Hallermann-Streiff Syndrome
A 12-year-old girl brought by her mother was seen for abnormal appearance and skin changes. She was the second child of consanguineous parents (cousins from second rank) and was born preterm on 7th month of eventful normal delivery. Her medical history revealed the presence of bilateral direct congenital hernia, delayed closure of fontanelles, delayed milestones and hypothyroidism. Examination revealed facial characteristics typical of the “bird face” in HSS []. The nose appeared thin, sharp and hooked; hypoplastic mandible; high arched palate, mal implantation of teeth []. Propotionate dwarfism was present. Dermatological examination revealed sparse scalp hair, alopecia along lines of suture [], atrophy of skin in central part of face. A large port wine stain of size 10 cm was present on left side of neck []. Her eyes were normal and there was no tracheomalacia.\nBoth the parents were counseled. Detailed oral hygiene instructions and dietary recommendations were given to the parents. Laser treatment is being planned for the port wine stain. The child is being followed up by us, the dentist and pediatrician.