“…Subsequently, several articles reviewing this condition have been published, summarizing the clinical findings in over 70 cases. The physical characteristics include ophthalmic findings (microphthalmia, microcornea, fine porous spongy iris abnormalities, glaucoma, and optic atrophy), craniofacial anomalies (epicanthal folds, short palpebral fissures, hyper-or hypotelorism, thin nose with hypoplastic alae nasi, small anteverted nares, prominent columnella, conductive hearing loss, cleft palate, mandibular overgrowth with wide alveolar ridge, cranial hyperostosis, and microcephaly), dental anomalies (enamel hypoplasia, caries, microdontia, and partial anodontia), hair changes (hypotrichosis, fine, dry, and slow-growing hair), hand and foot malformations (syndactyly of fourth and fifth fingers and/or third and fourth toes, camptodactyly of fifth fingers, and midphalangeal hypoplasia or aplasia of one or more digits or toes), and other skeletal abnormalities (broad tubular bones) (Sugar et al, 1966;Reisner et al, 1969;Thoden et al, 1977;Judisch et al, 1979;Patton and Laurence, 1985).…”