Case Report A ‘‘Google Image’ ’ diagnosis of Madelung’s disease

Given the rare nature of Madelung’s disease many clinicians will not have seen a patient with it and will not be able to recognise them: subsequently a diagnosis is unlikely to be made. Keywords rare disease, lipomatosis, Google image, fat tissue Madelung’s disease is a rare condition which is char-acterized with large symmetrical accumulation of noncapsulated fat tissue in the face and neck (buffalo hump), trunk and rarely in the upper and lower limbs (pseudoathletic). Aetiology is unknown and may lead to great dis-advantages emotionally and even socially; further studies are needed to characterize the pathogenesis and histologic findings of this rare adverse event