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Case of the Week 367




What's the most likely diagnosis?

  • 9 year-old with enlarged finger



Right hand-Frontal view

  1. Multiple fractures
  2. Hemihypertrophy
  3. Macrodactyly
  4. Tuberous sclerosis
  5. Thyroid acropachy

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Answer:

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3. Macrodactyly

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More (Click Discussion Tab)


Macrodactyly

General Considerations

  • Rare congenital disease
  • Enlargement of bone and soft tissues secondary to hamartomatous disease
  • Metacarpal or metatarsal is usually spared
  • Hand involvement more common than foot
  • Distribution in hand tends to be along course of median nerve
  • May or may not be associated with other diseases

    More ...


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    This Week
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    is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.