Contributed by: Dr. Prajnya Ranganath
Department of Medical Genetics, Nizam's Institute of Medical Sciences, Hyderabad
 
  Email: prajnyaranganath@gmail.com  
  This 2.5 years-old female child, the fourth offspring of non-consanguineous parents, presented with history of painful, hard swellings on the back. Her developmental milestones were normal. There was no significant family history. Identify the condition.  
 

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Answer to PhotoQuiz 39
Freeman-Sheldon syndrome (Distal arthrogryposis type 2A)(OMIM # 193700)
Freeman-Sheldon syndrome is a distal arthrogryposis syndrome characterized by contractures of hands and feet (arthrogryposis), oropharyngeal abnormalities, and a distinctive face which includes a very small oral orifice, puckered lips, and an H-shaped dimpled chin. Hence it is also called the 'whistling face syndrome'. It is an autosomal dominant disorder caused by mutation in the MYH3 gene.
 
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