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However, targeted molecular testing for rare DSD conditions in the absence of a family history of DSD has a low yield. ? 2012 Wiley Periodicals, Inc. ""We report on a 13-month-old girl of first cousin parents who presented with a combination of short stature, bilateral microtia, proportionate short stature, distinctive facial features (bitemporal narrowing, long philtrum), and agenesis of the left kidney and a small right kidney. Clinical findings did not match any previously described syndromes with the anomalies PLX-4720 solubility dmso seen in the patient. We performed SNP array analysis to characterize the observation as a novel syndrome and this was normal. We propose that this represents a new syndrome, likely of autosomal recessive inheritance. ? 2012 Wiley Periodicals, Inc. In the general population, unilateral www.selleckchem.com/products/azd9291.html renal agenesis occurs in about 0.3 per 682 [Roodhooft et al., 1984]. The incidence of anotia/microtia is relatively rare��occurring in approximately 1.46�C17.4 per 10,000 live births in different populations [Castilla and Orioli, 1986; Mastroiacovo et al., 1995; Wang et al., 2001]. Previous studies have proposed that a child with external ear malformations have a greater risk of structural renal anomalies compared with the general population [Wang et al., 2001]. In addition prior studies found that in children with ear anomalies, defects within other organ systems occur with a frequency of 5�C40% [Mastroiacovo et al., 1995; Harris et al., 1996; Wang et al., 2001]. Ear and renal anomalies are components of many multiple congenital anomaly syndromes including CHARGE syndrome, Townes�CBrocks syndrome, and Goldenhar syndrome. Here, we describe a distinct case with microtia, short stature, external ear abnormality, and unilateral renal agenesis, who we posit has a previously unidentified syndrome. A 13-month-old girl with multiple malformations was admitted to our clinic for assessment of short stature. She was born at 38 weeks gestation by cesarean due to breech presentation at a local hospital. She was the first child of a 24-year-old woman married to her Cefaloridine 27-year-old first cousin. The mother had not attended prenatal care clinics during the pregnancy. She did not report diabetes, any infection, or exposure history to drugs or teratogens. Parents did not report any history of congenital abnormalities in the family. At birth growth parameters of the patient were below the 3rd centile. In her postnatal history, there was no feeding difficulties and hypertonicity in the newborn period. On physical examination, she had growth retardation. Her weight was 5.2?kg (