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al service workers. Only a small fraction of patients disagreed with their place of discharge, mostly due to financial reasons. Okur-Chung neurodevelopmental syndrome (OCNDS) and tricho-rhino-phalangeal syndrome type I (TRPSI) are rare Mendelian diseases. OCNDS is caused by CSNK2A1 gene variants and TRPSI is caused by the TRPS1gene. However, to have two Mendelian diseases in one patient is even rarer. A 6-year-10-month-old boy characterized by special facial features, short stature and mental retardation was referred to our pediatric en