PMC4716770_01
Our patient demonstrates coarse facial features (A), hypoplastic midface and prognathia (B).
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The patient exhibited coarse facial features with a prominent brow ridge, midface hypoplasia, prognathia, and slight down slanting of palpebral fissures (Figure 1).
Our patient had hyperkeratotic white plaques on her soles, hands, and periungual digits (A and B); manifestations of crusted scabies (B).
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The skin examination was significant for thick, hyperkeratotic, white, and flaking plaques on the palms, soles, digits, and under the distal nails (Figure 2).