buffalo hump what can I do for it?
May 4, 2001
Buffalo hump can you give me any infro on them and what I should or could do for the pain??
Response from Dr. Young
Buffalo humps or dorsocervical fat accumulation is one of the manifestations of HIV lipodystrophy. The causation of buffalo humps remains controversial, though several studies point to a multifactorial cause; most suggest that risk of fat accumulation is related the degree and magnitude of immune reconstitution and the duration of HIV disease. Hence, drug factors may be directly causal (I don't think so) or related to long-term survival.
What to do about buffalo humps is even more controversial; there has yet to be a single antiretroviral drug-switch study that has shown improvement in the size of buffalo humps (again suggesting non-drug causes); some patients have undergone surgical resection of the humps- with variable success; liposuction is not usually suscessful, because the tissue is quite fibrous. One drug intervention that has shown some promise is the use of Serostim (growth hormone)- this has been shown in small studies to cause reversal of the size of fat accumulation (neck, abdomen); though at the same time, thinning of the fat in the face and extremities (meaning that the treatment may not be valuable to those who suffer both fat accumulation and fat atrophy). Moreover, the drug is very expensive, requires injections (?risk for needle stick injury) and worse, when stopped is often associated with the recurrence of the fat accumulation.
Hope this helps, BY
Get Email Notifications When This Forum Updates or Subscribe With RSS
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.