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Overgrowth conditions: a diagnostic and therapeutic conundrum.
[proteus syndrome]
Over
the
past
five
decades
,
one
of
the
major
problems
in
the
treatment
of
overgrowth
syndromes
of
the
hand
has
been
classification
.
Currently
,
a
number
of
specific
conditions
with
known
natural
histories
have
been
delineated
and
reviewed
.
Treatment
is
highly
individualized
.
Amputation
is
still
recommended
for
grotesque
deformities
of
the
upper
limb
.
Early
aggressive
surgery
,
when
indicated
,
will
improve
contour
,
function
,
and
appearance
.
Specific
therapeutic
techniques
include
radical
debulking
,
microvascular
neurolysis
,
vascular
reconstruction
,
epiphysiodesis
,
and
,
in
some
cases
,
thumb
or
digit
replacement
.
Long
-term
outcomes
remain
in
the
good-
to
-fair
range
and
are
dependent
upon
the
condition
,
reconstructive
techniques
employed
,
age
of
patient
,
and
the
severity
of
deformity
.
Diseases
Validation
Diseases presenting
"long-term outcomes"
symptom
acute rheumatic fever
alpha-thalassemia
aromatase deficiency
cholangiocarcinoma
classical phenylketonuria
congenital adrenal hyperplasia
congenital diaphragmatic hernia
cushing syndrome
dystrophic epidermolysis bullosa
esophageal squamous cell carcinoma
hirschsprung disease
homocystinuria without methylmalonic aciduria
kabuki syndrome
lamellar ichthyosis
omenn syndrome
phenylketonuria
proteus syndrome
trochlear dysplasia
von hippel-lindau disease
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