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  Indian J Med Microbiol
 

Figure 1: (a-d) Typical phenotype (facial dysmorphism, low-set ears, pursed lips, microstomia, micrognathia and stiffness of facial expression) with the “herculean” or “body-builder like” appearance.

Figure 1: (a-d) Typical phenotype (facial dysmorphism, low-set ears, pursed lips, microstomia, micrognathia and stiffness of facial expression) with the “herculean” or “body-builder like” appearance.