Microcephalic Newborn with Forehead Nevus Flammeus, Bulging Eyes, and Clenched Fists

Abstract

A 35-day-old growth-restricted black female infant presents with a triangular head, glabellar nevus flammeus, exophthalmos, flexion contractures of hands, micro-retrognathia, and stridor (Fig, A and B). Figure. A. Glabellar nevus flammeus, exophthalmos, hypertelorism and triangular shaped head. B. Microretrognathia and anteverted nares. ### Prenatal and Birth Histories ### Presentation The infant was transferred to the NICU from an outside hospital at 1 month of age because of poor feeding, stridor, and multiple dysmorphic facial features. ### Vital Signs–Day 35 ### Physical Examination–Day 35