Complex glycerol kinase deficiency is a contiguous gene syndrome consi
sting of a deletion of the glycerol kinase locus, together with the ge
nes for adrenal hypoplasia congenita or Duchenne muscular dystrophy or
both. We describe an infant with complex glycerol kinase deficiency a
nd mildly dysmorphic features similar to those seen in other patients,
including an ''hourglass'' appearance of the middle of the face; hype
rtelorism; rounded palpebral fissures; esotropia; wide, flattened earl
obes; and a downturned mouth. The combination of medical and character
istic facies should prompt the request for specific laboratory test di
agnostic for this potentially treatable condition.