PMC5206464_01
(A) Frontal view of the patient's face, and neck. (B) Anteroposterior radiogram of patient's both hands reveal widened thumbs, cutaneous syndactyly, and flexion deformities of all fingers. (C) Anteroposterior view of both feet, complete syndactyly.
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F1
On physical examination acrocephaly, prominent forehead, hypertelorism, proptosis, lateral gaze of the left eye, broad nasal root, webbed neck, short hairline, pectus excavatum, cutaneous syndactyly of both hands, enlarged thumbs, subluxations of distal phalanges of hands, total syndactyly of toes of both feet, polydactyly (6 fingers), and brachydactyly were detected (Figure 1).
(A) Lateral radiogram of patient's head, and neck. (B) Anteroposterior (AP) radiogram of patient's both hands. (C) Anteroposterior (AP) radiogram of both feet of the patient.
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F2
Radiological evaluation revealed acroephaly, flattened occiput, increase in anterior opening of maxilla, and hypoplasia, teeth crowding, ectopic teeth, tapered inferior tip of the mandibula, and pseudoprognatism (Figure 2 A). Cutaneous syndactyly of both hands, flexion deformity of all fingers, widening of distal phalanx of the thumb, and occasional subluxation of distal phalanges were detected (Figure 2 B). Anteroposterior radiograms of both feet demonstrated total syndactyly, polydactyly (6 toes), brachydactyly of 4. digits of both feet, clinodactyly of both big toes, and occasional subluxations (Figure 2 C).