“…The facial features described by Froster et al, along with renal, ureteral, and cardiac anomalies and especially caudal appendage could well be compatible with Malpuech syndrome and therefore 3MC spectrum. The presence of postnatal growth deficiency, lack of reduced sweating (mentioned in the table), cleft palate, diastasis recti, small umbilical hernia [Leal et al, ] with hypoplasia of abdominal muscles in the living girl is also supportive. The three patients described here have some craniofacial similarities to those listed in the literature as compatible with the 3MC spectrum, however we believe the facial gestalt, orodental (i.e, oral frenula, oligodontia) and ectodermal findings (i.e, slow growing hair, reduced sweating), and camptodactyly are distinctive.…”