case_images: PMC10122572_01
case_images: (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.
case_images: CRIOPM2023-4017010.001.jpg
case_images: PMC10122572_01_CRIOPM2023-4017010.001.jpg
case_images: fig1
case_images: PMC10122572_02
case_images: (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.
case_images: CRIOPM2023-4017010.002.jpg
case_images: PMC10122572_02_CRIOPM2023-4017010.002.jpg
case_images: fig2
case_images: 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)).