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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Our patient was a 58-year-old man with a history of type 1 diabetes and kidney transplant&#46; He was referred for evaluation of multiple asymptomatic tumors that had started to appear during his second decade of life&#46; He described similar lesions in his father and daughter&#46; Physical examination revealed more than 100 well-defined&#44; mobile subcutaneous nodules with a rubbery consistency&#46; The lesions measured 1 to 6<span class="elsevierStyleHsp" style=""></span>cm in diameter and were widely distributed except on the head&#44; neck&#44; and shoulders &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>&#41;&#46; After ultrasound confirmation&#44; a diagnosis of familial multiple lipomatosis &#40;FML&#41; was made&#46; FML is a rare disease with autosomal dominant inheritance but&#44; in contrast to solitary lipomas&#44; gene <span class="elsevierStyleItalic">HMGA2</span> &#40;12q15&#41; is not implicated&#59; nor are genes <span class="elsevierStyleItalic">NF1</span> &#40;neurofibromatosis&#41;&#44; <span class="elsevierStyleItalic">SPRED<span class="elsevierStyleHsp" style=""></span>1</span> &#40;Legius syndrome&#41;&#44; or <span class="elsevierStyleItalic">PTEN</span> &#40;Cowden syndrome&#41; involved&#46; There is no association with other diseases&#44; though isolated reports have been published of cases in families with hyperlipidemia or celiac disease&#46; The differential diagnosis should include other diffuse lipomatoses&#44; such as Madelung disease&#44; in which the lesions predominate on the neck and shoulders&#44; lipomatosis related to high alcohol intake&#44; and Dercum disease&#44; with painful accumulations of adipose tissue particularly in the legs of perimenopausal women&#46; FML is completely benign&#44; and there have been no reports of malignant degeneration&#46; No treatment is required&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>"
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Images in Dermatology
Subcutaneous Nodules in a Kidney Transplant Recipient: Familial Multiple Lipomatosis
Nódulos subcutáneos en paciente trasplantado renal: lipomatosis familiar múltiple
M. Prieto-Barrios
Autor para correspondencia
martaprietobarrios@gmail.com

Corresponding author.
, V. Velasco-Tamariz, S. Burillo-Martínez
Departamento de Dermatología, Hospital Universitario 12 de Octubre, Madrid, Spain
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