RT Book, Section A1 Bissonnette, Bruno A1 Luginbuehl, Igor A1 Engelhardt, Thomas SR Print(0) ID 1164068230 T1 Donohue Syndrome T2 Syndromes: Rapid Recognition and Perioperative Implications, 2e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259861789 LK accesspediatrics.mhmedical.com/content.aspx?aid=1164068230 RD 2022/08/15 AB It is an extremely rare inherited condition caused by resistance to insulin with growth deficiency and characterized by dysmorphic facies (“elfin-like”), severe growth retardation, hirsutism, and multiple endocrine disorders. Other features include low birth weight, skin abnormalities (acanthosis nigricans and pachyderma), and significant enlargement of the breast and clitoris in females and the penis in males. Hypertrophic cardiomyopathy has also been observed in these patients.