“…Mutations in the IGF1R gene in the heterozygous state have been recently described as a cause of IUGR (7) and lead to partial resistance to IGF1 and contribute to IUGR with postnatal growth failure, microcephaly, and normal or increased levels of serum IGF1 and IGF binding protein 3 (IGFBP3), sometimes associated with modestly impaired intellectual development (8,9,10,11,12,13,14,15,16,17,18,19,20,21). Skeletal and cardiac abnormalities might also be mainly present in patients with terminal deletion of chromosome 15q including the IGF1R locus (22), but these conditions are possibly caused by deletion of other genes. So far, only two patients were described with a compound heterozygous mutation in the IGF1R gene (8,20) while mutations in the homozygous state have never been reported.…”