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 Indian J Med Microbiol  
 

Figure 1 (A-C): (A) Dorsal view of both thumbs. Minor hypoplasia of both the thumbs and absence of dorsal wrinkles are seen (arrows). (B) Palmar surface of the hands show absent flexion creases (arrows) of bilateral thumbs. Thenar eminence atrophy is also present (asterisk). (C) Functional limitation in holding a pen; note the absence of active flexion of the interphalangeal joints of both the thumbs

Figure 1 (A-C): (A) Dorsal view of both thumbs. Minor hypoplasia of both the thumbs and absence of dorsal wrinkles are seen (arrows). (B) Palmar surface of the hands show absent flexion creases (arrows) of bilateral thumbs. Thenar eminence atrophy is also present (asterisk). (C) Functional limitation in holding a pen; note the absence of active flexion of the interphalangeal joints of both the thumbs