RT Journal
A1 Dana J, Tunnessen WW, Jr
T1 PIcture of the month
JF Archives of Pediatrics & Adolescent Medicine
JO Archives of Pediatrics & Adolescent Medicine
YR 1999
FD October 1
VO 153
IS 10
SP 1105
OP 1106
DO 10.1001/archpedi.153.10.1105
UL http://dx.doi.org/10.1001/archpedi.153.10.1105
AB 
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.