Brachial artery is the chief artery of upper limb. Superficial palmar arch plays an important role in most of the traumatic events and the surgical procedures of the hand. The arterial variations of upper limb are useful for vascular surgeons, interventional radiologists, plastic surgeons. The authors report a case of high origin of superficial ulnar artery with abnormal formation of superficial palmar arch.

We report three cases of Bardet-Biedl syndrome (BBS) among which a young female and two siblings from a separate family, presented with common features of obesity, postaxial (ulnar) polydactyly, speech delay, developmental delay with learning difficulties and progressive deterioration of vision. Fundus examination revealed maculopathy and other remarkable findings in these patients. In this image of endocrinology, we describe the BBS phenotypes of these cases highlighting the fundus photography features with a plan for close follow up on obesity and endocrine complications.
Polydactyly ; Obesity ; Macular Degeneration ; Bardet-Biedl Syndrome