title: Case report supporting that the Barber-Say and ablepharon macrostomia syndromes could represent one disorder.
abstract: We report on a 7-year-old girl with unequivocal features of Barber-Say syndrome (BSS): generalized hypertrichosis especially at the back, dry lax skin, macrostomia, thin lips, cup-shaped ears, bulbous nose, hypoplastic nipples, and abnormal external genitalia. She also demonstrated conductive hearing impairment and microblepharon. BSS has been reported with ectropion (not present in our patient), but ablepharon and microblepharon (i.e., absent or hypoplastic eyelids) have always been considered as hallmarks of ablepharon macrostomia syndrome (AMS). This is the first report of microblepharon in BSS. Other authors have discussed that BSS and AMS could possibly represent one syndrome, and our report supports this hypothesis.
authors.affiliation: Institute of Human Genetics, Johannes Gutenberg University, Mainz, Germany.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Haensel
authors.forename: Nicolai
authors.initials: N
authors.lastname: Kohlschmidt
authors.forename: Susanne
authors.initials: S
authors.lastname: Pitz
authors.forename: Annerose
authors.initials: A
authors.lastname: Keilmann
authors.forename: Martin
authors.initials: M
authors.lastname: Zenker
authors.forename: Reinhard
authors.initials: R
authors.lastname: Ullmann
authors.forename: Thomas
authors.initials: T
authors.lastname: Haaf
authors.forename: Oliver
authors.initials: O
authors.lastname: Bartsch
mesh_terms: D000015:Abnormalities, Multiple / Q000175:diagnosis*; D002648:Child; D003937:Diagnosis, Differential; D005143:Eyelids / Q000002:abnormalities*; D005260:Female; D006801:Humans; D006983:Hypertrichosis / Q000150:complications / Q000151:congenital; D008265:Macrostomia / Q000150:complications* / Q000175:diagnosis*; D012871:Skin Diseases / Q000150:complications / Q000151:congenital; D013577:Syndrome