Alan isn't 100% correct (though he's close). The exception is Mac OS X. This operating system makes a distinction between dynamically loadable shared libraries and and loadable modules of code (bundles). The former has an extension .dylib and the latter has an extension .so. The former is in Mac-O and the latter is in ELF.
Thus PHP's extensions are built as .so whereas the symbol PHP_SHLIB_SUFFIX is bound (currently) to .dylib. I don't think this is the correct behavior, but nonetheless, it is the behavior as of PHP-5.0.0b2-dev. Right now, the config binds to SHLIB_SUFFIX_NAME (which is correctly bound to .dylib on Mac OS X). I imagine this is related to why there is so much trouble getting dl() to work on Mac OS X. (For instance, I have no trouble phpizing in a new shared library, but when compiling in stuff as shared... much evilness!)
BTW, to get dl() to work in Mac OS X you need to install the dlcompat library (via Fink, DarwinPorts, or Gentoo ports). Remember in the case of Fink, you better make sure your environment variables are adjusted to point to where dlcompat (and your other fink libraries) are.
terry