- Local gigantism
s, where it is termed macrodactyly. However, sometimes an entire limb may be enlarged.
Causes
Local gigantism may be caused by a heterogeneous group of both congenital and acquired conditions.
Congenital
Congenital causes include:
*Klippel Trenaunay Weber syndrome
*Maffucci syndrome
*macrodystrophia lipomatosa [ [http://www.ijri.org/articles/archives/20001002/letter3.htm Letter to the Indian Journal of Radiology and Imaging] ]
*neurofibromatosis , [cite journal |author=Lassmann H, Gebhart W, Mamoli B, Niebauer G |title=Nervous lesions in a case of local gigantism |journal=Acta Neuropathol. |volume=38 |issue=2 |pages=109–15 |year=1977 |pmid=878849 |doi=] [cite journal |author=Chung IH, Kim NH, Choi IY |title=Macrodactylism associated with neurofibroma of the median nerve. A case report |journal=Yonsei Med. J. |volume=14 |issue= |pages=49–52 |year=1973 |pmid=4804132 |doi=]
*lipoatrophic diabetes . [ [http://www.ijri.org/articles/current_issue/gyn_349.asp Some case reports] ]
*Proteus syndrome , which affected the Elephant ManAcquired
There are a number of acquired causes of local gigantism. A body part can attain bigger size from causes as common as the following:
*inflammation , due to trauma or infection
*tumor s like osteoid osteoma,melorheostosis , andlipofibromatous hamartoma [cite journal |author=Razzaghi A, Anastakis DJ |title=Lipofibromatous hamartoma: review of early diagnosis and treatment |journal=Canadian Journal of Surgery. Journal canadien de chirurgie |volume=48 |issue=5 |pages=394–9 |year=2005 |pmid=16248139 |doi=]
*Arteriovenous malformation s occurring on a limb, before the closure ofepiphyses inlong bone s [ [http://indianheartjournal.com/SeptOctober2001/abstact/659-662/265_focal_gigantism.htm Case report] ]
*Elephantiasis , which is quite common insouth-east asia due to prevalence offilariasis .
*Still's disease
*amyloidosis
*acromegaly Treatment
As the causes of local gigantism are varied, treatment depends on the particular condition. Treatment may range from
antibiotics and other medical therapy, tosurgery in order to correct the anatomical anomaly.References
External links
* [http://www.medcyclopaedia.com/library/topics/volume_iii_1/g/GIGANTISM.aspx Medcyclopedia article]
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