Case presentation A 12-year-old boy presented with malaligned and extra teeth in his oral cavity. Medical history · The patient was born from a third-degree consanguineous marriage. · His mother was diagnosed with hypothyroidism during the third trimester and was on levothyroxine. · The patient was born full-term through elective cesarean section, and his weight at birth was 1800 g. · Diffuse hypertrichosis was noticed at birth.
· The patient was ventilated for four days due to perinatal asphyxia. · A surgery for left inguinal hernia was performed at the eighteenth month. · Subsequently, poor physical growth, aggressive behavior, and delayed attainment of developmental milestones were noted. General examination · Severely stunted growth was noticed with a body mass index of 20kg/m2. · An intelligence quotient of 71…