The musculo-pathology conference yielded a very interesting case as presented by the Paediatric team. A small for gestation baby was delivered and of immediate note was the joint contractures and the evidence of shallow breathing, that could not support life. The baby was put on ventilator support. An attempt at muscle biopsies revealed fibrous strands in place of the muscle at both the upper and lower limb regions. Prognosis was extremely poor and withdrawal of therapy was finally agreed upon with the family.