“…Type I is characterized by fat masses around the neck, the upper back, the shoulders and upper arms, giving a pseudo-athletic appearance. In Madelung's type II, the fatty deposits re-diff usely distributed over the entire body surface, resembling simple obesity [10]. Our patient presented with the characteristic physical features of Madelung's disease type I. Madelung's disease is associated with metabolic and endocrine disturbances including impaired glucose tolerance, excessive secretion of insulin, insulin resistance, hyperuricaemia, renal tubular acidosis, alteration in liver enzyme levels, hypercholesterolemia, and abnormal function of thyroid, adrenal glands, hypophysis and testicles [11].…”