Fat redistribution treatments remain controversial

Washington - Among the most hotly debated topics facing dermatologists today is how to address the redistribution of adipose tissue that often occurs in patients with HIV infection. The syndrome, Donald Rudikoff, M.D., told the American Academy of Dermatology audience, is characterized by increased waist-to-hip ratio and central adiposity in 62 percent of patients (Dr. Rudikoff's findings are based on a review of previously published studies). Other manifestations include the appearance of dorsocervical fat pads and loss of fat in areas such as the face, hips, and buttocks, with men being more likely to report fat losses than women.