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Images in medicine
Open fontanelles in an elderly man
  1. Rakul Nambiar1,
  2. Dalus Dae2,
  3. Jithesh Balan2,
  4. Anjali Srikumar3
  1. 1 Department of Medical Oncology, Regional Cancer Centre, Thiruvananthapuram, Kerala, India
  2. 2 Department of Internal Medicine, Government Medical College Hospital, Thiruvananthapuram, Kerala, India
  3. 3 Department of Anesthesiology, Sree Gokulam Medical College and Research Foundation, Thiruvananthapuram, Kerala, India
  1. Correspondence to Dr Rakul Nambiar; rakulnambiar{at}yahoo.com

http://dx.doi.org/10.1136/postgradmedj-2017-135131

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    Case description

    A 70-year-old man was evaluated for sinusitis with skull radiograph which demonstrated open anterior fontanelle. Physical examination revealed broad forehead, open anterior fontanelle, multiple impacted teeth and sloping shoulders with an abnormal hypermobile shoulders (figure 1). Family history revealed similar dentition problems and ability to oppose shoulders in his father, brothers and daughter. …

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    Footnotes

    • Contributors RN: substantial contributions to the conception or design of the work; acquisition, analysis or interpretation of data for the work; drafting the work or revising it critically for important intellectual content and final approval of the version to be published. DD: analysis and interpretation of data for the work. JB: acquisition, analysis or interpretation of data for the work. AS: drafting the work or revising it critically for important intellectual content.

    • Competing interests None declared.

    • Patient consent Obtained.

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