CONGENITAL LIPOFIBROMATOSIS ASSOCIATED WITH MACRODACTYLY OF THE FOOT

被引：17
作者：
GROGAN, DP
BERNSTEIN, RM
HABAL, MB
OGDEN, JA
机构：
[1] Shriners' Hospital for Crippled Children, Tampa, Florida
来源：
FOOT & ANKLE | 1991年 / 12卷 / 01期
关键词：
D O I：
10.1177/107110079101200108
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Congenital lipofibromatosis of the foot, a type of paracrine growth disorder, is a distinct clinical entity that must be differentiated from other causes of macrodactyly, with specific diagnostic and therapeutic considerations. Eleven skeletally immature patients with congenital lipofibromatosis and macrodactyly of the foot were studied. Diagnostic histopathologic criteria were documented. The most specific pathologic finding of congenital lipofibromatosis is an overabundance of fibrofatty tissue on the plantar aspect of the foot and involved toes. Surgical defatting or debulking procedures, ray resection, and phalangeal epiphysiodesis produced significant cosmetic improvement. Syndactylization and phalangeal resection were not as beneficial.
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页码：40 / 46
页数：7
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  • [11] Inglis K., Local gigantism (a manifestation of neurofibromatosis): its relation to general gigantism and to acromegaly, Illustrating the influence of intrinsic factor in disease when development of the body is abnormal. Am. J. Pathol., 26, pp. 1059-1083, (1950)
  • [12] Kouseff B.G., Neurofibromatosis: a prototype of the phakomatoses, paracrine disorders in man, J. Fla. Med. Assoc., 76, pp. 535-538, (1989)
  • [13] Kouseff B.G., Madan S., The phakomatoses—an hypothesis: paracrine growth regulation disorders, Dysmorphol. Clin. Genet., 2, pp. 76-90, (1988)
  • [14] Meng Q.Z., Treatment of macrodactyly with epiphyseal plate excision for growth retardation, Chin. J. Plast. Surg. Burns, 5, pp. 83-84, (1989)
  • [15] O'Flanagan S.J., Moran V., Colville J., Congenital macrodactyly, Ir. J. Med. Sci., 156, pp. 151-153, (1987)
  • [16] Ofodile F.A., Oluwasanmi J., Pedal macrodactyly–report of seven cases, East Afr. Med. J., 56, pp. 283-284, (1979)
  • [17] Pearn J., Viljoen D., Beighton P., Limb overgrowth—clinical observations and nosological considerations, S. Afr. Med. J., 64, pp. 905-908, (1983)
  • [18] Pellerin D., Martelli H., Latouche X., Couly G., Gasnier F., Congenital soft tissue dysplasia: a new malformation entity and concept, Prog. Pediatr. Surg., 22, pp. 1-29, (1989)
  • [19] Sabapathy S.R., Roberts J.O., Regan P.J., Ramaswamy C.N., Pedal macrodactyly treated by digital shortening and free nail graft: a report of two cases, Br. J. Plast. Surg., 43, pp. 116-119, (1990)
  • [20] Sanchez A.J., Kamal B., Macrodactyly in the foot, Ann. Acad. Med. Singapore, 10, pp. 442-444, (1981)
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