YWY Chu, WL Wong, BHY Chung

A male propositus was twin 1 of spontaneous dichorionic diamniotic twins to a non-consanguineous healthy Chinese couple at 36+2 weeks. His antenatal history was unremarkable. His birth weight was 2760 gm (25-50th percentile).¹ Height and head circumferences at birth were not documented. Agpar scores were 10 at 1 and 10 minutes. He was noted to have macroglossia and slightly longer fingers at that time.

Physical examination of propositus at 3 months of age macroglossia was still present. He also has ear pit on his left ear. Clinical photos of the propositus were shown in Figure 1. Growth curve until 3 months of age found his weight and height were above 97th percentile. His USG abdomen was normal.

Figure 1 Clinical photographs of the 3 months old male propositus.

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