PMC6147841_01
Case 1 showing 'bird-headed' profile.
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A 17-year old girl (Figure 1), the oldest of three sisters, a product of an uneventful pregnancy, was born full-term to consanguineous Saudi parents with a birth weight of 2000 grams, a length of 46 centimeters and a head circumference of 31 centimeters.
PMC6147841_02
Case 2 showing the typical profile and absent ear lobules.
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A 14-year old girl (Figure 2), a product of a full-term pregnancy, was born in an ambulance as an undiagnosed first twin with a birth-weight of 2460 grams, a length of 43 centimeters and a head circumference of 32 centimeters (the second twin, delivered along with the placenta, was dead, shrunk and mummified, weighing only 160 grams).
Case 3.
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The youngest of the three sisters, aged 11 years (Figure 3), was born full-term following an uneventful pregnancy.