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July 1976

Congenital Megalodactyly

Arch Dermatol. 1976;112(7):1036. doi:10.1001/archderm.1976.01630310082034

To the Editor.—  Megalodactyly is rare. The following case may be of interest.

Report of a Case.—  Since birth, an 11-year-old boy had had an asymptomatic enlargement of the second and third toes of the left foot.Physical examination showed substantial gigantism of the second and third toes, which were in medial and lateral deviation, respectively (Figure). A roentgenogram of the foot showed hypertrophy of the phalanges of the second and third digits.A plastic surgical procedure to reduce the size of the digits was advised, but the patient declined any surgical intervention.

Comment.—  Local gigantism may be associated with lymphangiomatous tissue, hemangioma, lipoma, or neurofibromatosis.1 Most authors consider that there is some relationship between megalodactyly and neurofibromatosis.2Megalodactyly of second and third toes of left foot.