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Question:
Smriti Nath, Amalendu Das, Ehteshamul Hassan, Vivek Sharma
Department of Pediatrics, Tata Motors Hospital, Jamshedpur, India

Address for Correspondence: Smriti Nath, 57 River View Enclave, Telco Colony, Jamshedpur-831004, India. Email:- smritin@tatamotors.com

A male term newborn with birth weight 2.58 kg, first born to parents of non-consanguineous marriage was delivered by emergency caesarean section for fetal bradycardia. Mother was suffering from hypothyroidism. She was on thyroid supplements. Baby had shortening of left lower limb with angulation of leg and two toes (Fig 1). Movement of both limbs were normal. X-Ray of limbs shows left sided femoral shaft angulation, short and angulated tibia with absence of fibula, two metacarpals with four phalanges (Fig 2). Other limb X-rays were normal. Echocardiography and ultrasound abdomen were normal.

What is the diagnosis_?

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