(a and b) The first patient showing brachydactyly, rudimentary nails of digits 2, 3, 5 of the right hand and digit 5 of the left hand with absence of nails of digit 4 of the right hand and digits 3 and 4 of the left hand. (c and d) Plain radiograph of both the hands showing the absence of distal phalanges of digits 2–5