UNILATERAL LOWER-LIMB HYPOPLASIA IN ARTERIAL FIBROMUSCULAR DYSPLASIA

Hypoplasia or hyperplasia of limbs can be unilateral or bilateral and can involve the upper or lower extremities in any combination, The eti ology is varied, and the presentation, clinical features, and investig ative pathway differ to some extent among patients, Reported here is a child, referred for limb lengthening, with claudicating unilateral le g pain and unilateral hypoplasia of the same limb, Investigations reve aled multiple arterial stenoses consistent with fibromuscular dysplasi a, In such cases, early diagnosis and intervention with angioplasty ma y enhance subsequent growth of the limb, thus avoiding the need for li mb lengthening procedures.