Kabuki makeup syndrome (Niikawa-Kuroki syndrome) in a black child

Kabuki makeup syndrome (KMS), also known as Niikawa-Kuroki syndrome, is a dysmorphic disorder of unknown etiology, characterized by unusual facies, large protruding ears, postnatal dwarfism, and mental retardation. The syndrome has been seen almost exclusively in Japanese children. We report a case of KMS that occurred in a child of mixed ethnicity. Differential diagnosis is discussed.