PMC3575672_01
Showing both the upper limbs of the patient. Right limb demonstrates hypoplastic fingers (brachydactyly). The left forearm is absent with five nubbins attached to its distal part.
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fig1
Finger nails appeared normal (Figure 1).
Showing both the lower limbs of the patient; Right foot is hypoplastic, and left foot is absent (apodia) with all the ten toes missing.
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fig2
Left limb had apodia (missing foot) with adactyly (Figure 2).
Color Doppler ultrasonographic image showing the regurgitation of blood into the left atrium.
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fig3
Further, Color Doppler ultrasonography revealed pulmonary artery dilatation with pulmonary regurgitation (Figure 3).
Left lateral view of the patient showing convex profile, competent lips, and deep mentolabial sulcus.
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fig4
Intraoral view of the small tongue showing a poorly defined tip.
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fig5
Intraorally, his tongue was hypoplastic; about two thirds the normal size with a rounded tip (Figure 5).
Intraoral view of the mandibular arch demonstrates the lingual frenum attaching the blunt tongue tip to the floor of the mouth far behind the incisors. Root stumps of molars are evident. Missing right central incisor may be noted.
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fig6
The tip was attached to the floor of the mouth by a short lingual frenum and positioned about a centimeter behind the lower incisors (Figure 6). Mandibular anteriors were retroclined with congenitally missing right central incisor (Figure 6). Root stumps of maxillary left first premolar, mandibular first molars, and mandibular right second molar were present (Figure 6).
Intraoral view of the teeth in occlusion showing anterior deep bite and palatally placed maxillary left lateral incisor.
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fig7
Anterior deep bite was observed (Figure 7).