Sloping forehead, prominent nose, and full lips are present in all patients: patient 1 (a and b), patient 2 (c), and patient 3 (d). Representative X-rays demonstrate generalized epiphyseal dysplasia and normal vertebrae, consistent with MED. Findings include mild epiphyseal dysplasia and brachyclinodactyly V (f); epiphyseal dysplasia of the femoral heads, distal femur, and proximal and distal tibia (g); epiphysealdysplasia, shallow acetabula, dislocated femoral heads, and coxa valga (h); and normal vertebrae (e).