case_images: PMC5405649_01
case_images: An expressionless face, a taut and shiny skin, loss of wrinkles, with a reduced oral aperture and a pinched beak-like nose
case_images: JHRS-10-58-g001.jpg
case_images: PMC5405649_01_JHRS-10-58-g001.jpg
case_images: F1
case_images: She had an expressionless face [Figure 1], with loss of wrinkles, a taut and shiny skin, a reduced oral aperture (permitting only two fingers) and a pinched beak-like nose.
case_images: Thickened, fixed flexion contracture of the fingers of the upper limbs
case_images: JHRS-10-58-g002.jpg
case_images: PMC5405649_01_JHRS-10-58-g002.jpg
case_images: F2
case_images: There was fixed flexion contracture of the fingers of the upper limbs [Figure 2] and amputation of the 2nd digit of the left lower limb [Figure 3].
case_images: Amputation of the 2nd digit of the left lower limb
case_images: JHRS-10-58-g003.jpg
case_images: PMC5405649_01_JHRS-10-58-g003.jpg
case_images: F3
case_images: There was fixed flexion contracture of the fingers of the upper limbs [Figure 2] and amputation of the 2nd digit of the left lower limb [Figure 3].