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Membranous lipodystrophy-like changes in ischemic necrosis of the legs

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Summary

Subcutaneous fat from 3 patients with ischemic necrosis of the legs due to arteriosclerotic obstruction were examined histologically and ultrastructurally. Markedly convoluted membranocystic changes were found in all 3 cases. The light and electron microscopic findings of the membranocystic lesions are very similar to those of fat tissue changes in membranous lipodystrophy. Bone lesions and mental disturbance which suggest membranous lipodystrophy, however, were absent in these cases. It is concluded from these results that the membranocystic changes characteristic of membranous lipodystrophy can be produced by circulatory disturbance and the lesions are one of the non-specific changes of adipose tissue.

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References

  • Abrikossoff A (1929) Über das Schicksal der spontan auftretenden Fettgranulome (lipophagen Granulome). Verh Dtsch Ges Pathol 24:57–64

    Google Scholar 

  • Akai M, Tateishi A, Cheng CH, Morii K, Abe M, Ohno T, Ben M (1977) Membranous lipodystrophy. A clinicopathological study of six cases. J Bone Joint Surg 59(Am):802–809

    Google Scholar 

  • Arnold HL (1956) Lupus erythematosus profundus. AMA Arch Dermatol 73:15–32

    Google Scholar 

  • Hakola HPA, Järvi OH, Sourander P (1970) Osteodysplasia polycystica hereditaria combined with sclerosing leukoencephalopathy. Acta Neurol Scand (Suppl) 43:79–80

    Google Scholar 

  • Hakola HPA (1972) Neuropsychiatric and genetic aspects of a new herediatary disease characterized by progressive dementia and lipomembranous polycystic osteodysplasia. Acta Neuropsych Scand (Suppl) 232:1–175

    Google Scholar 

  • Horie K (1954) Histologic studies on lipogranuloma. Keio J Med 3:215–225

    Google Scholar 

  • Järvi OH, Hakola HPA, Lauttamus LL (1968) Cystic capillary-necrotic osteodysplasia: A systemic bone disease probably caused by arteriolar and capillary necrosis: Relation to brain affections. Abstr. VII International Congress of International Academy of Pathology. Milan pp 291–292

    Google Scholar 

  • Järvi OH (1970) A new entity of phacomatosis: A. Bone lesions (hereditary polycystic osteodysplasia). Acta Pathol Microbiol Scand (Suppl) 215:27

    Google Scholar 

  • Machinami R (1982) Membranous lipodystrophy-like change of the subcutaneous fat tissue in ischemic necrosis of the limb. Abstr XIV International Congress of International Academy of Pathology. Sydney p 125

    Google Scholar 

  • Nasu T, Tsukahara Y, Terayama K (1973) A lipid metabolic disease — “membranous lipodystrophy” — An autopsy case demonstrating numerous peculiar membrane-structures compoed of compound lipid in bone marrow and various adipose tissues. Acta Pathol Jpn 23:539–558

    Google Scholar 

  • Nasu T (1978) Pathology of membranous lipodystrophy (in Japanese). Tr Soc Pathol Jpn 67:57–98

    Google Scholar 

  • Rutishauser E, Rohner A, Held D (1960) Experimentelle Untersuchungen äber die Wirkung der Ischämie auf den Knochen und das Mark. Virchows Arch [Pathol Anat] 333:101–118

    Google Scholar 

  • Shimamine T (1976) Chronic bone marrow failure (in Japanese). Tr Soc Pathol Jpn 65:27–60

    Google Scholar 

  • Sourander P (1970) A new entity of phacomatosis: B. Brain lesions (sclerosing leucoencephalopathy). Acta Pathol Microbiol Scand (Suppl) 215:44

    Google Scholar 

  • Wood C (1978) Membranous lipodystrophy of bone. Arch Pathol Lab Med 102:22–27

    Google Scholar 

  • Yagishita S, Ito Y, Ikezaki R (1976) Lipomembranous polycystic osteodysplasia. Virchows Arch [Pathol Anat] 372:245–251

    Google Scholar 

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Supported by a grant-in-aid for Scientific Research, 1981 and 1982, from the Ministry of Education, Science and Culture, Japanese Government

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Machinami, R. Membranous lipodystrophy-like changes in ischemic necrosis of the legs. Vichows Archiv A Pathol Anat 399, 191–205 (1983). https://doi.org/10.1007/BF00619579

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