PMC3443573_01
Hands and feet in RTS. Broad thumbs, broad terminal phalanges were seen.
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fig1
The following clinical extraoral findings were observed: short stature with broad thumbs, mental retardation, down slant of the palpebral fissures, strabismus and simple ear (Figures 1(a), 1(b)).
Facial characteristics include slanting palpebral fissures and beaked nose with nasal septum.
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fig2
The nose has a beaked appearance, broad fleshy bridge, deviated septum, and short low columella (Figure 2) and she had cardiac abnormalities.
(a) Intraoral findings were a small mouth and malocclusion. (b) In intra-oral findings, high-arched and cleft palate was seen. And upper molar teeth had deep dentinal carious lesions.
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fig3
Intra-oral findings were high-arched and cleft palate, a small mouth and malocclusion (Figures 3(a) and 3(b)). The patient also had carious lesions (Figures 3(a), 3(b), 4, 5(a), 5(b)).
Talon cusps were present on maxillary central and lateral incisors.
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fig4
Talon cusps were present on maxillary central and lateral incisors (Figure 4).