A 25-year-old man was admitted with a long history of weakness and wasting. In fact, he said he "was born-and fell ill." He claimed to be still unmarried as a result of his illness. One year earlier he had been admitted with pain in his left hip. Despite several hospital admissions, an explanation for his illness had not been found. He was wasted, pale, and slightly jaundiced. His chest, abdomen, and extremities appeared normal. His forehead and maxillae were prominent, and this prompted us to take an x-ray of his skull.
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