A 19-year-old man with poor ambulatory function was transported by wheelchair to a clinic. His major complaints were morbid obesity and oozing skin ulcers .
Medical History During Birth, Infancy and Childhood Born to consanguineous parents, with no antenatal or perinatal complications His mother reported an uneventful full-term pregnancy and delivery with no history of decreased fetal movements Birth weight was average with no apparent dysmorphic features Observation of the small size of his penis ( micropenis ) at the time of circumcision However, no documentation on absence of testis was made at that time Frequent regurgitation and posseting in his infancy as reported by his mother Development of redness and scaling of the skin within the first 2 months of birth Despite receiving treatment, the patient was never completely cured No report of hypotonia or ‘failure to thrive’ in early…
