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Maxime Chattam Autre Monde Epub Gratuit

Maxime Chattam Autre Monde Epub Gratuit

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Maxime Chattam Autre Monde Epub Gratuit

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Maxime Chattam Autre Monde Epub Gratuit
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Sousfigure de l’édition anglaise en format txt (epub) et pdf (mobi)… Maxime Chattam Autre-monde Avis, Tome 1 16 Jolie :- le monde amour.Introduction {#sec1-1}
============

Lipodystrophy is a condition of fatty degeneration of subcutaneous adipose tissue with an unknown cause. We report a case of lipodystrophy associated with morphometric changes, observed in non-limb regions.

Case Report {#sec1-2}
===========

A 58-year-old man, born in India with normal development and without history of any systemic illness, was referred from the dental clinic with a complaint of irregular skin. On examination, the patient had obesity with a body mass index of 32, there were multiple prominent facial and neck vessels, and coarse facial features with excessive subcutaneous fat \[[Figure 1](#F1){ref-type=”fig”}\]. Neck deep palpation revealed loss of subcutaneous fat. There was no swelling, lymphadenopathy, or pain.

![Obesity with coarse facial features, multiple prominent neck vessels, and loss of subcutaneous fat](AAM-16-15-g001){#F1}

Examination of the limbs was normal. Systemic examination was normal. No neurological abnormality was observed.

Based on these findings, he was referred to the Department of Plastic Surgery for excisional biopsy to rule out any subcutaneous fibroaponeurotic disease or lipodystrophy.

Biopsy was done under local anesthesia. The specimen was 1.5×1 cm in size with normal overlying skin. Multiple biopsies were performed. The skin was deep red and was very adherent to the underlying subcutaneous fat. The fat was firm in consistency with normal overlying skin \[Figure [2a](#F2){ref-type=”fig”} and [b](#F2){ref-type=”fig”}\].

![(a and b) Multiple biopsies were done from the subcutaneous fat. The skin was deep red and adherent to the underlying subcutaneous fat. The fat was firm in consistency with normal overlying skin](AAM-16-15-g002){#F2}

Microscopy of the specimen shows thin-walled cap
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