CONCLUSION
This case report shows how typical MFS presents and how the diagnosis can be made with a high clinical index of suspicion and some level of diagnostic testing. This is the first write-up on a Ghanaian patient with MFS and highlights the fact that diligent assessment may uncover several other patients in our society, with possibly, many of them not requiring genetic testing to make the diagnosis. Following this we have evaluated the limitations in the Ghanaian society that may fuel the low rates of detection. In this report we emphasize on the meticulous use of the physical exam primarily to detect possible MFS, and then supportive tests for extent of organ involvement and further monitoring in low resource settings.