http://pubs.jamanetwork.com/ en-us Wed, 27 Mar 2013 00:00:00 GMT Thu, 28 Mar 2013 21:46:02 GMT Silverchair editor@pubs.jamanetwork.com webmaster@pubs.jamanetwork.com http://pubs.jamanetwork.com/article.aspx?articleID=1672213 Wed, 27 Mar 2013 00:00:00 GMT Shridharani SM, Mohan R. <span class="paragraphSection">A 51-year-old African American man with a history of human immunodeficiency virus (HIV) and taking abacavir/lamivudine/zidovudine for 1 year presents to the plastic surgery clinic with a chief complaint of cervical lipodystrophy. The patient's only comorbid condition is hypertension, which is being treated with a β-blocker. Physical examination reveals lipodystrophy in the cervicodorsal fat pad (nape of neck) (Figure 1). No lipodystrophy is noted in any other anatomical region. Laboratory measures include complete blood cell count, complete metabolic panel, and full endocrine panel; findings are normal. Dexamethasone suppression test results and 24-hour urinary cortisol level are also normal. The patient's CD4 cell count at the time of presentation is 556 cells/μL, and viral load had reached undetectable levels after 1 year of antiretroviral therapy.</span> 309 12 1289 1290 10.1001/jama.2013.2552 http://pubs.jamanetwork.com/article.aspx?articleID=1672213