Seckel syndrome is a rare, recessively inherited disorder of severe gr
owth retardation and distinct craniofacial, orodental, and skeletal an
omalies, Even though there are well-established minimum diagnostic cri
teria for this syndrome, controversy exists about its boundaries and c
riteria for exclusion, We studied 2 remarkably similar, unrelated chil
dren with most of the clinical and radiographic manifestations of Seck
el's original patient, Although their craniofacial and orodental anoma
lies are typical of Seckel syndrome, 1 child has unusual appearance of
the hands and feet that have not been previously associated with it,
This patient appears to define a new Seckel-like syndrome and suggests
heterogeneity in this type of primordial dwarfism. (C) 1996 Wiley-Lis
s, Inc.