Fizza Agha, Jawwad Masood Ahmad, Tariffa Ilyas, Urwa Khalil, Yumna Ameer, Tahir Masood Ahmad.
3-M Syndrome: a Case Report.
Pak Paed J Jan ;46(3):340-4.

3-M syndrome is an extremely rare disorder which is inherited in an autosomal recessive manner. It has characteristic features of growth retardation, facial dysmorphism and skeletal deformities. It is distinct from other types of dwarfism by its facial features, proportionate arms and legs with typical slender bones. Mutations in genes CUL7, OBSL1, and CCDC8 are associated with this disorder. Diagnosis is mainly clinical and genetic testing is confirmatory. A ten month-old girl presented with poor growth and development. She had low birth weight with less than normal length. She however achieved her developmental milestones normally. Initially diagnoses of hypochondroplasia or other skeletal dysplasias were considered but the skeletal survey was not consistent with these conditions. Genetic testing confirmed that the patient was homozygous for CUL7 gene and hence the diagnosis of 3-M syndrome was made.

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