PMC5405649_01
An expressionless face, a taut and shiny skin, loss of wrinkles, with a reduced oral aperture and a pinched beak-like nose
JHRS-10-58-g001.jpg
PMC5405649_01_JHRS-10-58-g001.jpg
F1
She had an expressionless face [Figure 1], with loss of wrinkles, a taut and shiny skin, a reduced oral aperture (permitting only two fingers) and a pinched beak-like nose.
Thickened, fixed flexion contracture of the fingers of the upper limbs
JHRS-10-58-g002.jpg
PMC5405649_01_JHRS-10-58-g002.jpg
F2
There was fixed flexion contracture of the fingers of the upper limbs [Figure 2] and amputation of the 2nd digit of the left lower limb [Figure 3].
Amputation of the 2nd digit of the left lower limb
JHRS-10-58-g003.jpg
PMC5405649_01_JHRS-10-58-g003.jpg
F3
There was fixed flexion contracture of the fingers of the upper limbs [Figure 2] and amputation of the 2nd digit of the left lower limb [Figure 3].