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Correspondence
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Volume 340:969-970 March 25, 1999 Number 12
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Fat Distribution in AIDS

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 by Carr, A.
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To the Editor: In the descriptions in the Images in Clinical Medicine (Oct. 29 issue)1,2 of two patients with buffalo hump and infection with the human immunodeficiency virus (HIV) who were receiving antiretroviral therapy, the authors suggest a connection between these conditions. The general appearance of the patient described by Aboulafia and Bundow closely resembles that of patients with multiple symmetric lipomatosis. This rare condition affects middle-aged men and women. In this disease, unencapsulated lipomas appear in the subcutaneous and deep-neck fat, infrequently causing syncope or breathing difficulties by compression of neurovascular structures and the trachea. Computed tomography might reveal . . . [Full Text of this Article]

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