AP photograph of the hands of the proband aged 11 (A) and of her father (B) show finger contractures, adducted and flexed thumbs, transverse palmar crease,

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AP photograph of the hands of the proband aged 11 (A) and of her father (B) show finger contractures, adducted and flexed thumbs, transverse palmar crease, and underdevelopment of the flexion creases of the finger joints. AP photograph of the hands of the proband aged 11 (A) and of her father (B) show finger contractures, adducted and flexed thumbs, transverse palmar crease, and underdevelopment of the flexion creases of the finger joints. Rodney K Beals, and Stephen LaFranchi J Med Genet 2001;38:e22 ©2001 by BMJ Publishing Group Ltd