Werner syndrome is an autosomal recessive disorder characterized by premature aging and genomic instability. Clinical manifestations of Werner syndrome include loss and graying of hair, hoarseness, and scleroderma-like skin changes starting in the 20s, followed by bilateral ocular cataracts, type 2 diabetes mellitus, hypogonadism, skin ulcers, and osteoporosis in the 30s. A characteristic facial appearance termed "bird-like" due to the pinched look at the bridge of the nose evolves in the third or fourth decade. Affected individuals exhibit several forms of arteriosclerosis, the most serious form of which is coronary atherosclerosis that may lead to myocardial infarction which, together with cancer, is the most common cause of death, typically about age 48 years.