MKL Wong, JLF Fung, BHY Chung

Our patient is a 28-year-old female who was referred to the Genetics Clinic for pre-marital counselling. The patient has generally good past health except she was always commented by her family doctor to have lax joints and loose skin. Upon examination, patient was noted to have hyper-extensibility, laxed skin, easy bruising, poor wound healing and a history of contusion of knee. Apart from the above characteristics, her physical health is unremarkable. Her cervical smear is negative and family history is uncertain. She is planning to have an IVF and Preimplantation Genetic Diagnosis in the future.

Figure 1 Clinical photos of the patient. (Consent for publication has been obtained).

The clinical quiz was prepared by:
MKL Wong
JLF Fung
BHY Chung

Department of Paediatrics & Adolescent Medicine, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong

Answer to "Clinical Quiz" on Pages 204-205

N.B. The Editors invite contributions of illustrative clinical cases or materials to this section of the journal.