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  Vol. 132 No. 12, December 1978 TABLE OF CONTENTS
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Picture of the Month

Sydney S. Gellis, MD; Murray Feingold, MD; F. Camarasa, MD; A. Gonzalez, MD; Santiago Garcia-Tornel, MD

Am J Dis Child. 1978;132(12):1213-1214.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Denouement and Discussion

Coffin-Siris Syndrome

Manifestations

Major manifestations are characteristic facial appearance, mental retardation, and hypoplasia or absence of the nails of the fifth fingers and toes. The facial appearance is coarse with bushy eyebrows, broad nasal bridge, thick lips, broad nose, and synophrys. Mild microcephaly and sparse scalp hair may be present.

The nails of the fifth fingers and toes are frequently absent or hypoplastic and the other toenails may be similarly involved. There may also be an absence of the distal phalanx of the fifth finger or toe, clinodactyly, a small or absent patella, coxa valgus, dislocation of the radial head, and lax joints.

The degree of mental retardation varies but may be quite severe. Feeding problems and frequent respiratory infections occur during the newborn period. Other abnormalities include growth deficiency and hirsuitism.

Roentgenograms demonstrate the aforementioned skeletal abnormalities.

Genetics

At the present time, the mode of inheritance . . . [Full Text PDF of this Article]


Author Affiliations

From the Children's Hospital-San Juan de Dios, Barcelona, Spain.


Footnotes

Reprint requests to Boston Floating Hospital, 20 Ash St, Boston, MA 02111 (Dr Gellis).



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