case_images: PMC11303064_01
case_images: Pedigree limited as the patient is adopted.
case_images: CRIG2024-2926555.001.jpg
case_images: PMC11303064_01_CRIG2024-2926555.001.jpg
case_images: fig1
case_images: Patient was in foster care and then adopted, so family history is limited (Figure 1).
case_images: PMC11303064_02
case_images: Characteristic facial features. Microcephaly, broad and tall forehead, posteriorly rotated low-set ears, thin upper lip, and pointed chin.
case_images: CRIG2024-2926555.002.jpg
case_images: PMC11303064_02_CRIG2024-2926555.002.jpg
case_images: fig2
case_images: On exam, he had microcephaly with a broad and tall forehead, low set, posteriorly rotated ears with a thin upper lip, and pointed chin (Figure 2).
case_images: Foot abnormalities present in this patient.
case_images: CRIG2024-2926555.003.jpg
case_images: PMC11303064_02_CRIG2024-2926555.003.jpg
case_images: fig3
case_images: The patient presented with foot abnormalities (Figure 3).
case_images: Scoliosis found on X-ray.
case_images: CRIG2024-2926555.004.jpg
case_images: PMC11303064_02_CRIG2024-2926555.004.jpg
case_images: fig4
case_images: Renal ultrasound normal and spine x-ray showed approximately 15 degree levoscoliosis of the lumbar spine with its apex at L3 (Figure 4).