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Picture of the Month
Jalal Rais Dana, MD;
Walter W. Tunnessen, Jr, MD
From Sinai First, Chicago, Ill (Dr Rais Dana); and The American Board of Pediatrics, Chapel Hill, NC (Dr Tunnessen).
Arch Pediatr Adolesc Med. 1999;153:1105-1106.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 2-MONTH-OLD INFANT was referred for evaluation of poor weight gain, a weak suck, and hypotonia. The infant was the product of a full-term pregnancy during which the mother received no prenatal care, and was delivered by cesarean section because of a breech presentation. The birth weight was 3300 g. The parents were second cousins and had had a previous stillborn infant with facial dysmorphogenesis.
On physical examination the infant was alert but extremely hypotonic. Dysmorphic features included a high forehead, flat, broad nasal bridge, micrognathia, and a high arched palate (Figure 1). The sucking response was poor. The fontanels were large and the liver was palpable 3 cm below the right costal margin (Figure 2). The left testis was cryptorchid.
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Figure 1.
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Figure 2.
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Denouement and Discussion: Zellweger (Cerebro-Hepato-Renal) Syndrome
Figure 1. The forehead is high and the facies flat.
Figure . . . [Full Text of this Article]
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