Composite picture of affected males, showing characteristic facial features. In order, these males are individuals III-2 (A), IV-3 (B), IV-4 (C), IV-5 (D), IV-6 (E), IV-9 (F), V-3 (G), and V-4 (H). Individual IV-9 is deceased. Individual III-2 has recently lost >100 lbs., as a result of dietary restrictions required because of diabetes mellitus.