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[Macrodactylies of the hand and foot].
[proteus syndrome]
Macrodactyly
is
a
rare
congenital
anomaly
defined
by
an
enlargement
of
all
the
structures
of
fingers
or
toes
.
Two
forms
of
macrodactyly
have
been
described
.
One
form
is
static
with
an
enlargement
present
at
birth
and
growing
proportionately
to
the
other
digits
.
The
other
is
progressive
with
an
enlargement
beginning
in
early
childhood
and
growing
faster
than
that
of
the
normal
digits
.
Macrodactyly
is
responsible
of
a
functional
handicap
and
an
aesthetic
prejudice
.
Treatment
may
be
indicated
for
this
reason
.
Treatment
must
be
individualised
and
depends
on
the
proportionate
size
of
the
enlarged
finger
,
growth
rate
and
the
patient
's
age
when
first
seen
.
The
parents
and
the
child
should
be
advised
that
multiple
procedures
may
be
required
and
that
the
result
will
be
somewhat
unsatisfactory
.
Surgical
approaches
include
either
reconstructive
surgery
or
amputation
.
Amputation
is
indicated
at
any
age
for
a
large
,
unsightly
and
stiff
digit
that
interferes
with
function
of
the
rest
of
the
hand
.
In
feet
with
involvement
of
the
lesser
toes
,
proximal
amputation
has
the
best
cosmetic
and
functional
outcome
.
Epiphyseal
arrest
,
bulk
reduction
procedures
,
finger
shortening
,
lateral
closing-wedge
osteotomies
or
stripping
of
the
nerves
can
be
performed
in
the
other
cases
.
Diseases
Validation
Diseases presenting
"early childhood"
symptom
22q11.2 deletion syndrome
achondroplasia
alpha-thalassemia
aniridia
aromatase deficiency
benign recurrent intrahepatic cholestasis
canavan disease
congenital adrenal hyperplasia
congenital diaphragmatic hernia
cystinuria
erythropoietic protoporphyria
fabry disease
gm1 gangliosidosis
junctional epidermolysis bullosa
kabuki syndrome
kindler syndrome
papillon-lefèvre syndrome
proteus syndrome
pyruvate dehydrogenase deficiency
triple a syndrome
werner syndrome
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