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A relapsing macrodactyly.
Clin Rheumatol. 2015 Apr; 34(4):803-5.CR

Abstract

Lipofibromatous hamartoma is an uncommon benign tumor, usually unknown or misdiagnosed. We report the case of a 61-year-old patient presenting an acquired painful macrodactyly of the left thumb with paresthesia in the median nerve territory. Clinical examination reveals a tumefaction of the volar side of the wrist. She had a medical history of amputation of the forefinger for macrodactyly without any diagnosis. Paraclinical exploration guided us to the correct diagnosis; hypertrophic bone structures of the affected finger were detected on radiographs. The left median nerve appeared hypertrophic, with a fatty infiltration on the ultrasound exploration. These pathological findings revealed a late discovered lipofibromatous hamartoma of the median nerve, a rare entity often associated with macrodactyly and diagnosed in childhood. Therefore, we retrospectively made the same diagnosis for the amputated index finger with the analysis of her ancient paraclinical exams. Lipofibromatous hamartoma remains an obscure pathology and its treatment stays controversial.

Authors+Show Affiliations

Department of Radiology, University Picardie Jules Verne, Place Victor Pauchet, Amiens, 80054, France, melody.castier@gmail.com.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

24687379

Citation

Amouyel-Castier, Mélody, et al. "A Relapsing Macrodactyly." Clinical Rheumatology, vol. 34, no. 4, 2015, pp. 803-5.
Amouyel-Castier M, Goëb V, Deramond H, et al. A relapsing macrodactyly. Clin Rheumatol. 2015;34(4):803-5.
Amouyel-Castier, M., Goëb, V., Deramond, H., & Bonnaire, B. (2015). A relapsing macrodactyly. Clinical Rheumatology, 34(4), 803-5. https://doi.org/10.1007/s10067-014-2580-8
Amouyel-Castier M, et al. A Relapsing Macrodactyly. Clin Rheumatol. 2015;34(4):803-5. PubMed PMID: 24687379.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A relapsing macrodactyly. AU - Amouyel-Castier,Mélody, AU - Goëb,Vincent, AU - Deramond,Hervé, AU - Bonnaire,Bruno, Y1 - 2014/04/01/ PY - 2014/02/19/received PY - 2014/03/11/accepted PY - 2014/02/25/revised PY - 2014/4/2/entrez PY - 2014/4/2/pubmed PY - 2015/12/23/medline SP - 803 EP - 5 JF - Clinical rheumatology JO - Clin. Rheumatol. VL - 34 IS - 4 N2 - Lipofibromatous hamartoma is an uncommon benign tumor, usually unknown or misdiagnosed. We report the case of a 61-year-old patient presenting an acquired painful macrodactyly of the left thumb with paresthesia in the median nerve territory. Clinical examination reveals a tumefaction of the volar side of the wrist. She had a medical history of amputation of the forefinger for macrodactyly without any diagnosis. Paraclinical exploration guided us to the correct diagnosis; hypertrophic bone structures of the affected finger were detected on radiographs. The left median nerve appeared hypertrophic, with a fatty infiltration on the ultrasound exploration. These pathological findings revealed a late discovered lipofibromatous hamartoma of the median nerve, a rare entity often associated with macrodactyly and diagnosed in childhood. Therefore, we retrospectively made the same diagnosis for the amputated index finger with the analysis of her ancient paraclinical exams. Lipofibromatous hamartoma remains an obscure pathology and its treatment stays controversial. SN - 1434-9949 UR - https://www.unboundmedicine.com/medline/citation/24687379/A_relapsing_macrodactyly_ L2 - https://dx.doi.org/10.1007/s10067-014-2580-8 DB - PRIME DP - Unbound Medicine ER -