case_images: PMC10878678_01
case_images: the index patient presented with dsymorphic features such as dolichocephaly (panel A), broad nasal bridge, strabismus, hypertelorism, and mild ptosis (panel B)
case_images: cureus-0016-00000052672-i01.jpg
case_images: PMC10878678_01_cureus-0016-00000052672-i01.jpg
case_images: FIG1
case_images: Her face was mildly dysmorphic with dolichocephalus, hypertelorism, strabismus, and mild ptosis bilaterally (Figure 1).
case_images: the index patients hands (left hand: panels A and C, right hand: panels B and D) were remarkable for arachnodactyly, clinodactyly, and hyperextensible joints
case_images: cureus-0016-00000052672-i02.jpg
case_images: PMC10878678_01_cureus-0016-00000052672-i02.jpg
case_images: FIG2
case_images: In the upper limbs, there was distal muscle weakness of the hand and finger muscle (M5-), diffuse wasting, arachnodactyly, clinodactyly (Figure 2), hypotonia, hyperextensible finger and wrist joints, decreased tendon reflexes, and a positive snap reflex on the left side.