Macrodystrophia lipomatosa of foot involving great toe.
Macrodystrophia lipomatosa is a rare form of congenital disorder in which there is localized gigantism characterized by progressive overgrowth of all mesenchymal elements with a disproportionate increase in the fibroadipose tissues. The adipose tissue infiltration involves subcutaneous tissue, periosteum, nerves and bone marrow. Most of the cases reported have hand or foot involvement. Patient seeks medical help for improving cosmesis or to get the size of the involved part reduced in order to reduce mechanical problems. We report a case of macrodystrophia lipomatosa involving medial side of foot with significant enlargement of great toe causing concern for cosmesis and inconvenience due to mechanical problems. The X-rays showed increased soft tissue with more of adipose tissue and increased size of involved digits with widening of ends. Since the patient's mother did not want any surgical intervention he was educated about foot care and proper footwear design was suggested.
Department of Physical Medicine and Rehabilitation, All India Institute of Physical Medicine and Rehabilitation, Haji Ali, Mahalaxmi, Mumbai 400034, India. Electronic address: dranilgdranil@yahoo.co.in.
A K
AK
Gaur
Department of Physical Medicine and Rehabilitation, All India Institute of Physical Medicine and Rehabilitation, Haji Ali, Mahalaxmi, Mumbai 400034, India.
A S
AS
Mhambre
Department of Physical Medicine and Rehabilitation, All India Institute of Physical Medicine and Rehabilitation, Haji Ali, Mahalaxmi, Mumbai 400034, India. Electronic address: harshanand.popalwar@gmail.com.
H
H
Popalwar
Department of Physical Medicine and Rehabilitation, All India Institute of Physical Medicine and Rehabilitation, Haji Ali, Mahalaxmi, Mumbai 400034, India.
R
R
Sharma
D000015:Abnormalities, Multiple; D061826:Foot Orthoses; D005877:Gigantism / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D007870:Leg Length Inequality / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D011859:Radiography; D012720:Severity of Illness Index; D014034:Toes / Q000002:abnormalities* / Q000000981:diagnostic imaging; D055815:Young Adult
Congenital disorder; Fibroadipose tissue; Macrodystrophia lipomatosa; Mesenchymal