Abstract:
A twelve year old male child born by non-consanguineous marriage, 3rd in birth order presented with scholastic
backwardness. He had recurrent right ear discharge and mouth breathing of 1 year duration. Anthropometry
revealed stunting. Sexual Maturity Rating {SMR} was stage III. He had large prominent ears, arched eyebrows
with sparseness on lateral one third and long palpebral fissures with eversion of the lateral portion of the lower
eyelid {Fig 1
