Figure 4 Patient 2. (A) Long narrow face, hypertelorism, downslanted palpebral fissures, prominent glabella with deeply set eyes, and right exotropia. Patient has a high narrow palate and a prominent cross bite. Ears are normally set, nose is prominent with fleshy nasal tip. (B) Macrocephaly and marfanoid body build. (C) Skin of palms was wrinkled and redundant. Informed consent for publication of photographs was obtained.