five year girl presenting with enlarged deformed thumb and index finger. parents inform that they have noticed this from last two years. has good hand functions. what oukd be the problem and prognosis.

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Macrodactaly may be due to Lymphatic malformation. Adv X-ray debunking surgery by Plastic surgeon is advisable

Macrodactyly. Debuking

She needs debaulking surgery

Macrodactaly Rarely seen case

AV fistula is one cause. Go for a arterial and Venous Doppler

Macrodactly

Macrodactyly Nonhereditary congenital digit enlargementEpidemiologydemographicsvery rarelocation90% are unilateral70% involves more than one digit index involved most frequentlyin order of decreasing frequency, the long finger, thumb, ring, and small are also involvedcan involve digits of the hand or foot 70% involves more than one digit index involved most frequently in order of decreasing frequency, the long finger, thumb, ring, and small are also involved can involve digits of the hand or foot \ 90% are unilateral risk factorsnone knownPathophysiology etiology unknownno genetic correlations known to dateaffected digits correspond with neurologic innervationthe median nerve being the most common

Thank you and very useful sir
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Macromelia, esp. macrodactyly. Underlying cause may be angiomatous/ lymphangiomatous malformations, best treated by plastic surgeon.

How about neurofibromatosis causing this problem
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Macrodactally Reduction

A V malformations

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