Amniotic band sequence versus the autosomal recessive microcephaly, facialclefting, and preaxial polydactyly syndrome

We report a Brazilian boy, born to consanguineous parents. On the left arm there was a proximal 'ring shaped' constriction, regional aplasia cutis, an d a short hand with markedly hypoplastic fingers and nails 2-3. He also had a bilateral cleft lip/palate, preaxial polydactyly involving the distal ph alanx of the left index finger, and a supernumerary nipple on the right. Th e differential diagnosis is discussed. Clin Dysmorphol 9: 297-299 (C) 2000 Lippincott Williams & Wilkins.