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Picture of the Month—Quiz Case

Picture of the Month—Quiz Case A 28-year-old man presented with numerous musculoskeletal findings, the following of which were noted (Figure 1): in the head and neck: dolichocephaly, malar hypoplasia, highly arched palate, retrognathia, and ectopia lentis with iridodonesis; in the extremities: long limbs (dolichostenomelia), long, tapered fingers (arachnodactyly), contractures of several joints, and pes planus, as well as “thumb sign” (Figure 2) and “wrist sign” (Figure 3); and in the torso: pectus carinatum, scoliosis, and striae atrophicae. His medical history was notable for spontaneous pneumothorax and aortic root dilatation. Figure 1. View LargeDownload Physical findings in a 28-year-old man. Figure 2. View LargeDownload “Thumb sign”: when the hand is clenched without assistance, the entire thumbnail projects beyond the border of the hand. Figure 3. View LargeDownload “Wrist sign”: when the wrist is grasped by the contralateral hand, the thumb overlaps the terminal phalanx of the fifth digit. What is your diagnosis? http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Pediatrics & Adolescent Medicine American Medical Association

Picture of the Month—Quiz Case

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Picture of the Month—Quiz Case

Abstract

A 28-year-old man presented with numerous musculoskeletal findings, the following of which were noted (Figure 1): in the head and neck: dolichocephaly, malar hypoplasia, highly arched palate, retrognathia, and ectopia lentis with iridodonesis; in the extremities: long limbs (dolichostenomelia), long, tapered fingers (arachnodactyly), contractures of several joints, and pes planus, as well as “thumb sign” (Figure 2) and “wrist sign” (Figure 3); and in the torso: pectus...
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Publisher
American Medical Association
Copyright
Copyright © 2005 American Medical Association. All Rights Reserved.
ISSN
1072-4710
eISSN
1538-3628
DOI
10.1001/archpedi.159.8.721
Publisher site
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Abstract

A 28-year-old man presented with numerous musculoskeletal findings, the following of which were noted (Figure 1): in the head and neck: dolichocephaly, malar hypoplasia, highly arched palate, retrognathia, and ectopia lentis with iridodonesis; in the extremities: long limbs (dolichostenomelia), long, tapered fingers (arachnodactyly), contractures of several joints, and pes planus, as well as “thumb sign” (Figure 2) and “wrist sign” (Figure 3); and in the torso: pectus carinatum, scoliosis, and striae atrophicae. His medical history was notable for spontaneous pneumothorax and aortic root dilatation. Figure 1. View LargeDownload Physical findings in a 28-year-old man. Figure 2. View LargeDownload “Thumb sign”: when the hand is clenched without assistance, the entire thumbnail projects beyond the border of the hand. Figure 3. View LargeDownload “Wrist sign”: when the wrist is grasped by the contralateral hand, the thumb overlaps the terminal phalanx of the fifth digit. What is your diagnosis?

Journal

Archives of Pediatrics & Adolescent Medicine – American Medical Association

Published: Aug 1, 2005

Keywords: thumb,wrist,retrognathism,pectus carinatum,linear atrophy,iridodonesis,spontaneous pneumothorax,aortic root dilatation,contracture,ectopia lentis,flatfoot,flatfoot-acquired,medical history,scoliosis,limb,palate,zygomatic bones,head and neck,trunk structure,fingers

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