Table 1

 Phenotypic overlap of the cardiofaciocutaneous, Noonan and Costello syndromes

CFCNoonan syndrome11Costello syndrome12,13
HeadRelative macrocephalyYesYes
DolichocephalyYesNo
HairSparse, curly, friableCurlyFine, sparse, curly, kinky
Absent eyebrowsNoNo
FaceTall foreheadYesNo
Narrowed templesNoNo
Small chinYesNo
EyePalpebral ptosisYesYes
HypertelorismYesNo
Downward-slanting palpebral fissuresYesYes
Epicanthal foldsYesYes
ExotropiaStrabismusStrabismus
EarEarlobe creasesNoFleshy lobes
NoseShortNoYes
Broad nasal baseNoYes
MouthDeep philtrumYesNo
Cupid’s bow lipNoNo