This image depicted a right posterior-oblique view of an infant’s torso. The baby had been born with two genetic disorders, congenital ichthyosiform erythroderma (CIE), and achondroplastic dwarfism. The former is an autosomal recessive genetic disorder, while the latter an autosomal dominant genetic disorder. CIE leads to the formation of a generalized scaling, and peeling of the skin, ectropion, or an outward turning of the eyelids, and eclabion, or an outward turning of the lips. Hair loss can also be a symptom of this disorder (See PHIL 21071). Achondroplastic dwarfism leads to abnormally stunted bone growth with shortening of the proximal limbs, fingers and toes, large head with bossing of the forehead, flattened nasal bridge, as well as other signs and symptoms unseen in this image including hyperkyphotic or hyperlordotic curvatures of the spine, frequent ear infections, varus deformity of the legs, and possible hydrocephalus.