The authors describe a case of Cenani–Lenz syndrome, in a 3-month-old girl of non-consanguineous parents of Afghani origin. Digital anomalies consist of sandactyly of the fingers of both hands, disorganised phalanges more severe involvement of the left side without radioulnar synostosis. Although our patient lacks facial dysmorphic features reported previously. The cases of patients with CLS need to be carefully evaluated and described to determine if there is distinctive accompanying facial phenotype.