CATEGORY | SUBCATEGORY | FEATURES | 3a | 4b | 5b |
---|---|---|---|---|---|
Growth | Height | Short stature | + | + | + |
 | Weight | Low birth weight | NA | NA | NA |
 | Other | Intrauterine growth retardation | + | + | + |
 |  | Postnatal growth retardation | NA | NA | NA |
Head and Neck | Head | Frontal bossing | ND | + | + |
 |  | Increased relative head circumference | ND | + | + |
 | Face | Triangular face | ND | + | + |
 |  | Pointed, prominent chin | ND | + | + |
 |  | Hypoplastic midface | ND | + | + |
 |  | Long philtrum | ND | ND | + |
 | Eyes | Full eyebrows | NA | NA | NA |
 | Nose | Fleshy, upturned nose | ND | ND | ND |
 |  | Low nasal bridge | ND | + | + |
 |  | Depressed nasal root | ND | ND | ND |
 |  | Anteverted nares | ND | ND | + |
 | Mouth | Full lips | NA | NA | NA |
 | Neck | Short neck | NA | NA | NA |
Respiratory | Â | Neonatal respiratory distress | NA | NA | NA |
Chest | External Features | Short, wide, flat thorax | NA | NA | NA |
 |  | Pectus excavatum | NA | NA | NA |
 | Ribs, Sternum, Clavicles and Scapulae | High, square shoulders | NA | NA | NA |
 |  | Rib hypoplasia | NA | NA | NA |
 |  | Winged scapulae | NA | NA | NA |
Abdomen | External Features | Enlarged abdomen | NA | NA | NA |
Genitourinary | External Genitalia (Male) | Hypospadias | NA | NA | NA |
 |  | Small testes | NA | NA | NA |
Skeletal | General | Delayed bone age | + | + | + |
 |  | Joint hypermobility | NA | NA | NA |
 |  | Joint dislocation | NA | NA | NA |
 | Skull | Dolichocephaly | ND | ND | ND |
 | Spine | Tall vertebral bodies | ND | ND | ND |
 |  | Hyperlordosis | NA | NA | NA |
 | Pelvis | Hip dislocation | NA | NA | NA |
 |  | Small pelvis | NA | NA | NA |
 | Limbs | Long, slender tubular bones | NA | + | + |
 | Hands | Short fifth fingers | NA | NA | NA |
 |  | Clinodactyly | NA | NA | NA |
 | Feet | Prominent heels | NA | + | + |
 |  | Pes planus | NA | NA | NA |
Skin, Nails, Hair | Hair | Full eyebrows | NA | NA | NA |
Neurologic | Central Nervous System | Normal intelligence | NA | NA | NA |
 |  | Spina bifida occulta | NA | NA | NA |