case_images: PMC3633291_01
case_images: Profile pictures showing short stature, hypertelorism, depressed nasal bridge, underdeveloped maxilla, and frontal bossing
case_images: JNSBM-4-245-g001.jpg
case_images: PMC3633291_01_JNSBM-4-245-g001.jpg
case_images: F1
case_images: Extraoral examination revealed hypertelorism (increased intercanthal distance of eyes), frontal bossing with brachycephalic skull, depressed and flattened nasal bridge, malar hypoplasia, and an underdeveloped maxilla with a prognathic mandible and concave facial profile [Figure 1].
case_images: (a) Fingers showing broad thumb and hypoplastic distal phalanges; (b) Brachydactyly of fourth toe
case_images: JNSBM-4-245-g002.jpg
case_images: PMC3633291_01_JNSBM-4-245-g002.jpg
case_images: F2
case_images: Hand showed hypoplastic distal phalanges [Figure 2a], and brachydactyly of the fourth toe [Figure 2b] was seen.
case_images: (a) Cone-shaped narrow thorax; (b) Approximation of shoulders to midline
case_images: JNSBM-4-245-g003.jpg
case_images: PMC3633291_01_JNSBM-4-245-g003.jpg
case_images: F3
case_images: The thorax was narrow and cone shaped, and spinal abnormalities like mild scoliosis and kyphosis were appreciated [Figure 3a]. On palpation, a depression over the sagittal suture with presence of metopic suture of the frontal bone was felt and the patient could approximate her shoulders in midline [Figure 3b].
case_images: Intraoral pictures showing delayed eruption of permanent teeth, retained deciduous teeth, and high-arched narrow palate
case_images: JNSBM-4-245-g004.jpg
case_images: PMC3633291_01_JNSBM-4-245-g004.jpg
case_images: F4
case_images: Erupted upper right permanent first molar and retained deciduous teeth were seen with high arched and narrow palate [Figure 4a, b] with erupted right permanent first molar and retained deciduous teeth [Figure 4c] were seen.
case_images: (a) Panoramic radiograph showing few impacted teeth, multiple retained deciduous teeth, delayed eruption of permanent teeth, and underdeveloped maxillary sinuses; (b) AP pelvis showing widened pubic symphysis and triradiate cartilage
case_images: JNSBM-4-245-g005.jpg
case_images: PMC3633291_01_JNSBM-4-245-g005.jpg
case_images: F5
case_images: Panoramic radiograph revealed few impacted teeth, multiple retained deciduous teeth, and underdeveloped maxillary sinuses [Figure 5a]. AP view of pelvis demonstrated a widened pubic symphysis and triradiate cartilage [Figure 5b].
case_images: AP and lateral skull radiographs showing patent fontanelles and multiple wormian bones
case_images: JNSBM-4-245-g006.jpg
case_images: PMC3633291_01_JNSBM-4-245-g006.jpg
case_images: F6
case_images: Skull AP and lateral views showed the presence of multiple wormian bones with open fontanelles [Figure 6].
case_images: Chest radiograph shows bell-shaped thorax and bilateral hypoplasia of clavicles
case_images: JNSBM-4-245-g007.jpg
case_images: PMC3633291_01_JNSBM-4-245-g007.jpg
case_images: F7
case_images: Chest radiograph showed bell-shaped rib cage and hypoplastic clavicles [Figure 7].