Figure 1.

Alopecia, posterior low hair implantation with prominent scalp veins and eyes, beaked nose, micrognathia, partial anodontia, and senile facial features (A). Her thorax had “rosary” costal grating, and abdominal outpouching, with absence of subcutaneous fat (B). Her extremities presented with tufting of fingers (C), osteoarthritis, and joint fibrosis (D).