Spot Diagnosis

Finger anomaly

Vivek Shivhare, Rajesh Kulkarni, Aarti Kinikar
Department of Pediatrics, B J Medical College, Pune, India

Address for Correspondence: Dr Rajesh Kulkarni, Assistant professor of pediatrics, B J Medical College, Pune.
Question :
Spot diagnosis.

What is the diagnosis?

Discussion :
Macrodactyly. It is a rare anomaly in which there is enlargement of one or several digits of hands or feet. This condition results from deregulation of growth, and there is hyperplasia of one or more of underlying tissues {Osseous, nervous, lymphatic, vascular, fibrofatty}. Macrodactyly may be congenital and may be seen in Klippel Trenaunay Weber syndrome, Maffucci syndrome, Macrodystrophia lipomatosa , Neurofibromatosis or Proteus syndrome. Acquired causes of macrodactyly are inflammation {due to trauma or infection}, tumors like osteoid osteoma, and lipofibromatous hamartoma, arteriovenous malformations occurring on a limb {before the closure of epiphyses in long bones}, elephantiasis, Still`s disease, amyloidosis and acromegaly.

E-published: August 2010 Vol 7 Issue 8 Art # 49

Correct Answers : yes  10%

Last Shown : Sep 2010
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