Macrodystrophia lipomatosa is a congenital non-hereditary form of focal gigantism characterized by progressive overgrowth of all the mesenchymal elements (fat, skeletal muscle, nerve sheath, and bones) of the digits. The overgrowth appears to develop along specific sclerotomes and is more common in the lower limbs along with the distribution of the plantar nerves. Generally, the volar and distal portion of the digits are more commonly affected. The proliferative fatty growth is unencapsulated and can be regarded as globular lucencies within the soft tissue on radiographs and confirmed on MRI.
Case report A 25-year-old male presented with painless focal enlargement of the first and second digits of the right foot, which was first noticed after birth and had progressively increased in size since then. He had no significant family history. There has been a rapid increase in the size of the…
