Holt Oram syndrome
Male with congenital heart disease. Chest xray taken on day of birth. Forearm and hand radiographs taken at 6 months of age.
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There is absence of the thumbs and some hypoplasia of the radii. The clavicles display a prominent lateral hook.
In association with congenital heart disease, the upper limb deformities are suggestive of Holt Oram syndrome which was confirmed.
This patient's father also had the condition.