Figure 6
From: Brachydactyly E: isolated or as a feature of a syndrome
Hands of a patient with tricho-rhino-phalangeal syndrome I (OMIM#190350). The patient presents asymmetrical brachydactyly; metacarpals III and V are shortened on the left hand and IV and V on the right. Further, middle phalanges are shortened and cone-shaped epiphyses are shown with the typical outcarving and deformation (arrows) (courtesy of Dr. Sharona Azriel, unpublished case).