Spire of Dublin pictures and construction record (http://www.irish-architecture.com/buildings_ireland/dublin/northcity/oconnell_street/spire)
... Aphalangia hemivertebrae[?] Aphalangia syndactyly microcephaly[?] Aphthous stomatitis[?] Apiphobia[?] Aplasia cutis autosomal recessive[?] Aplasia cutis ...