Contributed by: Dr Shubha R Phadke
Department of Medical Genetics, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
 
  Email: shubharaophadke@gmail.com  
  This fetus with antenatally detected anomalies was referred for autopsy evaluation. Identify the condition.  
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Answer to PhotoQuiz 60
Nail-patella syndrome (OMIM #161200)
Nail-patella syndrome is an autosomal dominant disorder characterized by nail abnormalities, small or absent patellae, elbow joint contractures, and the presence of iliac horns. Nails may be absent, hypoplastic, dystrophic, ridged, pitted, or discolored. Iliac horns are seen as projections arising from the central part of the iliac bones of the pelvis. Affected individuals can have renal involvement and develop proteinuria, hematuria, and end-stage renal disease. Nail-patella syndrome is caused by heterozygous pathogenic variants in the LMX1B gene (*602575).
 
Correct responses were given by:
1. Dr Sanjeev Aggarwal, Kinder Care Clinic, New Delhi
2. Dr Geetha Chanda, Rainbow Children's Hospital, Hyderabad
3. Dr Mansi K Shah, Lokmanya Tilak Municipal General Hospital & Medical College (LTMMC), Sion, Mumbai
4. Ms Maitri Jain, Genetic Care, Zydus Hospitals & HCG Hospitals, Ahmedabad
5. Dr Deepika Gulati Manoj, Base Hospital, Delhi Cantonment, Delhi
6. Dr Vibha Jain, Punarjyoti Eye and Mother Care Centre, Ghaziabad
7. Dr Kanika Singh, Medanta Hospital, Gurugram
8. Dr Surya G Krishnan, Centre for Human Genetics, Bengaluru
9. Dr Sreelata Nair, Lifeline Super Specialty Hospital, Adoor, Pathanamthitta, Kerala
10. Dr Pallavi Sinha, Sir Ganga Ram Hospital, New Delhi
11. Dr Preveen S, Government Hospital, Peraurani, Tamil Nadu
12. Dr Mounika Endrakanti, All India Institute of Medical Sciences, New Delhi
13. Dr Mallikarjun Patil, Aster Hospital, Bengaluru
14. Dr Vinu N, Manipal Hospital, Bengaluru
15. Dr Ravneet Kaur, Motherhood Chaitanya Hospital, Chandigarh
16. Dr Ashka Prajapati, Ahmedabad
17. Dr Nirali Desai, Mumbai