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Top left, groin showing bilateral fissures at birth; top right, profile of face at 18 months of age note the vellus hair and micrognathia ; bottom left, frontal view at 18 months of age showing the symmetrically shortened extremities, prominently visible vasculature, multiple ecchymoses, excess skin folds, blue sclerae, and umbilical hernia; bottom right, closeup of left foot showing hyperconvex nails.
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