Biomaterial Database

Adiposis dolorosa of scalp presenting with severe headache: an unusual case. 2010

Juhi Kawale, and Amit Mahore, and Nitin Dange, and Kalpesh Bhoyar

Department of Medicine, King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College, Parel, Mumbai, India.

A 46-year-old female, known case of adiposis dolorosa since adolescence, noticed painful thickening of scalp in bilateral parieto-occipital areas and vertex 1 year back. Six weeks prior to the presentation to our service, she developed severe occipital headache refractory to drug treatment. She improved after bilateral greater occipital nerve blocks. She was subjected to bilateral greater occipital chemical neurolysis which has given her complete pain relief.

UI	MeSH Term	Description	Entries
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D009437	Neuralgia	Intense or aching pain that occurs along the course or distribution of a peripheral or cranial nerve.	Nerve Pain,Neurodynia,Paroxysmal Nerve Pain,Neuralgia, Atypical,Neuralgia, Iliohypogastric Nerve,Neuralgia, Ilioinguinal,Neuralgia, Perineal,Neuralgia, Stump,Neuralgia, Supraorbital,Neuralgia, Vidian,Neuropathic Pain,Atypical Neuralgia,Atypical Neuralgias,Iliohypogastric Nerve Neuralgia,Iliohypogastric Nerve Neuralgias,Ilioinguinal Neuralgia,Ilioinguinal Neuralgias,Nerve Neuralgia, Iliohypogastric,Nerve Neuralgias, Iliohypogastric,Nerve Pain, Paroxysmal,Nerve Pains,Nerve Pains, Paroxysmal,Neuralgias,Neuralgias, Atypical,Neuralgias, Iliohypogastric Nerve,Neuralgias, Ilioinguinal,Neuralgias, Perineal,Neuralgias, Stump,Neuralgias, Supraorbital,Neuralgias, Vidian,Neurodynias,Neuropathic Pains,Pain, Nerve,Pain, Neuropathic,Pain, Paroxysmal Nerve,Pains, Nerve,Pains, Neuropathic,Pains, Paroxysmal Nerve,Paroxysmal Nerve Pains,Perineal Neuralgia,Perineal Neuralgias,Stump Neuralgia,Stump Neuralgias,Supraorbital Neuralgia,Supraorbital Neuralgias,Vidian Neuralgia,Vidian Neuralgias
D003937	Diagnosis, Differential	Determination of which one of two or more diseases or conditions a patient is suffering from by systematically comparing and contrasting results of diagnostic measures.	Diagnoses, Differential,Differential Diagnoses,Differential Diagnosis
D005260	Female		Females
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000274	Adiposis Dolorosa	A rare disease characterized by multiple tumor-like fatty deposits that press on nerves in various sites causing pain and weakness. Often these lipoma-like structures are located on the trunk and limbs but not on the face and hands.	Dercum's Disease,Adiposalgia,Adipose Tissue Rheumatism,Ander's Syndrome,Anders Syndrome,Decum-Vitaut Syndrome,Dercum Disease,Lipomatosis Dolorosa,Morbus Dercum,Adiposalgias,Adipose Tissue Rheumatisms,Ander Syndrome,Anders Syndromes,Decum Vitaut Syndrome,Dercum, Morbus,Dercums Disease,Dercums, Morbus,Disease, Dercum,Disease, Dercum's,Dolorosa, Lipomatosis,Dolorosas, Lipomatosis,Lipomatosis Dolorosas,Morbus Dercums,Rheumatism, Adipose Tissue,Rheumatisms, Adipose Tissue,Syndrome, Ander's,Syndrome, Anders,Syndrome, Decum-Vitaut,Syndromes, Anders,Tissue Rheumatism, Adipose,Tissue Rheumatisms, Adipose
D012535	Scalp	The outer covering of the calvaria. It is composed of several layers: SKIN; subcutaneous connective tissue; the occipitofrontal muscle which includes the tendinous galea aponeurotica; loose connective tissue; and the pericranium (the PERIOSTEUM of the SKULL).	Scalps
D013127	Spinal Nerves	The 31 paired peripheral nerves formed by the union of the dorsal and ventral spinal roots from each spinal cord segment. The spinal nerve plexuses and the spinal roots are also included.	Nerve, Spinal,Nerves, Spinal,Spinal Nerve
D020773	Headache Disorders	Various conditions with the symptom of HEADACHE. Headache disorders are classified into major groups, such as PRIMARY HEADACHE DISORDERS (based on characteristics of their headache symptoms) and SECONDARY HEADACHE DISORDERS (based on their etiologies). (International Classification of Headache Disorders, 2nd ed. Cephalalgia 2004: suppl 1)	Cephalgia Syndromes,Chronic Headache,Chronic Daily Headache,Headache Syndromes,Headache, Intractable,Cephalgia Syndrome,Chronic Daily Headaches,Chronic Headaches,Daily Headache, Chronic,Daily Headaches, Chronic,Headache Disorder,Headache Syndrome,Headache, Chronic,Headache, Chronic Daily,Headaches, Chronic,Headaches, Chronic Daily,Headaches, Intractable,Intractable Headache,Intractable Headaches,Syndrome, Headache