Approach to Macrodactyly: A Case Report and Diagnostic Algorithm for Syndromic and Isolated Forms

The clinical management of syndromic macrodactyly is well described by consensus guidelines, but isolated macrodactyly also needs pediatricians' attention and warrants a multidisciplinary approach. After reviewing the literature, a diagnostic algorithm for the approach and differential diagnosis of macrodactyly is provided. Phenotypes associated with PI3K/AKT/mTOR pathway mutations (including PIK3CA-related overgrowth spectrum PROS) are described. Late effects, follow-up schedules, and surveillance for cancer are discussed.

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Publication Details

Journal
Pediatric Reports
Published
2025-03-07
DOI
https://doi.org/10.3390/pediatric17020032
Primary Topic
Vascular Malformations and Hemangiomas
Type
article
Field-Weighted Citation Impact
0.00
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article

Approach to Macrodactyly: A Case Report and Diagnostic Algorithm for Syndromic and Isolated Forms

Iordanis Pelagiadis, Eftichia Stiakaki, Nikolaos Katzilakis, Ioannis Kyriakidis
Pediatric Reports
Vascular Malformations and Hemangiomas
article

Approach to Macrodactyly: A Case Report and Diagnostic Algorithm for Syndromic and Isolated Forms

Iordanis Pelagiadis, Eftichia Stiakaki, Nikolaos Katzilakis, Ioannis Kyriakidis
article en

Abstract

The clinical management of syndromic macrodactyly is well described by consensus guidelines, but isolated macrodactyly also needs pediatricians' attention and warrants a multidisciplinary approach. After reviewing the literature, a diagnostic algorithm for the approach and differential diagnosis of macrodactyly is provided. Phenotypes associated with PI3K/AKT/mTOR pathway mutations (including PIK3CA-related overgrowth spectrum PROS) are described. Late effects, follow-up schedules, and surveillance for cancer are discussed.

Pediatric ReportsVol. 17(2)
University of Crete (GR), University Hospital of Heraklion (GR)
Good health and well-being
Openalex Percentile: Top 93%
Vascular Malformations and Hemangiomas
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