We report a moderately mentally retarded 7-year-old male with a unique
combination of clinical symptoms and signs: severe pre- and postnatal
growth retardation, scaling skin and quadrispasticity, hypospadias gr
ade 2 and hydro-uretero nephrosis, postaxial polydactyly type B on the
right hand. Normal fibroblast enzyme activities of fatty aldehyde deh
ydrogenase and NADPH cytochrome C reductase were not consistent with t
he diagnosis of Sjogren-Larsson syndrome. The nosology of 'bird-headed
' dwarfism is briefly discussed. Clin Dysmorphol 7: 275-277 (C) 1998 L
ippincott Williams & Wilkins.