Patient photos from childhood (a) and present day (b) demonstrate classic facial features of WBS including a short, up-turned nose, full cheeks, and a delicate chin in childhood, early greying in adulthood, full lips, and a bulbous nasal tip. a) Childhood photographs obtained with permission from the patient’s family. b) Present day photographs by Rick Guidotti of Positive Exposure, published with permission from the photographer and patient. Patient now uses continuous supplemental oxygen to maintain blood oxygen saturation levels about 88%. Color figure can be viewed in the online issue, which is available at http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1552-4833