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A case of disproportionate macrodactyly or a mild form of Proteus syndrome? An interesting case.
[proteus syndrome]
We
present
a
20
-
year
-old
Malay
male
whom
we
believe
has
Proteus
syndrome
,
a
rare
congenital
disorder
of
asymmetrical
overgrowth
of
body
tissues
.
There
are
fewer
than
100
confirmed
cases
reported
worldwide
thus
the
clinical
presentation
and
histopathological
findings
are
of
significance
.
Our
patient
presented
with
an
overgrown
right
small
finger
and
subcutaneous
purplish
pigmentation
over
his
left
upper
arm
and
chest
since
birth
.
His
small
finger
gradually
increased
in
size
.
He
had
no
abnormalities
in
sensation
or
power
.
Radiographs
revealed
a
delta
shaped
middle
phalanx
of
the
small
finger
.
His
activities
of
daily
living
were
uninterrupted
but
he
requested
debulking
surgery
for
cosmetic
reasons
.
Histopathological
examination
reported
hypertrophic
fatty
tissue
composed
of
well
formed
lobules
of
mature
adipocytes
interspersed
with
fibrous
elements
.
Diseases
Validation
Diseases presenting
"power"
symptom
proteus syndrome
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