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Hüseyin Özbey, MD; Nese Özbey, MD; Walter W. Tunnessen, Jr, MD
From the Departments of Pediatric Surgery (Dr H. Özbey) and Endocrinology, Nutrition and Metabolism (Dr N. Özbey), University of Istanbul, Istanbul Medical Faculty, Istanbul, Turkey; and the American Board of Pediatrics, Chapel Hill, NC (Dr Tunnessen).

Arch Pediatr Adolesc Med. 1998;152:1031-1032.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

THIS 5-MONTH-OLD infant, the product of a consanguineous marriage, now weighs 3500 g. He has a lifelong history of poor growth with high blood glucose levels unresponsive to insulin. Recurrent rectal prolapse has resulted in chronic mechanical intestinal obstruction (Figure 1).

Figure.

Denouement and Discussion: Leprechaunism

Figure 1, left, The infant shows the typical "elfinlike" facies of leprechaunism with hirsutism, large, low-set ears, broad nasal tip and flared nares, and thick lips. Figure 1, right, Other prominent features present in this infant include reduced subcutaneous fat, prominent nipples, a distended abdomen, large external genitalia, and rectal prolapse.

Donohue¹ and Donohue and Uchida² were the first to describe this rare syndrome featuring dysmorphic facies, failure to thrive, hirsutism, and multiple endocrine abnormalities.² Leprechaunism was the euphemistic name used to describe the "elfinlike" facies and poor growth characteristic of the syndrome. . . . [Full Text of this Article]