“…Johanson & Blizzard (1971) cited a patient with an XXY chromosomal composition who also had pancreatic insufficiency, hypothyroidism, microcephaly, deafness and dwarfism (Grand et al 1966) as a possible forme fruste of the syndrome. This may be the case, but, while Johanson & Blizzard described the alae nasi of this patient as hypoplastic, the authors (Grand et al 1966) stated that the nose was slender but otherwise normal, and the pictures published do not resolve this issue. Many of the other features of that patient, with the exception of pancreatic insufficiency and shortness of stature, occur in XXY individuals.…”