Macrodactyly is a rare congenital anomaly characterized by large digits. The usual involvement of macrodactyly is on the pre-axial side of the limb. There has been only one case report to date with involvement of both hands and feet in a child with post-axial upper limb involvement. We report an adult male who has macrodactyly of both hands and feet with post-axial involvement of both hands and pre and post- axial involvement of both feet.
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