case_images: PMC6660579_01
case_images: A-C-D show a lateral view of the patient affected by lipodystrophy with particular accumulation of adipose tissue in the region of the neck and trunk. Fig. 2B shows a posterior view.
case_images: gr1.jpg
case_images: PMC6660579_01_gr1.jpg
case_images: fig0005
case_images: IDV (indinavir); this achieved excellent viral replication control and improved the immunological condition. In 1999, a change in HIV treatment was necessary due to the presence of an important lipid dysmetabolism with hypertriglyceridemia, modification of the habitus with an important lipohypertrophy of the cervicodorsal region (buffalo hump and taurine neck) and loss of subcutaneous fat of the legs (Fig. 1A-D).
case_images: Chest x-ray shows the ovalization of the tracheal lumen (arrow).
case_images: gr2.jpg
case_images: PMC6660579_01_gr2.jpg
case_images: fig0010
case_images: Indeed, preoperative chest X-ray showed an ovalization of the tracheal lumen (11 mm) to a plane passing through C7 (Fig. 2).
case_images: shows the patient positioning before surgery and the anesthesiologist management during intubation.
case_images: gr3.jpg
case_images: PMC6660579_01_gr3.jpg
case_images: fig0015
case_images: After careful positioning (Fig. 3A and B), the patient underwent total thyroidectomy by anterior cervicotomy.