case_images: PMC7757318_01
case_images: combined hormone deficiency patient (left) and his normal twin brother
case_images: PAMJ-37-170-g001.jpg
case_images: PMC7757318_01_PAMJ-37-170-g001.jpg
case_images: F1
case_images: At presentation, he was obviously small for age (Figure 1), had small face, thin voice, not in any distress, he was short statured with height of 131.5cm (< 3rd percentile), weight was 25kg (< 3rd percentile).