Congenital Dysplastic Foot with Soft Tissue Overgrowth and Cutaneous Injuries: A Rare Case Presentation

Abstract A 22-year-old female presented with superficial cut injuries to her right foot after minor trauma. Examination showed significant deformity of the foot and ankle, extensive soft tissue swelling, and multiple skin nodules. She reported a birth deformity that had gradually increased in size, but without significant pain or functional impairment. Radiographs indicated dysplastic changes in the foot and marked soft tissue overgrowth. AP and oblique views showed absent normal foot architecture, broad phalanges, and abnormal articulation. A lateral radiograph revealed a poorly formed, identifiable talus and calcaneus, suggesting severe dysplasia. Clinical and radiological findings indicated a congenital dysplastic foot with overgrowth, possibly related to localized overgrowth syndrome like Proteus syndrome. Malignant features were not observed. The patient was managed conservatively. Early recognition and imaging are vital to distinguish rare congenital anomalies from neoplastic conditions, avoiding unnecessary interventions and providing patient reassurance.