Although an Endocrinologist by training, I have always been interested in fat - why do daughters have fat just where their mothers do, and why do men develop large abdomens and skinny arms and legs as they age.  While training at the University of Washington in Seattle, I was introduced to patients with familial partial lipodystrophy and Madelung's disease (multiple symmetric lipomatosis; MSL).  I was fortunate to work with one patient with MSL in Los Angeles and have come to know more as I continue working in San Diego.  While conversing with the owner of the "About Madelung's Disease" website, she told me to look into Dercum's Disease (adiposa dolorosa; AD).  Since that time, I have seen many people with AD,  familial multiple lipomatosis (FML) and Madelung's disease from all over the world.  While much research remains unpublished, I want to share my understanding of these disorders and provider suggestions for treatment so that you and your healthcare provider can help you live a better life.

  

I wish you health and pain-free days.

SIncerely,

Karen Herbst