| Contributed by: Dr. Prajnya Ranganath Department of Medical Genetics, Nizam's Institute of Medical Sciences, Hyderabad  | 
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| 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. | ||
Please send your responses to editor@iamg.in  | 
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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. | 
| Correct responses were given by: | 
| 1. Beena Suresh, Chennai | 
| 2. Manjeet Mehta, Mumbai | 
| 3. Kalpana Gowrishankar, Chennai | 
| 4. Sheetal Sharda, Bengaluru | 
| 5. Sangeeta Khatter, New Delhi | 
| 6. Mohandas Nair, Kozhikode | 
| 7. Poonam Singh Gambhir, Kanpur | 
| 8. Alka Ekbote, Aurangabad | 
| 9. Prashant Kumar Verma, Jaipur | 
| 10. M L Kulkarni, Davangere | 
| 11. Jayarekha Raja, Chennai | 
| 12. Niby J Elackatt, Bengaluru |