One way to obscure the face is, if you're not trying to illustrate facial
features of certain genetic conditions, to crop the face out entirely.
Also, I think the concern is more "Are the parents of the kids aware that
the picture is on Wikipedia and are they okay with it?", and not copyright.
I
The image was removed by Doc James with the edit summary "Prior person had
a lot more than marfans"
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I am in no way an expert in copyright so I can't comment on that aspect of
the image.
However, reading through the article it is clear to me that the syndrome
can affect several parts of the body. As in many medical images I have seen
in the past, nudity of the subject of the image allows for the
