“…The reported cases have a wide spectrum of abnormalities that include generalized hypotonia, absence of suck, postnatal growth failure, pronounced psychomotor retardation, central nervous system malformations, craniofacial dysmorphic features, a high forehead with an enlarged metopic suture, bitemporal narrowing and frontal bossing, a prominent nose with a broad tip, a *Correspondence to: Chih-Ping Chen, Department of Obstetrics and Gynecology, Mackay Memorial Hospital, 92, Section 2, Chung-Shan North Road, Taipei, Taiwan, Republic of China. E-mail: cpc mmh@yahoo.com diminished upper lip, micrognathia, low-set and dysplastic ears, preauricular pits, hypertelorism, epicanthal folds, a short neck, a variety of positional abnormalities in the vertebrae, hands and feet, camptodactyly, clinodactyly of the fifth fingers, congenital heart defects, malformation of the gut, ambiguous genitalia, hypospadia, small penis, bifid scrotum, undescended testes, and anorectal anomalies (Carlin, 1990;Houlston et al, 1994;Bacino et al, 1999;Paladini et al, 1999;Masuno et al, 2000).…”