left calf hypertrophy since infancy gradually increasing with age.No pain tenderness movement restriction. prominent vein present. on palpation soft no lump or localised swelling. USG no vascular lesions. muscle hypertrophy seen. x ray attached. DD and diagnosis.

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Unilateral muscular hypertrophy is seen in congenital myotonic dystrophy n S1 radiculopathy.DMD n Behcets would hv bilateral hypertrophy with gowers sign.Usg will pick up vascular malformation esp Doppler study.

i dont agree with lymphatic obstruction,muscular dystrophy. in lymphatic obstruction diffuse swelling over limb including foot will be there but its absent here. it appears to be localised swelling a good local examination may give you clue of plane of origin, appears to be soft tissue tumour. kindly evaluate by doing s.ca,s.alkaline phosphatase for any bony activity, go for usg and mri, then go for biopsy after localising lesion. on diagnosis then definitive treatment depends on diagnosis.

kindly get an orthopaedic consultation
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it's Duchenne muscle dystrophy.There is no cure needs physical rehabilitation.

Lymphatic obstruction.

possible.
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get an mri of the calf. looks like a low flow vascular malformation

Ask for MRI and Muscle Biopsy

Look for Gower sign. Duchenne dystrophy is common cause although other type of dystrohies and neuromuscular disorders should be ruled out.

dunchenne dystrophy and Bechet
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Ducchane's Muscular dystrophy

Its Duchenne's md

case of DMD -NEEDS EVALUATION - CPK SHOULD BE HIGH

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