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Individuals with Emanuel syndrome at various ages: newborn (a and b), preschool age (c to f), school age (g to n) and adolescent (o to s). The common dysmorphic features are demonstrated, including micrognathia (most obvious in infancy and preschool age), hooded eyelids, deep-set eyes, upslanting palpebral fissures, low-hanging columnella, and long philtrum. Some individuals have facial asymmetry and/or unilateral ptosis (for example, Patients g and k).
