TABLE 1.
Phenotypic Features of Our Patient
| Organ system | Clinical findings |
|---|---|
| Head | Very large anterior and posterior fontanelles with widely open metopic suture, sparse frontolateral hair |
| Ears | Low-set ears, bilateral deep earlobe crease, hypertrophic antitragus, attached earlobes |
| Eyes | Downslanting palpebral fissures, midfacial hypoplasia with mild proptosis |
| Philtrum | Prominent philtrum with central ridge |
| Mouth | Broad alveolar ridges |
| Chest | Small nipples |
| Limbs | Bilateral III–V finger camptodactyly, long and thin fingers, II–IV toe camptodactyly, prominent heels |
| Genitalia | Indentation on clitoris, perianal groove, anterior placement of anus |
| Skin | Symmetric congenital circumferential skin folds of upper and lower limbs and back |