PMC10126371_01
(A,B) Depict the patient's frontal and profile views. (C) Depicts a closer view of his face, and (D) is a lateraral radiograph of his skull and neck.
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fig1
His BMI was 40.98 Kg/m2 (Figures 1A,B, 2B). There was notable frontal bossing, a prominent occipital bone, and acanthosis nigricans of the neck noted (Figures 1C,D). His skeletal survey showed frontal bossing at the level of the frontal sinuses (Figure 1D).
(A) Patient's growth charts from ages 0-24 months. (B) Patient's growth charts from ages 2-17 years.
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fig2
His BMI was 40.98 Kg/m2 (Figures 1A,B, 2B). A review of his growth chart from his pediatrician's office showed that his weight reached the 98th percentile at 12 months of age and continued to increase further with age (Figure 2A). His recumbent length reached the 98th percentile at 7 months of age and has remained at >98th percentile (Figure 2A).