Winchester syndrome was first described in 1969 and since then nine patient
s have been reported in the literature. The syndrome is characterized by sh
ort stature, coarse face, corneal opacities, generalized osteolysis and pro
gressive painful arthropathy with joint stiffness and contractures of dista
l phalanges in combination with skin changes. The etiology is unknown. Pare
ntal consanguinity supports autosomal inheritance. The diagnosis is based o
n clinical and radiological manifestations. We describe a case in a 7-year-
old Pakistani boy.