[SavageGlow]

Case report
A 58-year-old Asian female, 149 cm in height and 79 kg in weight.

Chief complaint
Bilateral overgrowth of the upper extremities.

History of present illness
The patient has shown the bilateral overgrowth of the upper extremities since her childhood and has underwent debulking surgery (details unknown) at a hospital in her homeland to reduce tissues twice before coming to Japan. However, overgrowth progressed after every surgery, and pain caused by arm weights persisted. At age 58, the patient visited Japan to obtain the diagnosis and was examined at our departments.

Family history
To the extent of her knowledge, none of her relatives had a congenital anomaly of the extremities.

Clinical course
The patient did not desire any invasive tests and underwent whole-body computed tomography (CT) and magnetic resonance imaging (MRI) of the upper extremities.

The patient was diagnosed with MDL based on imaging results and returned to her homeland because follow-up was recommended. The patient did not desire anymore surgery, because of twice recurrences after debulking surgeries.

Findings
Physical findings.
The bilateral overgrowth of the upper extremities occurred, extending from the shoulders to the fingers (Figures 1 and ​2). Both the length and circumference of the upper extremities increased. The overgrowth of the ring and little fingers, as well as of the palm corresponding to the fourth and fifth metacarpal bones was not obvious in the left hand

Treatment
Dysfunction, pain, and cosmetic issues caused by MDL are critical for the patient. However, no radical treatment is available at present. Some case reports described the amputation of the affected site and debulking surgery. However, no definite therapeutic outcomes have been obtained.

[Elizabeth76]

I have to say it.. "hulk Arms!!"
That must be painful, even her hands to be able to do daily things must be excruciating. I hope she has support at home to help with difficult tasks.

[HIGHTECHDUDE]

I think she could be the world champ...

[Tadhgín]

THAT’S A HUUUGE BITCH

[willow19]

Must be painful and debilitating physically and emotionally. This was very interesting. Thanks for posting these.