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Note what signs you see.
I (W. Wertelecki, M.D.) see a facies characteristic of an autosomal dominant gene expressed as a highly variable phenotype, in this instance severely (florid phenotype). The signs include brachycephaly, bilateral dysmorphic auricles, downward slant of palpebral fissures, clefts of the lower eyelids (parpados) and eversion, and facial grooves from the corner of the oral opening toward the outer occular canthus.
PERSPECTIVE: See gallery of related images.