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Adiposis dolorosa or Dercum's disease is characterized by the development of multiple, painful, subcutaneous lipomas in association with obesity, asthenia and fatigue, and range of mental disturbances including instability, depression, confusion, dementia and epilepsy.
Features include very common findings: Fatigue, Arthralgia, Depression, and Anxiety and others; and common findings: Abdominal distention, Chronic pain, Painful subcutaneous lipomas, and Subcutaneous lipoma and others. 40 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 11 | Chronic pain, Fatigue, Depression |
No approved treatments are currently available for adiposis dolorosa. An additional 1 compound holds orphan drug designation.
While no drugs are FDA-approved specifically for adiposis dolorosa, some of the following designated compounds may be used off-label in clinical practice. Treatment decisions should be made in consultation with a specialist familiar with this condition.
The following drugs have received orphan drug designation from the FDA for adiposis dolorosa. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor |
|---|
Phenotype severity distribution: 7 very common features, 13 common features.
Estimated prevalence: Unknown (Unknown prevalence).
2 clinical trials registered. Interventions under study include drug therapy. Pipeline includes 1 PHASE2. Research is sponsored by a mix of industry and academic institutions.
14 publications have been identified in PubMed for adiposis dolorosa. Research spans Case Report / Case Series (36%), Other (14%), and Review / Meta-Analysis (14%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 5 | 36% |
Data assembled from 7 of 12 sources · Last updated Sep 19, 2026, 12:49 AM UTC
Patient Advocacy Groups (PAGs) provide support, resources, and community for patients and caregivers.
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Skin |
6 |
Painful subcutaneous lipomas, Subcutaneous nodule, Subcutaneous lipoma |
Digestive system | 4 | Abdominal distention, Constipation, Abdominal pain |
Blood and immune system | 3 | Increased total hemolytic complement activity, Recurrent skin infections, Autoimmunity |
Bones and joints | 2 | Arthralgia, Joint inflammation (arthritis) |
Hormones | 2 | Diabetes mellitus, Hypothyroidism |
Metabolism | 1 | Abnormal blood fat levels (abnormal circulating lipid concentration) |
Lab test results | 1 | Elevated CRP (inflammation marker) (elevated circulating c-reactive protein concentration) |
Heart and blood vessels | 1 | Hypertension |
Designated
Exclusivity End |
|---|
Designation Status |
|---|
5-(3,6-dibromo-9H-carbazol-9-yl)-N,N,N-trimethylpentan-1-aminium chloride | 5-(3,6-dibromo-9H-carbazol-9-yl)-N,N,N-trimethylpentan-1-aminium chloride | Raziel Therapeutics, Inc. | 2019 | — | Designated |
Gene therapy approaches for adiposis dolorosa have been reported in the published literature.
2 trials found
Other research |
2 |
14% |
Research summaries | 2 | 14% |
Clinical study results | 2 | 14% |
Laboratory research | 2 | 14% |
New treatment approaches | 1 | 7% |
How-Volkman C (2026). [PMID: 41604515](https://pubmed.ncbi.nlm.nih.gov/41604515/). *Annals of plastic surgery*. [Clinical Trial Publication]
Herbst KL (2026). [PMID: 41623934](https://pubmed.ncbi.nlm.nih.gov/41623934/). *JAAD international*. [Clinical Trial Publication]
Gorini F (2026). [PMID: 41752925](https://pubmed.ncbi.nlm.nih.gov/41752925/). *Life (Basel, Switzerland)*. [Review / Meta-Analysis]
Locke MA (2026). [PMID: 41994793](https://pubmed.ncbi.nlm.nih.gov/41994793/). *Cureus*. [Case Report / Case Series]
Thiriveedi M (2026). [PMID: 29939644](https://pubmed.ncbi.nlm.nih.gov/29939644/). *Unknown Journal*. [Other]
Charifa A (2026). [PMID: 29493968](https://pubmed.ncbi.nlm.nih.gov/29493968/). *Unknown Journal*. [Other]
Magnatta A (2026). [PMID: 42073391](https://pubmed.ncbi.nlm.nih.gov/42073391/). *Life (Basel)*. [Case Report / Case Series]
Reytor-González C (2025). [PMID: 41303617](https://pubmed.ncbi.nlm.nih.gov/41303617/). *International journal of molecular sciences*. [Basic Science / Preclinical]
Schwartz Z (2024). [PMID: 40526965](https://pubmed.ncbi.nlm.nih.gov/40526965/). *Dermatology online journal*. [Gene Therapy / Novel Therapeutics]
McKay CE (2024). [PMID: 38952592](https://pubmed.ncbi.nlm.nih.gov/38952592/). *Cureus*. [Case Report / Case Series]