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Chandra Kanta, Rashmi Kumar
Department of Pediatrics, KG Medical University, Lucknow, Uttar Pradesh, India

A ten years old female child, born of consanguineous marriage, presented with bilateral toes deformities since birth and multiple bony swellings over neck and trunk increasing progressively in number and size for three years. (Figure 1a) There was limitation of movements of neck, shoulders and kyphoscoliosis was present. Skeletal survey revealed calcification of soft tissues over these areas. (Figure 1b) Serum calcium was normal.

What is the diagnosis_?

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