A one year old male child has multiple symmetrical joint contractures of the upper and lower limbs

Question Number 0456

Question:
A one year old male child has multiple symmetrical joint contractures of the upper and lower limbs, most marked in the lower limbs, and distributed distally rather than proximally. His subcutaneous tissues are thick and feel doughy. He is also noted to have clubbing. A likely diagnosis is

a) Dysplasia epiphsalis multiplex
b) amyoplasia
c) Murquio syndrome
d) Ehler-Danlos syndrome
e) Osteodysplasty


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