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. 2018 Nov 16;44(Suppl 2):118. doi: 10.1186/s13052-018-0556-z

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© The Author(s). 2018

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Fig. 2 — a. Claw hand and clinodactyly affecting II, III, IV and V left fingers and III, IV and V right fingers; Madelung deformity of the distal radius and ulna bilaterally. b Typical bullet-shaped phalanges and short metacarpals with proximal pointing (arrows) in MPS I- Hurler