• Title/Summary/Keyword: lipoatrophy

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Autologous Fat Transfer in Lupus Panniculitis Facial Lipoatrophy

  • Kongkunnavat, Natthapong;Prathyajuta, Jirapat;Tonaree, Warangkana
    • Archives of Plastic Surgery
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    • v.49 no.4
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    • pp.527-530
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    • 2022
  • Lupus panniculitis (LP) often presents with tender nodules and intermittent ulcers that then heal with scarring and lipoatrophy. The current mainstay of treatment is medical treatment. Research regarding the treatment of lipoatrophy from LP with autologous fat grafting is limited. We would like to share our experience in this rare case, which was treated with autologous fat transfer. A 48-year-old female presented with erythematous plaque, tender nodules, and ulcers following by a depression of the lesion at the left temporal area. The patient also had indurated erythematous plaque at her left cheek. Both lesions were aggravated by sunlight exposure. After several investigations, she was diagnosed as LP with secondary lipoatrophy and tumid lupus erythematosus at her left temporal and left cheek, respectively. She received antimalarial drug and topical steroids. The patient underwent two sessions of autologous fat transfer. She was satisfied with the volume and contour improvement in the scar following the injection of 8 and 3.7 mL of fat. Furthermore, the patient reported the remission of tender nodules and ulcers since the first fat graft injection. In conclusion, the autologous fat transfer is a simple and effective treatment for lipoatrophy and scar secondary to LP with promising results.

Two Cases of Lipoatrophy after Local Corticosteroid Injection (국소 겉질스테로이드 주사 후 발생한 지방위축증)

  • Kim, Inha;Lee, Hye Lim;Lee, Sang-Soo
    • Annals of Clinical Neurophysiology
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    • v.17 no.2
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    • pp.91-94
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    • 2015
  • The adverse effects of systemic steroid medications are well known, whereas those of local steroid injections are unclear even to clinicians. We report two cases of localized lipoatrophy and depigmentation following local steroid injection. Although the incidence of soft tissue atrophy after local steroid injection is rare, it will increase in proportion to the frequency of the procedure. All clinicians, even those who do not perform steroid injections, should be aware of the occurrence of this cosmetically disturbing adverse effect.

Acquired facial lipoatrophy: A report of 3 cases with imaging features

  • Lee, Chena;Kim, Jo-Eun;Yi, Won-Jin;Heo, Min-Suk;Lee, Sam-Sun;Han, Sang-Sun;Choi, Soon-Chul;Huh, Kyung-Hoe
    • Imaging Science in Dentistry
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    • v.50 no.3
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    • pp.255-260
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    • 2020
  • Acquired facial lipoatrophy is a rare disease with an unclear etiology and pathological pathway. The distinct causative factors of this disease have been not elucidated, but it is suspected to be associated with immune system-related diseases, most notably AIDS. Although the management of facial lipoatrophy is very important for patients' social life and mental health, no treatment framework has been developed due to the unknown nature of the disease manifestation. The present case report was designed to provide sequential imaging to visualize the disease progression. The clinical backgrounds of the patients are also introduced, helping characterize this disease entity more clearly for maxillofacial specialists.