Weaver syndrome (WS), a condition first described in 1974 by Weaver et
al,, consists of macrosomia, advanced skeletal age, characteristic pa
ttern of facial and radiographic anomalies, and contractures, Although
there have been three reports of close relatives (sibs or both parent
and offspring) affected with this condition, the syndrome generally o
ccurs sporadically, and the recurrence risk in sporadic cases appears
to be low. We report here on a family in which the propositus and his
sister were born with the facial phenotype, club feet, and macrosomia
characteristic of WS, Their father had macrosomia and macrocephaly as
an adult, and childhood photos show clearly that he has WS, Two sister
s of the propositus have had normal growth and development. The syndro
me in this family appears to be inherited in an autosomal dominant fas
hion. (C) 1998 Wiley-Liss, Inc.