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Radiographic Abnormalities in Rothmund-Thomson Syndrome and Genotype–Phenotype Correlation with RECQL4 Mutation Status

Amy R. Mehollin-Ray1, Claudia A. Kozinetz2, Alan E. Schlesinger1, R. Paul Guillerman1 and Lisa L. Wang3

1 Department of Radiology, Baylor College of Medicine, The Edward B. Singleton Department of Diagnostic Imaging, Texas Children's Hospital, Houston, TX.
2 Department of Pediatrics, Baylor College of Medicine, Houston, TX.
3 Texas Children's Cancer Center, Department of Pediatrics, Baylor College of Medicine, 6621 Fannin St., MC 3-3320, Houston, TX 77030.


Figure 1
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Fig. 1 18-month-old girl with Rothmund-Thomson syndrome. Radiograph shows aplasia of right thumb (arrow). Brachymesophalangy of second and fifth fingers with associated clinodactyly also is present.

 

Figure 2
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Fig. 2 41-year-old man with Rothmund-Thomson syndrome. Radiograph shows synostosis of proximal radius and ulna (arrow).

 

Figure 3
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Fig. 3 2-year-old boy with Rothmund-Thomson syndrome. Radiograph shows osteopenia and radiocapitellar dislocation.

 

Figure 4
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Fig. 4 9-month-old boy with Rothmund-Thomson syndrome. Radiograph shows brachymesophalangy of second and fifth fingers and associated clinodactyly (arrows). Hypoplasia of radius, first metacarpal, and first proximal phalanx also is present.

 

Figure 5
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Fig. 5A 22-year-old woman with Rothmund-Thomson syndrome. Radiographs show both horizontal and vertical metaphyseal striations (arrow) at right wrist (A) and left ankle (B).

 

Figure 6
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Fig. 5B 22-year-old woman with Rothmund-Thomson syndrome. Radiographs show both horizontal and vertical metaphyseal striations (arrow) at right wrist (A) and left ankle (B).

 

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