2013
DOI: 10.1111/pde.12071
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Two Cases of Hemihyperplasia–Multiple Lipomatosis Syndrome and Review of Asymmetric Hemihyperplasia Syndromes

Abstract: Hemihyperplasia-multiple lipomatosis syndrome (HHML) is a condition characterized by asymmetric nonprogressive overgrowth, multiple lipomas, and superficial vascular malformations. We present two cases of HHML to enhance the diagnostic acumen of dermatologists and avoid potential misdiagnosis of this rare but probably underrecognized entity. We also provide a brief review of asymmetric overgrowth syndromes, which have overlapping yet distinct clinical manifestations.

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Cited by 6 publications
(4 citation statements)
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“…Asymmetrically distributed growing regions of lipomatous tissue are seen in Proteus syndrome and hemihyperplasia-multiple lipomatosis syndrome ( 6 ). However, these conditions are often congenital and are associated with vascular malformations ( 7 ). In our patient, asymmetrically distributed non-tender lipomatosis developed around the age of 65 years; therefore, our case does not fit into either of these entities.…”
Section: Discussionmentioning
confidence: 99%
“…Asymmetrically distributed growing regions of lipomatous tissue are seen in Proteus syndrome and hemihyperplasia-multiple lipomatosis syndrome ( 6 ). However, these conditions are often congenital and are associated with vascular malformations ( 7 ). In our patient, asymmetrically distributed non-tender lipomatosis developed around the age of 65 years; therefore, our case does not fit into either of these entities.…”
Section: Discussionmentioning
confidence: 99%
“…HHML syndrome (hemihyperplasia-multiple lipomatosis syndrome) is a rare, genetic overgrowth syndrome (progressive, asymmetrical, moderate hemihyperplasia) associated with multiple, slow-growing, painless, subcutaneous lipomas distributed throughout entire body [54].…”
Section: Diagnosismentioning
confidence: 99%
“…In addition to the lipomas, vascular anomalies and connective tissue nevi are present in the various phenotype subtypes including the CLOVES and Proteus syndromes. [326][327][328][329] Facial infiltrating lipomatosis is another phenotypic expression of the PIK3CA spectrum. [330][331][332] Encephalocraniocutaneous lipomatosis not only has spinal and intracranial lipomas but aplasia cutis congenita with an associated localized lipoma.…”
Section: Adipocytic-lipomatous Tumorsmentioning
confidence: 99%