BRACHYDACTYLY TYPE-A-4 (TEMTAMY TYPE) WITH SHORT STATURE IN A JAPANESE GIRL AND HER MOTHER

We report on a Japanese girl and her mother with brachydactyly. Their 2nd and 5th middle phalanges were short and the latter was fused with the distal phalanx in one of the patients. Length and shape of proxima l and distal phalanges as well as metacarpals seemed normal. These fin dings are consistent with brachydactyly type 4-A, which is a rare subt ype and has not been adequately documented. Short stature was reported only in some cases of brachydactyly type A-1, A-6, C, and E, but not in the other subtypes. Our patients with type A-4 brachydactyly also h ad short stature.