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Key clinical message:In the differential diagnosis of testicular transilluminating masses in babies, testicular teratoma should be considered even in cases when ultrasonography reveals a completely cystic lesion.

A 23 years old patient with bilateral hypoplastic thumbs and toes: A case report.Suaad Hamsho, Rheumatology Department, Faculty of medicine, Damascus University, Damascus, Syria.soha.hamsho3@gmail.comMouhammed Sleiay , University of Hama, Faculty of Medicine, Hama, Syriaabdmouh1234mouhmouh@gmail.com (The corresponding author)Mohammed Alaswad , University of Hama, Faculty of Medicine, Hama, Syriadr.aswad97@gmail.comHasan Alsmodi , University of Hama, Faculty of Medicine, Hama, Syriaadda85517@gmail.comKhaled Al-Hakeem , University of Hama, Faculty of Medicine, Hama, Syriakalhkym531@gmail.com