Angiolipoma in Child
Alerts and Notices
Synopsis
Symptomatic angiolipomas have been noted to appear with the initiation of antiretroviral therapy in HIV patients. This may be associated with fat redistribution that has been observed with protease inhibitors.
Extracutaneous angiolipomas may also occur. They may be found in the kidneys in association with tuberous sclerosis. They account for less than 1% of spinal tumors, in which case they may be associated with spina bifida.
Codes
ICD10CM:D17.9 – Benign lipomatous neoplasm, unspecified
SNOMEDCT:
404057003 – Angiolipoma
Look For
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Diagnostic Pearls
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Differential Diagnosis & Pitfalls
Lipomas usually are not tender or painful.- Epidermoid cysts (epidermal inclusion cysts) have a characteristic overlying punctum.
- Blue rubber bleb nevus syndrome
- Dercum disease
- Endometrioma
- Glomus tumor
- Leiomyoma
- Granular cell tumor
- Neurofibroma
- Neuroma
- Hibernoma – These are often large, persistent lipomatous lesions on the neck, back, or axilla. Biopsy is necessary for definitive diagnosis.
- Abscess – One would expect to see accompanying erythema and induration.
- Liposarcoma
- Metastatic malignancy is usually much firmer to the touch.
Best Tests
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Management Pearls
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Therapy
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Drug Reaction Data
Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.Subscription Required
References
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Last Reviewed:01/17/2021
Last Updated:01/24/2021
Last Updated:01/24/2021
Angiolipoma in Child