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Lipoedematous scalp: is there an association with fatty infiltration of the parotid?
  1. Sarah Law,
  2. Rajshree Jayarajan
  1. Department of Plastic Surgery, Leicester Royal Infirmary, Leicester, UK
  1. Correspondence to Dr Sarah Law, sarahlaw17{at}


Lipoedematous scalp (LS) is an extremely rare condition characterised by a soft and boggy consistency in the scalp due to an increased layer of subcutaneous tissue.

In this report, we present a case of LS in a 64-year-old Indian woman. Clinical examination revealed only vague boggy lumpiness involving the whole of occipital scalp extending to parietal scalp. MRI scalp showed diffuse fatty infiltration of the scalp, particularly at the posterior parietal and occipital convexity extending to both lateral aspects of the cranium, with homogeneous signal in keeping with fat. Incidentally MRI also found diffuse fatty infiltration of the parotids.

The aethiopathogenesis of LS is still unknown, however it is believed that the hormone leptin could be the key hormone in the dysregulation of fat deposition and distribution. This case report highlights the subtle features with which these cases can present and explores the literature on reported cases of LS.

  • plastic and reconstructive surgery
  • surgery
  • medical management
  • lipid disorders
  • dermatology
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  • Contributors SL: reviewed the literature and prepared the first draft of the case report. RJ: provided the case presentation and investigations, obtained the diagnosis and reviewed the draft for submission. Both authors: reviewed the draft for final submission.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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