Macrodystrophia lipomatosa: four case reports

Abstract

Aim: Macrodystrophia lipomatosa is a rare cause of gigantism of limb which can be confused with other common causes like congenital lymphedema. It presents usually with loss of function and cosmetic problems. Four cases are described with emphasis on clinical presentation, differential diagnoses, imaging and treatment options.

Methods & results: Four patients of macrodystrophia lipomatosa were thoroughly examined and subjected to investigations.

Conclusion: Besides diligent clinical examination, imaging and histopathology are crucial in clinching the diagnosis.

Figure 1

Clinical image showing grotesque bulbous enlargement of 2^nd digit of the right foot.

Figure 2

X-ray image showing hypertrophy of the soft tissues of the 2^nd digit of right foot. The phalanges of the involved digit also appear enlarged.

Figure 3

Photograph showing enlarged 2^nd and 3^rd toes of the patient.

Figure 4

Enlarged 2^nd and 3^rd toes with well appreciated increase in size of metatarsals, phalanges and soft tissues on x-ray.