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J Med Genet 41:92-98 doi:10.1136/jmg.2003.014118
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Mulibrey nanism: clinical features and diagnostic criteria

Table 5

Diagnostic signs and their prevalence in 85 patients with Mulibrey nanism (46 females and 39 males) For the diagnosis, three major signs with one minor sign are required, or two major signs with three minor signs

Signs Frequency(%)
Major signs
    Growth failure (A or B or C)
        A) small for gestational age (SGA) lacking catch up growth 95
        B) height in children 2.5 SDS below population mean for age 94
        C) height in adults 3.0 SDS below population mean 90
    Characteristic radiological findings (A or B)
        A) slender long bones with thick cortex and narrow medullar channels 93
        B) low and shallow (J-shaped) sella turcica 89
    Characteristic craniofacial features 90
        Scaphocephaly, triangular face, high and broad forehead, low nasal bridge and telecanthus
    Characteristic ocular findings
        Yellowish dots in retinal mid peripheral region 79
    Mulibrey nanism in a sibling 17
Minor signs
    Peculiar high pitched voice 96
    Hepatomegaly 70
    Cutaneous naevi flammei 65
    Fibrous dysplasia of long bone 25

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