The physician, Karen Gripp, chief of the Division of Medical Genetics at A.I. duPont Hospital for Children in Wilmington, Delaware, noted that her patient, a toddler girl, had a high forehead, thick eyebrows, and a long philtrum—the space between the nose and the lip. She experienced seizures and had coarse, curly hair, though that hardly seemed noteworthy due to her African-American ethnicity. A cleft palate plus an arachnoid cyst on her spinal cord had already been repaired by the time Gripp was called to see her.

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