Figure 1

Patient at the age of 7 years. A) B) Note broad and sparse eyebrows, convergent strabismus, broad nasal bridge and hypertelorism,nose with broad columella and nares, ears with prominent helix and antihelix and large lobes, long philtrum, thin upper lip, short neck, low set posterior hairline; C) D) Pectus excavatum; E) F) Short fingers and nails, broad thumbs; G) H) Short toes and nails, broad big toes and flat feet.