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Brachytelephalangy in patients 2–5. Short distal phalanges, hypoplastic nails, and absent nail of the fifth digit are shown for the hands of patients 2 and 4. Absent or hypoplastic toenails are shown for patient 2. Hand X-rays of patients 3, 4, and 5 indicate absent distal phalanx of the fifth digit and hypoplastic phalanges of the other fingers
