16th February 2024

A mother brings her six-year-old son to the clinic due to a persistent cough and recurrent lower respiratory tract infections

A mother brings her six-year-old son to the clinic due to a persistent cough and recurrent lower respiratory tract infections. His mother is also becoming concerned due to the developmental delay in his speech. On examination, the child is small for his age. He appears to have a palate abnormality and is unable to verbalise. There is no significant family history.

What is the most likely diagnosis?

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