PMC3341767_01
Hypertelorism of fronto-occipital region of head in the patient included in the case report
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F1
Lateral view of the patient head revealed hypertelorism of fronto-occipital area [Figure 1]. Egg shell crackling was present on the right side of the buccal cortical plate with an area of osteolysis of approximately 1 sq cm in diameter [Figure 1, Figure 6, and Figure 7].
Coarse facial features and facial asymmetry of the patient included in the case report
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F2
Facial asymmetry was more marked on the right side due to diffuse swelling at angle and body of mandible [Figure 2].
Enlarged abdomen and herniated umbilicus of the patient included in the case report
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F3
Child had an enlarged abdomen, herniated umbilicus and massive hepatosplenomegaly [Figure 3].
Clawed fingers of both hands of the patient included in the case report
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F4
Both the hands were short and stubby with clawed fingers, which he was unable to straighten [Figure 4].
Broad arches, spaced dentition and large tongue of the patient included in the case report
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F5
Intraoral examination revealed a large tongue, broad arches with interdental spacing, and moderate anterior open bite with thick gingivae [Figure 5].
Expansion of buccal cortical plates of the patient included in the case report
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F6
Egg shell crackling was present on the right side of the buccal cortical plate with an area of osteolysis of approximately 1 sq cm in diameter [Figure 1, Figure 6, and Figure 7].
Panoramic radiograph shows cystic lesion due to bone destruction and hypoplastic condyles of the patient included in the case report
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F7
Egg shell crackling was present on the right side of the buccal cortical plate with an area of osteolysis of approximately 1 sq cm in diameter [Figure 1, Figure 6, and Figure 7]. Hypoplastic mandibular condyles with short neck and rami with flattening of superior surface of condyles were observed [Figure 7].
Radiographic examination (PA and Lateral view) of the skull showing a large skull with features of dysostosis multiplex of the patient included in the case report
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F8
Lateral and PA view of the skull radiograph showed features of dysostosis multiplex which included a large skull with thickened and sclerotic calvarium and base of the skull, frontal and occipital hyperostosis, hypertelorism and sella turcica with J sign [Figure 8].
Oar-shaped ribs with narrowing at the vertebral ends and broadening at the sternal ends of the patient included in the case report
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F9
Chest radiograph (PA and lateral view) showed oar-shaped ribs with narrowing at the vertebral ends and broadening at the sternal ends [Figure 9].
AP radiograph of hand and wrist shows widened metaphyses and diaphyses with bullet-shaped phalanges with proximal pointing of the second to fifth metacarpals of the patient included in the case report
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F10
Hand-wrist radiograph showed bullet-shaped phalanges with proximal pointing of the second to the fifth metacarpals [Figure 10].