These are increased thickness and decreased echogenicity of the nail bed, upward dis- placement of the nail plate, and hypervascularity that's extra prominent within the proximal part of the nail bed. A: An eleven-month-old boy with typical facies, stubby arms, and distinguished sandal hole of the feet. Forty-9 percent of these participants who had initially sought evaluation for surgery had not had surgical procedure by the tip of 6 months of followup spasms just below rib cage
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