(E.W., 63 07 34) This girl is 8 months old. She has a brother 2 years old. Her mother and father are young and have had no recognized illness. Her mother was well after the birth of her first child in November of 1953. She had no change in weight and no evidence of anemia, and took no medicine. During her second pregnancy she had no feverish illness and no rash. She believes that the patient moved in utero more than her first child, but with both children she could feel the movements of the different parts of their bodies. The patient was born at term after a spontaneous onset of labor. She was delivered head first after 2 hours without anesthetic or sedation. She breathed at once. She had no cyanosis, no jaundice, and no convulsions.
On the day of her birth her tongue was large and protruded, and in the 8 months of her life it has never been completely within her mouth. The muscles of her arms and legs were unusually distinct, not only because of their size, but also because of the lack of fat beneath the skin. Her skin was thin, and the blood vessels were easily seen. Her abdomen was distended. There was a separation between the two recti muscles and the liver was slightly enlarged. These physical peculiarities have not changed or disappeared.
On examination now at the age of 8 months the optic discs and the retina in both eyes are normal. The other cranial nerves are all normal in their action. There is no strabismus or limitation of movement of the eyes in any direction. The deep reflexes are present, symmetrical, and brisk. The plantar responses are extensor.
- Copyright © 1956 by the American Academy of Pediatrics