Russell-Silver syndrome (SRS) is a genetic disorder with unknown etiology; however, some clinical manifestations and diagnostic criteria have been found to diagnose SRS. Here, we report on an 8-year-old girl with short stature and failure to gain weight, who started growth hormone (GH) therapy with good response; she presented with distinctive facial features, bilateral clinodactyly of the fifth finger, and syndactyly of the 2nd and 3rd toes; there are hypo pigmented spots on her back and delay bone age.