PMC6136482_01
Hallux valgus and subluxation of the proximal interphalangeal (PIP) joint of the toes, varicose veins, and paperlike skin in our patient.
CRIM2018-5053825.001.jpg
PMC6136482_01_CRIM2018-5053825.001.jpg
fig1
She had flat feet with a bilateral hallux valgus (Figure 1).
Joint hypermobility: passive apposition of the thumb to forearm and passive dorsal hyperextension of the metacarpophalangeal joint >90  (Beighton score: questions 1 and 2).
CRIM2018-5053825.002.jpg
PMC6136482_01_CRIM2018-5053825.002.jpg
fig2
On the Beighton score, she received all (9) scores: passive apposition of the thumb to forearm and passive dorsal hyperextension of the metacarpophalangeal joint >90  on both sides were done with no strain (Figure 2); she was able to actively hyperextend both elbows and knees on both sides over >10  and flex her spine to the ground with palms placed on the ground without knee flexing.