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Case #10040 - Microcephaly, anorectal agenesis, vertebral anomalies

Malformative association

- anorectal agenesis

- bilateral renal anomalies with unilateral renal agenesis and unilateral obstructive renal dysplasia

- microcephaly

  • fetal akinesia sequence (FAS)
    • upper limb pterygia
    • elbow ankylosis
    • lower limb pterygia
    • hip ankylosis
    • knee ankylosis
    • thin, gracile long bones
    • ankle ankylosis
    • talipes equinovarus
    • neurogenic muscle atrophy
    • limb hyperextension hypertony

- radial ray anomalies

  • thumb insertion anomaly
    • proximally inserted thumb

- D12-L1-L2 vertebral hypoplasia

Cytogenetics

- ?

Diagnostic hypothesis

- VATER association
- Townes-Brock syndrome (SALL1 germline mutations)