Amniotic Deformity, Adhesions, Mutilations (ADAM) Complex: A Frightful Condition

A term male infant with a birth weight of 2.5 kg was born to primigravida mother through normal vaginal delivery. Baby cried after birth with an Apgar score of 8/9/9 and did not require any resuscitation. Maternal history was not significant for any drug intake or medical illness. On physical examination baby was diagnosed to have smaller sized medial four toes of both lower limbs, constriction bands around the fingers, distal atrophy of fingers with absence of nails in all toes (Figures 1 and ​and22).