Little Elizabeth was born at about 32 weeks at 3.4lbs and is currently in a positive institutional environment after previously being in foster care until March 2011. She is noted to be doing well developmentally based on her adjusted age, and that she loves playing with other children and with toys. Elizabeth was under incubator treatment for about 2 months after birth, and during hospitalization, she developed a mass on her cheek due to a congenital infection, for which she may need plastic surgery in the future. This little girl also has been noted to have gingival hyperplasia, partial syndactyly and polydactyly of her right foot, flexion of thumbs, a sacral dimple, and a small Atrial Septal Defect. A genetic consult noted potentials of progeria and telangiectasia, though a more recent chromosome test was normal. Elizabeth is now living at a care center where she is able to receive regular on site therapy (such as sand therapy and occupational therapy focused on sensory training and hand function) and has made great improvements. She is attending preschool and is able to walk and run. Elizabeth is also improving in her speech development and is reportedly able to follow instructions and speak a few words clearly, and additional words unclearly. She is able to eat by herself and help to get herself dressed and brush her teeth. She is described as a bright and charming child who has good developed good relationships with both her caregivers and other children. This special little girl is in need of a family who has access to the medical resources that she needs and is comfortable with a potential genetic syndrome. State of residence may be flexible, please inquire for more details. Keywords: Limb difference, heart condition

To adopt this child, couples must submit their application to Holt before the oldest spouse reaches the age of 42. Applicants must be married at least 3 years and live in one of the following states: AL, AR, AZ, CA, CO, HI, IA, KS, KY, MN, MO, MS, MT, ND, NE, NJ, NM, OH, OK, OR, SC, SD, TN, TX, WADC, WV, or WY. Up to 4 children in the home. * See country criteria for complete requirements.