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Picture of the Month

Sydney S. Gellis, MD; Murray Feingold, MD; Marilyn Bull, MD
Am J Dis Child. 1975;129(3):351-352. doi:10.1001/archpedi.1975.02120400053012.
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Denouement and Discussion 

Fetal Face Syndrome (Robinow Syndrome) 

Manifestations  Major findings include an unusual facial appearance, forearm shortening, and hypoplastic genitalia. Characteristic facial features are midfacial hypoplasia, frontal bossing, apparent ocular hypertelorism, short upturned nose, a flat nasal bridge, anteverted nares, triangular mouth, and moderate micrognathia. Gingival hypertrophy and dental anomalies including delayed eruption, crowding, malalignment, and notching of the teeth are common. Absence of the uvula and a small, midline cleft of the lower lip may be present. The ears are usually low-set with an overhanging helix.The head is disproportionately larger than the body and may exceed the 98th percentile. The limbs are short with disproportionate shortening of the forearms, and the hands and feet are broad and short with clinodactyly of the fifth fingers. Abnormal palmar creases and single flexion creases of the fingers frequently occur.The penis is usually very small

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