. PATIENT HISTORYA 5-year-old boy relocates to a new area. He is shorter (3\' 2\") and lighter (32 lbs) than other boys of the same age. The patient\'s new pediatrician notes the presence of ear tubes and, over the next year, treats the patient for several ear infections. The patient is referred to a pediatric otolaryngologist for evaluation. The patient\'s history, combined with a distinctive cluster of physical features, suggests a rare disorder (Hunter syndrome) warranting a referral to a15
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