DISCUSSION

This infant has numerous features in common with the child reported by Beare and associates termed" cutis gyratum, acanthosis nigricans, and other congenital anomalies." In addition to cutis gyratum affecting the forehead, lips, pinnae, hands, and feet, these features include acanthosis nigrieans, tall skull, hypertelorism, proptosis, exotropia, midface hypoplasia, umbilical hernia, and abnormal genitalia. The previously reported infant survived infancy and did not have respiratory difficulties during the neonatal period. That patient did have a cleft of the soft palate, natal teeth, partial anodontia, short mandible, functional pyloric stenosis, and delayed developmental milestones. Testing at age two years showed mild impairment of intellectual function. These patients have features common to a number of recognizable syndromes, yet appear unique when all