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…