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A Neglected Case of Macrodystrophia Lipomatosa of the Foot in an Elderly Man

Tolga Tuzuner, MD ^*, Ali Haydar Parlak, MD , Ayse Kavak, MD  and Murat Alper, MD 

^* Department of Orthopaedics, Duzce Medical School, Abant Izzet Baysal University, Duzce, Turkey.
Department of Dermatology, Duzce Medical School, Abant Izzet Baysal University, Duzce, Turkey.
Department of Pathology, Duzce Medical School, Abant Izzet Baysal University, Duzce, Turkey.

Corresponding author: Tolga Tuzuner, MD, Department of Orthopaedics, Duzce Medical School, Abant Izzet Baysal University, Konuralp-Duzce 81620, Turkey.

Abstract

Macrodystrophia lipomatosa is a rare disorder characterized by three-dimensional enlargement of one or more fingers or toes with predominantly fibroadipose tissue. Radiographically, it appears as hypertrophy of soft tissues and bones. The pathologic findings are infiltration and hypertrophy of adipose tissue in subcutaneous tissue, nerve sheaths, and periosteum. Macrodystrophia lipomatosa is usually diagnosed during childhood. The case presented here involves the most elderly patient with the condition ever reported, to our knowledge. As such, it may advance current knowledge of macrodystrophia lipomatosa. Special emphasis is given to the unique "bridge" formation seen radiographically in this case. (J Am Podiatr Med Assoc 95(5): 486–490, 2005)