A, B, Physical findings in individuals with DESSH syndrome. A. A 16-year-old boy with facial differences that are typical for DESSH syndrome including broad forehead, squared face, deep set eyes, and think and straight eyebrow. B. Hirsutism is a common feature in DESSH syndrome as illustrated here on the back of a 6-year-old girl. C. Foot and toe anomalies are being increasingly recognized as a common findings; show her hallus valgus deformity and 2-3 toe syndactyly.