PMC4663328_01
Broad hands with short, spoon shaped phalanges and dystrophic nails.
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fig1
The hands were broad with short, spoon shaped phalanges and dystrophic nails as shown in Figure 1.
Intraoral features.
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fig2
There was Class III incisor relationship with reverse overjet of 2 mm, bilateral lateral open bite, narrow and grooved palate, irregular and malpositioned teeth, and v-shaped maxillary and mandibular dental arches (Figure 2).
Skull radiograph with patent anterior fontanelle.
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fig3
The skull radiograph demonstrated frontal bossing and significant suture diastasis with patent anterior fontanelle as well as wormian bodies (Figure 3).
Panoramic radiographic findings.
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fig4
The mandible showed a striking feature of thin and narrow body with an obtuse gonial angle and elongated condylar neck (Figure 4).
Cephalometric measurements and analysis.
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fig5
All the cephalometric measurements were compared with the standard Caucasian norms (Figure 5).
Soft palate and airway dimensions.
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fig6
The upper airway space (width of airway behind middle of soft palate along parallel line to Go-B) was 8.4 mm, middle airway space (width of airway along parallel line to Go-B line through tip of the soft palate) was 7.5 mm, and inferior airway space (width of airway space along Go-B line) was 11 mm (Figure 6).