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Hutchinson - Gilford syndrome or progeria is a rare genetic disease with failure to thrive, deficiency of pubertal development and dwarfism. These patients die of premature cardiovascular disturbances and other complications. Characteristic clinical features are finely thin skin, small chin, defect in skin adnexals, prominance scalp tends to be further enhanced by frontal and perietet bossing and by hypopfasia of the face. The cartilage was visible, the lips were thin and there was cyanotic overcast about the nose and mouth with premature aging, and let droping of the shoulders were the important findings in diagnosis ot Hutchinson Gilford syndrome in this case.