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Question:
Pramila Verma, Mahesh Maheshwari
Department of Pediatrics, Peoples College of Medical sciences & Research Centre, Bhanpur, Bhopal, Madhya Pradesh, India

Address for Correspondence: Dr Pramila Verma, Associate professor, Senior MIG– B10PCMS Campus, Peoples College of Medical Sciences & Research Centre, Bhanpur, Bhopal, Madhya Pradesh, India. Email: drpramilav@yahoo.com

A female baby with weight of 2.4 kg was born to a primigravida 18 years old mother. Baby was a product of non-consanguineous marriage and delivered at 36 weeks of gestation by normal vaginal delivery. Mother’s gestational period was uneventful with no history of teratogenic drug intake or radiation exposure. Baby had hypoplastic forearm along with flexion contractures at wrist joint. She had aplasia of both lower limbs and feet were attached directly to the trunk. In addition she was found to have oligodactyly in right hand, cleft lip and cleft palate.

What is the likely diagnosis_?

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