The Meier-Gorlin syndrome or ear, patella, short stature syndrome (MIM 2246
90) is a rare autosomal recessive disorder, characterized by the associatio
n of bilateral microtia, aplasia/hypoplasia of the patellae, and severe pre
- and postnatal growth retardation. Twenty-one cases have been reported in
literature thus far. Here we report on eight patients from seven families a
nd compare them with previously described cases. One of the present cases h
ad previously undescribed genital anomalies. There is a difference in facia
l characteristics between patients reported in early infancy and those desc
ribed at older age; follow-up of patients is needed to substantiate this ch
anging facial phenotype. We recommend radiographic survey of the patellae i
n patients at older age to investigate the weight of absent or hypoplastic
patellae in the diagnosis of the syndrome. (C) 2001 Wiley-Liss, Inc.