D Saminathan,

We report a neonate with skeletal abnormalities, born at full term to a 21 year old primigravida mother. The child weighed 2000 g and measured 42 cm in length. There was marked distal limb reduction and the digits of both upper and lower limbs were markedly shortened. Legs were shorter than arms. Differential diagnosis include achondroplasia. However, short digit attached like grapefruits to the palms and foot (Fig 1) helped in making the diagnosis of Grebe’s syndrome. The condition has a normal lifespan.

Fig. 1 Neonate with Grebe’s syndrome.