We describe a sib pair with craniofacial anomalies, micrognathia, Mobius se
quence, generalised myopathy, relative macrocephaly, and developmental dela
y. They appear to have the Carey-Fineman-Ziter syndrome (MIM 254940), which
has been reported in only four children, a sib pair and two sporadic cases
. This report on an additional affected brother and sister pair supports au
tosomal inheritance as the likely cause. These eases also confirm that scol
iosis, talipes equinovarus, and a non-specific primary myopathy are importa
nt manifestations of Carey-Fineman-Ziter syndrome. (C) 1999 Wiley-Liss, Inc
.