case_images: PMC11742178_01
case_images: Brachydactyly of hands and feet.
case_images: omae169f1.jpg
case_images: PMC11742178_01_omae169f1.jpg
case_images: f1
case_images: There was marked limitation of movement, and the fingers of hands and feet were also shorter than that of usual size (i.e. brachydactyly) and was congenital in nature as shown in Fig. 1.
case_images: Showing reduced height of metacarpals and bone density.
case_images: omae169f2.jpg
case_images: PMC11742178_01_omae169f2.jpg
case_images: f2
case_images: X-ray of hands showed a reduced height of metacarpals with mild periarticular osteopenia and slight decreased bone density as shown in Fig. 2.
case_images: Showing reduced height of first and fourth metatarsals and bone density.
case_images: omae169f3.jpg
case_images: PMC11742178_01_omae169f3.jpg
case_images: f3
case_images: Similarly, the x-ray of feet was also performed that showed the reduced metatarsal height of first and fourth metatarsals with mild osteopenia and decreased bone density as shown in Fig. 3; however, these findings were also suggestive of pseudohypoparathyroidism as the differential diagnosis.