Girl, 12, with two huge toes struggles to walk or wear shoes due to condition
A 12-year-old girl has been treated for a rare condition which left her struggling to wear shoes or even walk.
The unnamed youngster was born with Macrodystrophia Lipomatosa (MDL), otherwise known as gigantism, which enlarged the first and second toes on her right foot. The non-hereditary condition causes the progressive enlargement of the fibrofatty tissue, making them reach abnormal sizes.
She was diagnosed with MDL at birth, but had not attended a follow-up visit to the doctors since. The girl’s parents, who live in the Malaysian capital of Kuala Lumpur, took her to hospital as her foot deformity had worsened over time. The young patient’s condition made it difficult for her to wear shoes.
The 12-year-old's foot which was treated for gigantism (Jam Press)
X-rays of the unnamed girl's foot (Jam Press)It also left the girl, who is the third of four children, with walking difficulties. Her medical team said: “Plain radiographs and MRI findings revealed the accumulation of fatty tissue around the first and second toes, medial and lateral aspects of the first metatarsal, extending up to the medial plantar arch of the foot.
"MDL is a very uncommon kind of congenital localised gigantism, and surgical consultation is frequently performed for cosmetic reasons." To enhance foot functionality and alleviate any issues with wearing footwear, the medical team carried out a successful reconstruction operation.
Baby boy has spent his life in hospital as doctors are 'scared' to discharge him
As a result of the surgical intervention, the patient can now wear shoes and walk without any difficulties. Her family has no previous history of MDL or any other congenital conditions. In 2021, the Mirror reported the case of an eight-month-old girl from India, who was born with the same disorder.
The girl's foot after surgery (Jam Press)
The girl's foot after surgery (Jam Press)Writing in the medical journal Cureus, researchers wrote the girl was otherwise completely healthy. "This was not associated with any delayed attainment of developmental milestones," they said at the time. Ultrasounds revealed that the excess size of the girl's toes was down to fatty tissue in the immediate area.
It was the first time researchers reported seeing the condition in all 10 toes. They said the best treatment option for the little girl was unknown, as the condition is so rare. Researchers previously added: "It is important to report such anecdotal cases to get knowledge about their clinicopathological behaviour and standardise optimal treatment options since prospective studies are not feasible due to rarity of the disease and paucity of data."
And in 2015, Mohammad Kaleem became known as the 'Boy with the World's Biggest Hands' before he underwent dramatic surgery to reduce them. The eight-year-old was born with a condition which caused his hands and arms to keep on growing until they looked like giant's hands, and weighed a colossal two stone between them.
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