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Lady with ‘lobster claw’ feet
  1. Amani Aman1,
  2. Louis Darby2,
  3. Muhammad Javaid Hameed Rahmani3
  1. 1Department of health and Ageing, Conquest Hospital, East Sussex Healthcare Trust, St Leonards on Sea, UK
  2. 2King’s College London School of Medical Education, London, UK
  3. 3Department of Health and Ageing, Conquest Hospital, St Leonards on Sea, UK
  1. Correspondence to Dr Muhammad Javaid Hameed Rahmani, m.rahmani3{at}


A 94-year-old woman admitted with confusion secondary to a urinary tract infection exhibited deformities in all four limbs that were present from birth. Her appearance was suggestive of split hand/split foot malformation a rare congenital condition that affects the central rays of the distal limb portion. She had no syndromic features and had lived without support or assistance of her daily activities. A keen knitter, she regularly knitted for her three grandchildren, all of which, along with her son, were unaffected by this condition.

  • genetics
  • geriatric medicine
  • genetic screening / counselling

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  • Contributors AA was involved in obtaining the case history literature search and patient images. LD was involved in the case report and identifying references for learning points. MJHR in formulating the idea for the case report, discussion and amalgamating learning points.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.