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Note what signs you see.
I (W. Wertelecki, M.D.) see an infant with sagging skin (cheeks), small chin (micrognathia), prominent periocular tissues, … The point is that without a complete examination these findings are insufficient for a diagnosis impression but are sufficient to pursue the examination with consideration to skin elasticity, edema, skeletal development, etc.
PERSPECTIVE: As illustrated by several soon to be posted additional images this infant represents the very first observation in humans of a well-known disorder documented in other mammals. If you are interested in a shortcut and more detailed presentation, please view a video.