“…Other associated manifestations were reported in the syndrome in the form of delayed motor and mental development, dental and ocular anomalies, sensorineural hearing loss, skeletal deformities, and decreased bone mineral density (Temtamy et al, 1998(Temtamy et al, , 2012Temtamy and Aglan, 2008). It is mainly diagnosed by the presence of bilateral, symmetric preaxial brachydactyly and hyperphalangism of digits, in addition to characteristic facial features.…”