PMC8602871_01
Photographs of the child's small hands and feet, thin and short fingers, fifth-finger clinodactyly, and hypoplastic nails on the feet.
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F1
The child was well-proportioned, had peculiar facial features (a triangular face, deep-set eyes, a wide nasal bridge, thin lips, a small lower jaw, sparse teeth, and multiple dental caries), small hands and feet, thin and short fingers, fifth-finger clinodactyly, hypoplastic toenails (shown in Figure 1 for the hands), and delayed speech development.
Direct radiography of the child's left hand. The bone age was 4 years (3 years behind the patient's actual age), the finger bones were short and thin, the distal phalanges were prominent, the little finger was inwardly curved, and the middle phalanges of the little finger were irregularly shaped.
fped-09-747353-g0002.jpg
PMC8602871_01_fped-09-747353-g0002.jpg
F2
The little finger was inwardly curved, and its middle phalanges had an irregular morphology (Figure 2).