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February 1939


Author Affiliations

From the Northern Michigan Children's Clinic.

Am J Dis Child. 1939;57(2):309-321. doi:10.1001/archpedi.1939.01990020067006

In the past, there has been a tendency to designate as elephantiasis all types of overgrowth of the extremities without proper regard to the existence of various kinds of hypertrophy, distinct from the point of view of their differing etiologic associations. That there is a real need of applying to the problem of skeletal overgrowth the type of effort that has long been directed toward the correction of conditions which produce arrested growth is a fresh and valuable point of view emphasized by Chandler.1

A discussion of congenital enlargement of the extremities may profitably include both conditions involving the soft parts alone and conditions in which the entire extremity is affected. Three chief types of overgrowth can thus be discussed: congenital lymphedema (lymphangiectasis), congenital hemangiectatic hypertrophy of the extremities and Recklinghausen's neurofibromatosis.

CONGENITAL LYMPHEDEMA (LYMPHANGIECTASIS)  This condition is characterized by the presence at birth of nonpitting edema restricted to

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