"Marfan syndrome is an autosomal dominant genetic disorder of the connective tissue characterized by disproportionately long limbs, long thin fingers, a typically tall stature, and a predisposition to cardiovascular abnormalities, specifically those affecting the heart valves and aorta."
No body would have allowed that picture if it weren’t true to life.
Either Anknaten had a beer belly, kwashiorkor,...or he needed to be checked to see if he’d swallowed the spawn of the Alien.