CT Diagnosis of Macrodystrophia Lipomatosa

Jain, Renu; Sawhney, Sukhpal; Berry, Manorama

doi:10.3109/02841859209173211

Cited by 9 publications

(12 citation statements)

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“…4 MDL usually involves a somatome supplied by a nerve, usually the territory of median nerve of upper limb and medial plantar nerve of lower limb. Lower limb is affected more often than the upper limb, with 2 nd and 3 rd digits being the most commonly affected as in our 2 nd case 5 . Involvement of a whole limb as in the first case has rarely been reported 6 .…”

Section: Discussionsupporting

confidence: 53%

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Macrodystrophia Lipomatosa: A rare form of localized Gigantism

Mahathanthila

2015

Sri Lanka J. Radiol.

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Section: Discussionsupporting

confidence: 53%

“…Involvement of a whole limb as in the first case has rarely been reported 6 . MDL of abdominal wall is also reported 7,8 .…”

Section: Discussionmentioning

confidence: 95%

Macrodystrophia Lipomatosa: A rare form of localized Gigantism

Mahathanthila

2015

Sri Lanka J. Radiol.

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“…Exostoses like bony excrescences have been reported arising from involved metatarsals (carpals) and phalanges. 7 Secondary osteoarthritic changes may be seen in the involved joints particularly in older patients. Computed tomography 7,8 of the involved extremities shows excessive fatty proliferation.…”

Section: Discussionmentioning

confidence: 99%

“…7 Secondary osteoarthritic changes may be seen in the involved joints particularly in older patients. Computed tomography 7,8 of the involved extremities shows excessive fatty proliferation. Fatty infiltrations of the involved muscles with macroscopic fat separating the muscle fibres are also often evident.…”

Section: Discussionmentioning

confidence: 99%

Magnetic resonance imaging of a case of monomelic macrodystrophia lipomatosa

Ak¹

2007

Australasian Radiology

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Macrodystrophia lipomatosa is a rare form of non-hereditary congenital localized gigantism. Radiographs and magnetic resonance imaging of one such case in a 3-year-old girl is presented in which the entire right-lower limb was affected. Radiographs revealed excessive soft tissue hypertrophy and exostoses-like bony overgrowth from the metatarsals. Magnetic resonance images showed excess unencapsulated fatty proliferation and fatty infiltration of the involved muscles.

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“…Localized gigantism often has no symptoms and present with cosmetic problems [6] , but as the lesions continue to grow, it may cause secondary osteoarthritis and compression of neurovascular structures. To date, there has only been three reported cases of macrodystrophia lipomatosa involving an entire limb [7][8][9] . And only two cases in which abdominal wall involvement was recorded [8,10] .…”

Section: Introductionmentioning

confidence: 99%

Macrodystrophia Lipomatosa Extending Into the Abdominal Wall and Breast: A Case Report

Liu

Sun

Liang

et al. 2020

Preprint

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BackgroundMacrodystrophia lipomatosa is a rare nonhereditary congenital gigantism, characterized by overgrowth of mesenchymal and fibro-adipose tissue, affecting one or more digits of the extremities. Here, we report a rare case of macrodystrophia lipomatosa of the entire right lower limb with extension of hypertrophied fatty tissue into the abdominal wall and breast. Case presentationA 32 years old woman was born with abnormally elongated and thickened right leg, and the condition aggravated gradually. The disease was multiple, including the right leg, right abdominal wall, and the left breast were also involved. The patient mainly complained that she was unable to walk but with the knee flexed. Physical examination revealed that the elongation and thickening was proportional to the left leg, and the involved joints were malformed and dysfunction. X-ray and Computed tomography angiography (CTA) showed the bones and vessels were elongated and thickened, and the joints were hypertrophic and swollen. Amputation, volume reduction and liposuction was performed on the lesions. Histological examination could see abnormal fibro-fatty tissue hyperplasia, the adipocytes were invasive, and part of muscles presented fat degeneration. The lesions showed no recurrence for one year after surgery.ConclusionAfter reviewing the literature of the macrodystrophia lipomatosa, we believed that our case was rare because the hypertrophied fatty tissue extended into the abdominal wall and breast, which was different from former studies and had not been documented worldwide. This novel case will further deepens the understanding of this disease, and will be useful for clinicians in diagnosing it.

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CT Diagnosis of Macrodystrophia Lipomatosa

Cited by 9 publications

References 0 publications

Macrodystrophia Lipomatosa: A rare form of localized Gigantism

Macrodystrophia Lipomatosa: A rare form of localized Gigantism

Magnetic resonance imaging of a case of monomelic macrodystrophia lipomatosa

Macrodystrophia Lipomatosa Extending Into the Abdominal Wall and Breast: A Case Report

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