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Published on: November 23, 2017
Macrodystrophia lipomatosa involving multiple nerves
Seema Rohilla1, Nitin Jain, Rambaksh Sharma
1Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Sciences, Pt. B.D. Sharma University of Health Sciences, Rohtak, 124001 Haryana, India.
Abstract:
Macrodystrophia lipomatosa (MDL), a rare congenital disorder, is considered by some to be a localized form of Proteus syndrome. The implication of the PTEN (phosphatase and tensin homolog deleted on chromosome 10) gene in both strengthens this belief. We present a case who had MDL in multiple nerve territories--all on the same side of the body--with hypertrophy of mainly fibroadipose tissue throughout their distribution, thus pointing to a form of localized hemihypertrophy; both hemihypertrophy and lipomatous tumors are components of Proteus syndrome.
Insights
Macrodystrophia lipomatosa, a rare congenital disorder, may be a localized form of Proteus syndrome. This is supported by the PTEN gene
Area of Science:
- Genetics
- Developmental Biology
- Dermatology
Background:
- Macrodystrophia lipomatosa (MDL) is a rare congenital disorder.
- MDL is sometimes considered a localized manifestation of Proteus syndrome.
- The PTEN gene is implicated in both conditions.
Observation:
- A case of MDL affecting multiple nerve territories on one side of the body is presented.
- The affected areas showed hypertrophy of fibroadipose tissue.
- This presentation suggests localized hemihypertrophy.
Findings:
- The case exhibited features consistent with localized hemihypertrophy.
- Lipomatous tumors and hemihypertrophy are characteristic components of Proteus syndrome.
Implications:
- The findings support the hypothesis that MDL may be a localized form of Proteus syndrome.
- The PTEN gene's role further strengthens the link between these conditions.
- This case contributes to understanding the spectrum of Proteus syndrome.
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