The following photos will show that this position is flexible and is therefore due to in utero position.
Lymphoedema; coarctation of the aorta; horseshoe kidney; infertility; amenorrhoea.
At neurologic examination, he presented global clumsiness and facial dysmorphic features including triangular face, highly arched eyebrows, upslanting palpebral fissures, high nasal bridge, short phyltrum, cleft lip and palate with malposition of incisors, arched palate, micrognathia, and low-set ears.
Increased sweat calcium and calcification of eccrine ducts may contribute, as there is no preceding injury or calcium metabolism abnormality.
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Duplication of the big toe.