Short rib polydactyly syndrome type I (Saldino-Noonan syndrome).

A full term female newborn, weighing 2 Kg, was born with severe shortening of limbs with bilateral postaxial polydactyly. Chest was very narrow. There was polysyndactyly of right and left toe (Fig. 1) and anthropometry revealed a length of 40 cms, upper segment 28 cm, arm span 35 cm and chest circumference 21 cm. The neonate had respiratory distress since birth and died after 5 hrs. A clinical diagnosis of short-rib polydactyly syndrome was made. The skeletal skiagram revealed short ribs, small pelvis, short tubular bones (Fig. 2).