RESUMO
Macrodystrophia lipomatosa is an exceedingly rare overgrowth of mesenchymal and fibroadipose tissue manifesting as a form of gigantism affecting one or more digits on the distal upper or lower extremities. We present a 25-year-old man who presented with overgrowth of the right hand associated with occasional pain, numbness, and limited function who was found to have macrodystrophia lipomatosa with fibrolipomatous hamartoma of the median nerve. Reports of this condition are limited in the dermatology literature, and early recognition can lead to better outcomes.
Assuntos
Hamartoma/complicações , Lipomatose/diagnóstico , Nervo Mediano/patologia , Adulto , Hamartoma/diagnóstico , Mãos/patologia , Humanos , Lipomatose/complicações , Imageamento por Ressonância Magnética , MasculinoRESUMO
A 48-year-old Hispanic man presented with a nodule on the right cheek. The lesion had started as a papule 4 months previously that had slowly enlarged and then plateaued at its present size. The nodule was asymptomatic, and the patient denied bleeding, draining, or preceding trauma. Review of systems was negative for fevers, weight loss, night sweats, lymphadenopathy, or other skin findings. Past medical history was significant only for type 2 diabetes mellitus, hyperlipidemia, and hypertension.