Brushfield Spots And Hypotonia

Brushfield Spots Images Trisomy
Figure 3.205. Stippling of the epiphyses and hyoid are common in Zellweger syndrome. This radiograph of the neck shows stippling at the hyoid bone.

Figure 3.206. Early punctate mineralization of the patella is a common finding, and note the stippling at the knee joints and ankles.

Upper Extrimities Radiographs
Figure 3.207. Radiographs of the upper extremities of the same infant showing the stippling at the elbows and wrists.
Stippling Skin NewbornWart Crease Elbow

Figure 3.208. This infant with Zellweger syndrome had marked hypotonia and shows the typical appearance of the head and face, the single palmar creases, and clinodactyly. There is commonly ulnar deviation with simian creases of the hand. Brushfield's spots also occur in infants with Zellweger syndrome. Because of the hypotonia, craniofacial findings, Brushfield's spots, and simian creases, these infants often are mistaken for infants with trisomy 21.

Figure 3.208. This infant with Zellweger syndrome had marked hypotonia and shows the typical appearance of the head and face, the single palmar creases, and clinodactyly. There is commonly ulnar deviation with simian creases of the hand. Brushfield's spots also occur in infants with Zellweger syndrome. Because of the hypotonia, craniofacial findings, Brushfield's spots, and simian creases, these infants often are mistaken for infants with trisomy 21.

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