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Living with Lipomatosis dolorosa

A condition with painful fatty tissue and lumps just under the skin, most often in women aged 35 to 50.

Understanding Lipomatosis dolorosa

Lipomatosis dolorosa, also called adiposis dolorosa, is a condition with painful fatty tissue just under the skin.

The pain is often linked to multiple noncancerous fatty tumors (lipomas). They feel like firm bumps, often on the torso, buttocks, or upper arms and legs. Pain can be severe, and for some it is disabling. It occurs most often in women between ages 35 and 50 who are overweight or have obesity.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Chronic pain
  • Firm lumps under the skin (lipomas)
  • Belly pain and bloating
  • Tiredness (fatigue)
  • Anxiety
  • Depression

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include skin, hair, and nail specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Skin, hair, and nail specialists (dermatologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Fat Disorders Research Society and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
What options are there for managing chronic pain?
Could the pain come from lipomas pressing on a nerve?
Which specialists should be part of my care?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Dominant

GARD lists autosomal dominant inheritance but does not name a gene. It is unclear whether some additional features are directly related to the condition.

Skin

Also known as: adiposalgia; adipose tissue rheumatism; adiposis dolorosa; dercum disease; dercum's disease; neurolipomatosis

Patient organizations

Source: NIH GARD · Lipomatosis dolorosaGARD ID 5750 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Lipomatosis dolorosa.

Explore the Lipomatosis dolorosa blog

Explore research for Lipomatosis dolorosa

Explore actively recruiting Lipomatosis dolorosa studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Lipomatosis dolorosa with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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