We report a male patient with craniosysnostosis, bilateral radial and ulnar
hypoplasia, absent thumbs, poikiloderma, and short stature. His parents ar
e first cousins. Although this patient mas originally diagnosed as having B
aller-Gerold syndrome it is more likely that he has Rothmund-Thomson syndro
me or a similar disorder. This report confirms the overlap between these tw
o syndromes, and that Baller-Gerold syndrome is essentially a diagnosis of
exclusion. Clin Dysmorphol 9:303-305 (C) 2000 Lippincott Williams & Wilkins
.