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Tracy Prosen, MD; Catherine Craven, MD; Elizabeth McPherson, MD; Lyndon M. Hill, MD; W. Allen Hogge, MD
From the Departments of Genetics (Drs Prosen, McPherson, and Hogge), Maternal-Fetal Medicine (Drs Prosen and Hill), Perinatal Pathology (Dr Craven), and Ultrasound (Dr Hill), University of Pittsburgh Medical Center and Magee-Womens Hospital, Pittsburgh, Pa.

Arch Pediatr Adolesc Med. 2001;155:969-970.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 29-YEAR-OLD Middle Eastern gravida 2 para 1 woman was referred for perinatal evaluation after a routine ultrasound at 21 weeks' gestation was suspicious for skeletal dysplasia (long bones measured <fifth percentile). Bilateral clubbed feet were also noted. Her family history was unremarkable, without a history of skeletal dysplasia. A detailed ultrasound at our institution revealed shortening of all long bones (<fifth percentile) as well as shortening of the fetal foot. The ribs measured at the 50th percentile for gestational age, and the chest circumference was at the 10th to 25th percentile. Bilateral syndactyly of the third, fourth, and fifth digits of the hands was suspected. The hands also had a no-table separation of the second and third digits(Figure 1). Bilateral clubbed feet with a rocker bottom appearance were noted. The . . . [Full Text of this Article]

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