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Hump behind the shoulders

Definition

Hump behind the shoulders is a lump of fat on the back of the neck.

Alternative Names

Buffalo hump; dorsocervical fat pad

Considerations

A hump behind the shoulders by itself is not a sign of any one, specific condition. The doctor must consider this along with other symptoms and test results.

Causes

  • Certain drugs used to treat AIDS
  • Extended use of certain steroid medicines, including prednisone, cortisone, and hydrocortisone
  • Extreme obesity
  • Hypercortisolism (caused by Cushing syndrome)

Osteoporosis may cause a curvature of the spine in the neck called kyphoscoliosis.

References

Young WF. The incidentally discovered adrenal mass. N Engl J Med. 2007; 356:601-610.

Stewart PM. The Adrenal Cortex. In: Kronenberg HM, Melmed S, Polonsky KS, Larsen PR. Kronenberg: Williams Textbook of Endocrinology. 11th ed. Philadelphia, PA: Saunders Elsevier; 2008:chap 14.

Review Date: 3/18/2008
Reviewed By: Elizabeth H. Holt, MD, PhD, Assistant Professor of Medicine, Section of Endocrinology and Metabolism, Yale University. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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