PMC7325546_01
Coarse facial appearance (absence of a fine and sharp appearance of the brows, nose, lips, mouth, and chin).
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The clinical features included coarse face, joint stiffness, short stature, and mental retardation (Figure 1).
Paddle-shaped widened ribs on chest X-ray.
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The chest X-ray result showed paddle-shaped widened ribs (Figure 2).
PMC7325546_02
The clinical appearance of the patient with Morquio syndrome (behind view).
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Physical examination showed coarse facial features with a wide nose, pectus carinatum, shortened forearm, and genu valgum (Figure 3).
S-shaped scoliosis of the spine.
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The X-ray image showed the S-shaped scoliosis of the spine (Figure 4).
PMC7325546_03
The clinical appearance of the patient with Maroteaux-Lamy syndrome.
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A physical examination showed the child had a short neck, large skull, rugged appearance, short nasal bridge, wide nose, and swollen eyelids (Figure 5).
Bullet-shaped phalanges.
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In hand radiographs, the fingers and metacarpus were short, wide-, and bullet-shaped phalanges (Figure 6).
Paddle-shaped widened ribs and thick irregular clavicles.
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Paddle-shaped widened ribs and thick irregular clavicles were seen in the chest X-ray (Figure 7).