PMC4479069_01
Phenotype of the patient at the age of 15 years. a. Note the central obesity, short stature, cafe-au-lait spots and facial features of Prader-Willi. b and c. Small hands and feet
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Fig1
At 15.5 years old (Fig. 1a), the patient was 145.4 cm tall (-3.8SD), 55.3 kg in weight (BMI = 26.6 kg/m2 = +2.8SD: overweight according to WHO criteria) suffered from intellectual deficiency and could neither read nor write. He had central obesity, small hands and feet (Fig. 1b, c), short stature, pubertal delay (small penis and testes), lower limb livedo, cafe-au-lait spots on his neck and the facial features of Prader-Willi syndrome.