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Rehabilitation Practice and Science

Translated Title

脂瘤性巨大症:病例報告

Abstract

Macrodystrophia lipomatosa is a rare congenital anomaly of localized gigantism, characterized by progressive overgrowth of all mesenchymal components, particularly fibroadipose tissue. The anomaly occurs frequently in the distribution regions of the median nerve in the upper extremity and the plantar nerve in the lower extremity. It is usually noticed at birth with predominately unilateral distal involvement of the digits. The cause of this condition is still unknown. Physicians use the patient's clinical history, physical examination, and imaging techniques to diagnose the condition, with characteristic imaging findings revealing macrodactyly with hypertrophy of the soft tissue and osseous structures. This study reports the case of a 3-year-old boy with macrodystrophia lipomatosa affecting the index and middle fingers of the left hand. Clinical presentation and radiographic imaging demonstrated typical findings, as reported in previous studies, but magnetic resonance imaging and histological examination revealed dominant fibrosis, instead of the fatty tissue characteristic to the condition.

Language

English

First Page

175

Last Page

180

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