipomatosis dolorosa","favIcons":[{},{},{},{},{},{},{},{},{},{},{},{}],"tracking":"GTM-5KH4GW"}},{"type":"Area","children":[{"type":"Pe001Header","props":{"staticLogo":false,"disableHamburger":false,"logoText":"TCS MyMed","search":{"endpoint":"/fr/search-fr","inline":true,"query":"","placeholder":"Rechercher un article"},"languageSwitcher":{"current":"FR","options":[{"code":"de","languageLink":{"type":"Anchor","props":{"text":"DE","href":"/krankheiten_und_symptome/diseases/393"}}},{"code":"it","languageLink":{"type":"Anchor","props":{"text":"IT","href":"/it/malattie_e_sintomi/diseases/393"}}}]},"homeLink":{"type":"Anchor","props":{"targetType":"internal","text":"Home","href":"/fr/"}},"closeText":"Fermer","logo":{"type":"Image","props":{"src":"/.imaging/focus/dam/Grundlagen/TCS-Jubi-Logo-rgb.png?x=50\u0026y=50","loadingIndicator":false,"alt":"TCS MyMed","ratio":"0.0"}},"links":[{"type":"Anchor","props":{"href":"/fr/medecine_du_voyage","text":"Médecine du voyage"}},{"type":"Anchor","props":{"href":"/fr/medecine_d_urgence","text":"Médecine d’urgence"}},{"type":"Anchor","props":{"href":"/fr/maladies_et_symptomes","text":"Maladies \u0026 symptômes"}},{"type":"Anchor","props":{"href":"/fr/traitement","text":"Traitement"}},{"type":"Anchor","props":{"href":"/fr/mobilite","text":"Mobilité"}},{"type":"Anchor","props":{"href":"/fr/gynecologie","text":"Gynécologie"}},{"type":"Anchor","props":{"href":"/fr/informations-voyage","text":"Informations de voyage"}},{"type":"Anchor","props":{"href":"/fr/prestations_et_produits","text":"Prestations \u0026 produits"}},{"type":"Anchor","props":{"href":"/fr/anatomie-et-organes","text":"Anatomie et organes"}},{"type":"Anchor","props":{"href":"/fr/videos-et-fiches-medicales","text":"Vidéos et fiches médicales"}}],"canvasOpacity":"100","hamburger":{"text":"Thèmes","shortText":"Thèmes"}}}]},{"type":"Area","children":[{"type":"Pe004ArticleHeader","props":{"date":"","imageDescription":"","noheader":false,"categories":["Maladies \u0026 symptômes"],"shareIcons":[{"iconId":"email","link":{"type":"Anchor","props":{"targetType":"external","href":"mailto:?subject=Lipomatosis dolorosa\u0026body=https://tcs-mymed.ch/fr/maladies_et_symptomes/diseases/393"}}},{"iconId":"whatsapp","link":{"type":"Anchor","props":{"targetType":"external","href":"https://api.whatsapp.com/send?text=Lipomatosis dolorosa+%0D%0Ahttps://tcs-mymed.ch/fr/maladies_et_symptomes/diseases/393"}}},{"iconId":"facebook","link":{"type":"Anchor","props":{"targetType":"external","href":"http://www.facebook.com/sharer.php?u=https://tcs-mymed.ch/fr/maladies_et_symptomes/diseases/393"}}},{"iconId":"linkedin","link":{"type":"Anchor","props":{"targetType":"external","href":"https://www.linkedin.com/shareArticle?mini=true\u0026url=https://tcs-mymed.ch/fr/maladies_et_symptomes/diseases/393\u0026title=Lipomatosis dolorosa\u0026summary=\u0026source=COMPO"}}},{"iconId":"twitter","link":{"type":"Anchor","props":{"targetType":"external","href":"https://twitter.com/intent/tweet?url=https://tcs-mymed.ch/fr/maladies_et_symptomes/diseases/393\u0026text=Lipomatosis dolorosa+\u0026hashtags="}}}],"source":"Auteur: Mediscope","tags":[]},"children":[{"type":"Headline","props":{"type":"h1","content":"Lipomatosis dolorosa (Morbus Dercum)"}}]},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eDefinition\u003c/h3\u003e\u003cp\u003eUnter einer Lipomatose versteht man eine diffuse Zunahme des Fettgewebes an bestimmten Körperstellen. Drei Krankheitsbilder werden unter diesem Oberbegriff zusammengefasst:\u003c/p\u003e\n\u003cbr\u003e\n\u003cul\u003e\n \u003cli\u003edie benigne (gutartige) symmetrische Lipomatose Launois-Bensaude, siehe detailliertes Krankheitsbild\u003c/li\u003e\n \u003cli\u003edie familiäre multiple Lipomatose, siehe detailliertes Krankheitsbild\u0026nbsp;\u003c/li\u003e\n \u003cli\u003edie Lipomatosis dolorosa, Morbus Dercum \u003cbr\u003e\u003c/li\u003e\n\u003c/ul\u003e\n\u003cp\u003eAlle diese Krankheitsbilder sind sehr selten und das medizinische Wissen über die Ursachen und die Behandlung noch unvollständig.\u003c/p\u003e\n\u003cbr\u003e\n\u003cbr\u003e\n\u003cp\u003eDie Lipomatosis doloroasa ist definiert durch ein generalisiertes Übergewicht beziehungsweise. eine Fettleibigkeit in Verbindung mit chronischen, d. h. mindestens 3 Monate andauernd, Schmerzen im Fettgewebe. Betroffen sind vorwiegend Beine und Arme, der Rumpf, die Beckenregion und das Gesäss. Der Morbus Dercum tritt in der Regel zwischen dem 35. und 50 Lebensjahr auf, wobei Frauen ganz überwiegend betroffen sind. \u003c/p\u003e\n\u003cbr\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eUrsachen\u003c/h3\u003e\u003cp\u003eDie genaue Ursache der Krankheit Lipomatosis doloroasa ist nicht bekannt. Diskutiert werden Hormonstörungen, Druck des Fettgewebes auf Nervenfasern, Funktionsstörungen des Fettgewebes und chronische Entzündungsprozesse. Überzeugende Belege für eine dieser Theorien existieren jedoch nicht. \u003c/p\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eSymptome (Beschwerden)\u003c/h3\u003e\u003cp\u003eDie Patienten mit Lipomatosis doloroasa berichten über anhaltende Schmerzen und vermehrte Berührungsempfindlichkeit im vermehrten Fettgewebe, welches nicht auf diätetische Massnahmen anspricht. Je nach Ausdehnung von Fettgewebevermehrung und Schmerzen unterscheidet man 4 Formen des Morbus Dercum:\u003c/p\u003e\n\u003cbr\u003e\n\u003cbr\u003e\n\u003cul\u003e\n \u003cli\u003e1. generalisierte diffuse Form: ausgedehnt vermehrtes und schmerzhaftes Fettgewebe ohne abgrenzbare Tumore (Lipome) \u003c/li\u003e\n\u003c/ul\u003e\n\u003cul\u003e\n \u003cli\u003e2. generalisierte knotige Form: ausgedehnt vermehrtes und schmerzhaftes Fettgewebe mit Schmerzverstärkung im Bereich zahlreicher Fettgewebetumoren (Lipome) \u003c/li\u003e\n\u003c/ul\u003e\n\u003cul\u003e\n \u003cli\u003e3. Lokalisierte knotige Form: Schmerzen nur im Bereich zahlreicher Lipome \u003c/li\u003e\n\u003c/ul\u003e\n\u003cul\u003e\n \u003cli\u003e4. Juxta-artikuläre Form: umschriebene schmerzhafte Fettansammlungen z. B. im Bereich der Innenseite des Kniegelenkes.\u003c/li\u003e\n\u003c/ul\u003e\n\u003cbr\u003e\n\u003cp\u003e \u003c/p\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eDiagnose (Untersuchung)\u003c/h3\u003e\u003cp\u003eDie Diagnose einer Lipomatosis doloroasa wird aufgrund der Patientenangaben sowie einer vollständigen körperlichen Untersuchung durch einen mit diesem Krankheitsbild vertrauten Arzt gestellt. Weitere Massnahmen sind in der Regel nicht erforderlich. Unter anderem müssen ein Lipödem, eine Fibromyalgie und eine benigne symmetrische Lipomatose ausgeschlossen werden.\u003c/p\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eTherapie (Behandlung)\u003c/h3\u003e\u003cp\u003eEine allgemein anerkannte Therapie bei Lipomatosis doloroasa existiert nicht. In den meisten Fällen wird zur operativen Entfernung des überschüssigen Fettgewebes (Lipektomie) oder zur Fettabsaugung (Liposuktion) geraten. Die Ergebnisse sind zunächst ermutigend. Leider kehren die Schmerzen in den meisten Fällen nach einer gewissen Zeit wieder auf. Traditionelle Schmerzmittel haben zumeist keinen Effekt. Über positive Ergebnisse mit lokal wirksamen Betäubungsmitteln (z. B. Novocain, Lidocain) wird berichtet, die entweder in das Fettgewebe oder in eine Vene gespritzt bzw. infundiert werden. Auch Cortison wurde erfolgreich eingesetzt. \u003c/p\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eMögliche Komplikationen\u003c/h3\u003e\u003cp\u003eLipomatosis doloroasa kann durch extreme Fettgewebsvermehrung zu Bewegungseinschränkungen sowie zu Gelenkproblemen führen. Überzufällig häufig leiden die Betroffenen an Schlafstörungen, Beeinträchtigungen des Gedächtnisses und der Konzentration, Angstzuständen und Depressionen. Auch ein schneller Herzschlag, Atemnot, Zuckerkrankheit, ausgeprägte Schwäche sowie Muskelschmerzen wurden beschrieben.\u003c/p\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eVorbeugemassnahmen (Präventionsmassnahmen)\u003c/h3\u003e\u003cp\u003eGeeignete Präventionsmassnahmen existieren nicht. Ein Übergewicht sollte allerdings vermieden werden.\u003c/p\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}}]},{"type":"Area","children":[{"type":"Wrapper","children":[{"type":"Pe009TeaserGridHeader","props":{"componentColor":{"mainColor":"#F7F2E9","secondaryColor":"#FFFFFF"},"headline":"Könnte Sie auch interessieren"}},{"type":"Pe008TeaserGrid","props":{"componentColor":{"mainColor":"#F7F2E9","secondaryColor":"#FFFFFF"},"teaserCount":3},"children":[{"type":"Teaser","props":{"date":{"type":"Text","props":{"type":"small","content":"15.09.2021"}},"image":{"type":"Image","props":{"src":"/.imaging/focus/dam/MyMed/Adobe/Adobe_Neurodermitis.jpeg","loadingIndicator":false,"alt":"Maladie auto-immune","ratio":"0.0"}},"teaserType":"default","link":{"type":"Anchor","props":{"href":"/fr/maladies_et_symptomes/systeme-immunitaire-qui-exagere-peau-qui-demange"}},"text":{"type":"Text","props":{"type":"normal","content":"Maladie auto-immune ou pas ? 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dolorosa (Morbus Dercum)"}],["meta",{"property":"og:description","content":"Die Lipomatosis doloroasa ist gekennzeichnet durch massives Übergewicht und Schmerzen im Fettgewebe vorwiegend in Beinen, Armen, Rumpf. 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