ePlasty: Vol. 17
Corticosteroid-Associated Angiolipomatosis
Eric Clayman, MS, Kathryn King, MD, and Michael A. Harrington, MD, MPH

Division of Plastic Surgery, Department of Surgery, University of South Florida Morsani College of Medicine, Tampa, Fla


Correspondence: kathrynking2@health.usf.edu
Keywords: angiolipomatosis, angiolipoma, lipomatosis, lipoma, immunosuppression

DESCRIPTION

A 48-year-old man with a history of bilateral kidney transplant 33 years ago on long-term immunosuppression presented with 16 years of numerous subcutaneous masses on bilateral upper extremities and bilateral thighs (Fig 1a). He underwent excision of 6 of these masses, which pathology revealed as angiolipomas (Fig 1b).

Figure 1. (A) Numerous subcutaneous nodules along bilateral lower extremities; (B) Gross pathology of six removed masses.

QUESTIONS

1. What is an angiolipoma?

2. How do angiolipomas typically present?

3. What are the predisposing factors associated with the development of angiolipomatosis?

4. What is the preferred management of angiolipomatosis?

DISCUSSION

Angiolipomas are benign mesenchymal tumors composed of fat, capillaries, and .......