case_images: PMC4065484_01
case_images: Egyptian child with Berardinelli-Seip syndrome type 1
case_images: IJHG-20-75-g001.jpg
case_images: PMC4065484_01_IJHG-20-75-g001.jpg
case_images: F1
case_images: On examination, his vital signs were normal, his weight was 47 kg (25 percentile) height: 143 cm (25 percentile) [Figure 1].
case_images: Prominent orbital ridges, large ears and empty cheeks
case_images: IJHG-20-75-g002.jpg
case_images: PMC4065484_01_IJHG-20-75-g002.jpg
case_images: F2
case_images: He looked older than his stated age; he had acromegaloid features (enlarged hands and feet, big ears and prominent mandible prominent orbital ridges) [Figures 2 and 3], absence of subcutaneous fat in the extremities, face and trunk; prominent pectoral and calf muscles [Figures 2 and 4].
case_images: Large hands
case_images: IJHG-20-75-g003.jpg
case_images: PMC4065484_01_IJHG-20-75-g003.jpg
case_images: F3
case_images: He looked older than his stated age; he had acromegaloid features (enlarged hands and feet, big ears and prominent mandible prominent orbital ridges) [Figures 2 and 3], absence of subcutaneous fat in the extremities, face and trunk; prominent pectoral and calf muscles [Figures 2 and 4].
case_images: Prominent pectoral and calf muscles
case_images: IJHG-20-75-g004.jpg
case_images: PMC4065484_01_IJHG-20-75-g004.jpg
case_images: F4
case_images: He looked older than his stated age; he had acromegaloid features (enlarged hands and feet, big ears and prominent mandible prominent orbital ridges) [Figures 2 and 3], absence of subcutaneous fat in the extremities, face and trunk; prominent pectoral and calf muscles [Figures 2 and 4].
case_images: Acanthosis nigricans of the neck
case_images: IJHG-20-75-g005.jpg
case_images: PMC4065484_01_IJHG-20-75-g005.jpg
case_images: F5
case_images: He had acanthosis nigricans in the neck, axillae and groins [Figure 5].