Demographic Data |
Relation to Proband |
proband |
Sex |
Female |
|
Data Elements |
Clinical Element Type: Marfan's Syndrome |
(Baseline) |
Inheritance |
Family history of Marfan Syndrome |
No Data |
Growth |
Disproportionate tall stature |
No Data |
Puberty-associated peak in growth velocity |
No Data |
Head and Neck |
Dolichocephaly |
No Data |
Long, narrow face |
No Data |
Malar hypoplasia |
No Data |
Micrognathia |
No Data |
Retrognathia |
No Data |
Enophthalmos |
No Data |
Ectopia lentis |
No Data |
Myopia |
No Data |
Increased axial globe length |
No Data |
Corneal flatness |
No Data |
Retinal detachment |
No Data |
Iris hypoplasia |
No Data |
Early glaucoma |
No Data |
Early cataracts |
No Data |
Down-slanting palpebral fissures |
No Data |
High-arched palate |
No Data |
Narrow palate |
No Data |
Dental Crowding (malocclusion) |
No Data |
Cardiovascular |
Aortic regurgitation |
No Data |
Mitral regurgitation |
No Data |
Mitral valve prolapse |
No Data |
Congestive heart failure |
No Data |
Tricuspid valve prolapse |
No Data |
Premature calcification of mitral annulus |
No Data |
Aortic root dilatation (ascending aorta) |
No Data |
Aortic dissection (ascending aorta) |
No Data |
Ascending aortic aneurysm |
No Data |
Dilatation or dissection of the descending or abdominal aorta before age 50 |
No Data |
Pulmonary artery dilatation |
No Data |
Aortic root replacement |
No Data |
Atrial septal defect |
No Data |
Respiratory |
Emphysema in most severe presentation |
No Data |
Pneumothorax |
No Data |
Pulmonary blebs |
No Data |
Chest |
Pectus excavatum |
No Data |
Pectus carinatum |
No Data |
Thoracic asymmetry |
No Data |
Abdomen |
Hernia |
No Data |
Skeletal |
Premature arthritis |
No Data |
Scoliosis |
No Data |
Kyphoscoliosis |
No Data |
Thoracic lordosis |
No Data |
Spondylolisthesis |
No Data |
Lumbosacral dural ectasia |
No Data |
Protrusio acetabulae |
No Data |
Long bone overgrowth (dolichostenomelia) |
No Data |
Joint laxity (hypermobility) |
No Data |
Limited elbow extension |
No Data |
Joint contractures |
No Data |
Genu recurvatum |
No Data |
Arachnodactyly |
No Data |
Pes planus |
No Data |
Long, narrow feet |
No Data |
Pes cavus |
No Data |
Hammer toes |
No Data |
Medial rotation of the medial malleolus |
No Data |
Muscle |
Decreased muscle mass |
No Data |
Skin, Nails, Hair |
Striae distensae |
No Data |
Decreased subcutaneous fat |
No Data |
Central Nervous System |
Dural ectasia |
No Data |
major CNS involvement |
No Data |
Laboratory Abnormalities |
Decreased fibrillin-1 immunostaining in the dermis |
No Data |
Molecular Basis |
Mutation in FBN1 gene |
No Data |
Remarks |
Clinically affected; as a neonate she had striking arachnodactyly and pectus excavatum; mild contractures of elbows and knees; long face with deep-set eyes; bilateral iridodonesis; high-grade myopia; bilateral lens dislocation at age three years; severe progressive thoracolumbar scoliosis (>80 degrees) requiring spinal fusion; episodes of supraventricular tachycardia and cardiac arrhythmia; aortic root 4.5cm in diameter at age six years; mitral regurgitaion and mitral and tricuspid valve prolapse; hypermobile joints; valve-repacement surgery and pectus excavatum repair; underdeveloped musculature and lack of subcutaneous fat; donor subject has a genomic deletion of exons 44, 45 and 46 of the FBN1 gene |