Dubowitz syndrome: common findings and peculiar urine odor

Abstract

Background

Dubowitz syndrome is a rare, autosomal recessive disorder characterized by intrauterine and postnatal growth retardation, severe microcephaly, psychomotor retardation, hyperactivity, eczema, and characteristic dysmorphic facial features. Although many cases have been reported, the cause of this disease is still unknown.

Case

We present here the case of a Lebanese girl with Dubowitz syndrome in whom an unpleasant urine odor was persistently reported since birth.

Conclusion

Although Dubowitz syndrome has been largely described in the medical literature, this is the first time that a peculiar urine odor was reported. This case report adds a new and unusual feature to the numerous findings related to this rare polymorphous syndrome.

Keywords:

• Dubowitz syndrome
• autosomal recessive
• developmental delay
• odorous urine

Acknowledgments

Parental consent has been obtained for the use of patient photos.

Disclosure

The authors report no conflicts of interest in this work.