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. 2021 Jan 12;11:764. doi: 10.1038/s41598-020-80755-7

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© The Author(s) 2021

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Clinical photographs of patients with SGS. Craniosynostosis, dolichostenomelia, low-set ears, overfolded ear helix, proptosis, downslanted palpebral fissures, hypertelorism, proptosis, alternative exotropia, vertical strabismus of left eye, microcornea, depressed nasal bridge, underdeveloped cheekbone, thin vermilion of upper lip, micro-retrognathia, pectus carinatum and kypho-scoliosis can be noted in patient 37 at age 13.5 years (a, b). He also had long and narrow fingers with camptodactyly (c), long and narrow feet with camptodactyly, pes planus and metatarsus adductus (d). The second patient (Patient 38), at 3 months of age, shows wide anterior fontanel, long ears, hairy pinnae, excess scalp skin, short and downslanted palpebral fissures, hypertelorism, depressed nasal bridge, inverted V shaped upper lip with think vermilion (e, f), long and narrow fingers (g) and bilateral talipes equinovarus (h).