PMC10122572_01
(a) Truncal obesity. (b) Acanthosis nigricans on the neck. (c) Bilateral upper limbs postaxial polydactyly. (d) Short, broad, and stubby fingers on the lower limbs. (e, f) Fundoscopic pictures of both eyes showing "waxy" optic disc pallor and pigmentary retinopathy.
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fig1
PMC10122572_02
(a) Divergent squint. (b) Central obesity. (c) Short, broad, and stubby fingers of the upper limbs. (d) Polydactyly, syndactyly, and brachydactyly in the lower limbs. (e, f) Fundus images of the right and left eyes showing mild arteriolar attenuation with pigmentary retinopathy and pale optic discs.
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fig2
While examining the patient, he was restless and irritated, with a weight of 96 kg, a height of 167.64 cm, and a BMI of 34.2 kg/m2 (obese) (Figure 2(b)) with below-average intelligence and cognitive impairment in psychiatric evaluation. Musculoskeletal system examination revealed brachydactyly in the upper limbs (Figure 2(c)) and polydactyly, syndactyly, and brachydactyly in the lower limbs (Figure 2(d)).