In 1973, a syndrome was reported comprising of wrinkled skin over the dorsu
m of hands, feet, and abdomen, reduced skin elasticity, skeletal involvemen
t, craniofacial anomalies, mental and developmental delay, and failure to t
hrive. Only nine cases have been reported. Three additional cases with dele
tion 2q32 show some manifestations of this syndrome, We present another chi
ld with this syndrome with prominent neurological involvement manifested by
mental retardation, microcephaly, and an episode of status epilepticus. (C
) 1999 Wiley-Liss, Inc.