Macrodystrophia lipomatosa

Case contributed by Dr Fadi Ali

Presentation

Painless enlargement of the toes since childhood with obvious abnormality.

Patient Data

Age: 30 years
Gender: Male
X-ray

Abnormal configuration of the 2nd and 3rd metatarsal bones, being splayed, with lengthened and broadened phalanges. 

Near-complete obliteration of the interphalangeal joint spaces of the previously mentioned toes.
Thickened, sclerotic cortex of the proximal phalanges of the 2nd  and 3rd metatarsal bones associated with periosteal bone deposition.

The overlying soft tissues are thickened and overgrown.

Case Discussion

Macrodystrophia lipomatosa is a rare progressing form of macrodactyly and is a congenital but non-hereditary, usually identified in the neonatal period, presented by painless enlargement of the digits of the hand or foot, usually the 2nd or 3rd digit.                                     

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