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. 2015 Sep 4;10:111. doi: 10.1186/s13023-015-0330-x

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© Poisson et al. 2015

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Fig. 1 — Typical SMS phenotype with ‘tented’ upper lip and depressed nasal bridge a, b, c, d, brachydactyly a, b. Young adults SMS often present with synophris (d, e) and prognatism d. Wounds from skin picking can be seen at any age d