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Case 1

Neal P. Simon, MD; Michael W. Simon, MD; Walter W. Tunnessen, Jr, MD

Arch Pediatr Adolesc Med. 1994;148(12):1309-1310.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

A newborn female with an uncomplicated prenatal course was noted to have abnormalities on the hand and feet (Figure 1 and Figure 2). The results of the remainder of the physical examination were normal, and the family history was without similar abnormalities.

Denouement and Discussion

Congenital Macrodactyly

MANIFESTATIONS

Congenital macrodactyly is an uncommon anomaly present at birth characterized by disproportionate enlargement of one or more digits of a hand or foot.^1,2 The digit may continue to increase in size as the child grows and it may assume tremendous proportions. The metacarpal and metatarsal bones are generally not involved.^1,3 In blacks, congenital macrodactyly usually involves the toes, and in whites, the fingers are predominantly affected.⁴

Congenital macrodactyly may represent true macrodactyly or pseudomacrodactyly. In true congenital macrodactyly, all of thesoft tissues, including tendons, nerves, blood vessels, nails, skin, subcutaneous tissue, and bones of the affected digit, are enlarged. . . . [Full Text PDF of this Article]

Author Affiliations
From the Division of Neonatology, Emory University School of Medicine, Atlanta, Ga (Dr N. Simon). Dr M. Simon is in private practice in Lexington, Ky.

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