His parents noticed the accelerated growth of their child, excessive eating habits and occasional aggressive behavior. He was the only child in the family. However, two of his cousins also had accelerated growth compared to their peers. Laboratory Results Complete blood counts, serum electrolytes, BUN, creatinine, fasting blood sugar, and liver enzymes were normal. Shows coarse facial features, hypertelorism.
Lateral view shows macrocephaly, large ears.
MRI shows widening of lateral ventricles. CT of the abdomen revealed normal adrenal gland. Hand x-ray indicated advanced bone age of five years. The patient we describe is a typical case of Sotos syndrome. The important clinical features include height and weight 3 SD above the mean, prominent forehead, coarse facial features, macrocephaly, large ears, and hypertelorism, making the patient distinctly different from the normal variant of a fast growing child who attains sizes which are just 2 SD above the mean.