Image IQ: Coarse Facial Features, Short Stature, Spinal Deformity

Poll

Male child of normal intelligence sent for skeletal survey for coarse facial features, short stature and spinal deformity.

A male child of normal intelligence, belonging to a nonconsanguineous marriage was sent to the radiology department for skeletal survey to assess coarse facial features,  short stature and spinal deformity. Radiographs of the hands , skull and spine are provided.

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What's your diagnosis?

Hurlers syndrome
Morquio syndrome
Spondyloepiphyseal dysplasia
Achondroplasia

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