Aarskog syndrome is characterised by a disproportionately short statur
e and facial, skeletal and urogenital anomalies ('shawl' scrotum and c
ryptorchidism). Ophthalmic findings include a slight downward slant to
the palpebral fissures, hypertelorism, blepharoptosis, strabismus, op
hthalmoplegia, hypermetropic astigmatism and a large cornea, Findings
on the extremities include joint hyperextensibility, short and broad h
ands, interdigital webbing, a short fifth finger, clinodactyly and bro
ad feet with bulbous toes. We report on a 7 1/2-year-old boy with typi
cal findings of Aarskog syndrome, hypermetropia and bilateral proximal
implantation of the fifth toes. These associated abnormalities have h
itherto never been described, to our knowledge.