Phocomelia

Case contributed by Dr Jayanth Keshavamurthy

Presentation

Chest x-ray requested for cough. Known congenital deformity.

Patient Data

Age: 55 years
Gender: Female

What is the congenital deformity?

X-ray

The hands are attached bilaterally at the shoulder joints. The humeri, radii and ulnas are congenitally missing.

CXR 1: standard PA

CXR 2: dual energy PA

CXR 3: subtraction image PA

Case Discussion

Thalidomide toxicity is rare currently but it needs to be kept in the differential diagnosis for phocomelia

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