One had only to look at him, from the slant of his bald forehead and the curve of his beautiful fair moustache to the long patent-leather feet at the other end of his lean and elegant person, to feel that the knowledge of "form" must be congenital in any one who knew how to wear such good clothes so carelessly and carry such height with so much lounging grace.
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It was a congenital heart defect.
It was true what I’d heard, that his heart was congenitally diseased, and he was now in urgent need of a transplant.