A CASE OF BILATERAL DYSPLASIA EPIPHYSEALIS HEMIMELICA ASSOCIATED WITHPOLYDACTYLY AND SYNDACTYLY

Dysplasia epiphysealis hemimelica (DEH) on bilateral medial malleoli o ccurred in a boy who had polydactylies and syndactylies of all four li mbs. Cases with both bilateral and symmetrical DEH affection as in thi s case seem not to have been re ported previously in the literature. D ysplasia epiphysealis hemimelica complicated by congenital anomalies i s extremely rare. A one-month-old boy of normal delivery had polydacty lies of thumbs, small fingers, and great toes, and had symmetrical syn dactylies of fingers and toes. At age eight, the patient reported swel ling and tenderness on bilateral medial malleoli. Radiographs showed s mall blotches of radiopacity. Two years later, the radiopacities had e nlarged to become typical of DEH.