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July 1978

The Coffin-Siris Syndrome: Five New Cases Including Two Siblings

Author Affiliations

From the Department of Pediatrics and the Birth Defects Center, University of California, San Francisco. Dr Carey is a Fellow in Genetics at the University of California, San Francisco.

Am J Dis Child. 1978;132(7):667-671. doi:10.1001/archpedi.1978.02120320027005

• Five new cases and one previously reported case of the Coffin-Siris syndrome are described. These cases plus the remaining four already published bring to ten the number of cases available for scrutiny. Constant features (100% frequency) include variable degrees of mental retardation, nail hypoplasia or absence with predominantly fifth digit involvement, hypotonia, infancy feeding problems, and retarded bone age. Frequent features (75% to 90%) include postnatal growth deficiency, microcephaly, wide nasal tip and mouth, prominent lips, eyebrow/eyelash hypertrichosis, and scalp hair hypotrichosis. Significant but less frequent findings include short philtrum (50%), scoliosis (40%), decreased fetal activity (40%), smallness for gestational age (30%), and congenital heart defects (30%). We found the craniofacial phenotype to be mild in the young infant, but progressively more characteristic with age. Autosomal recessive inheritance is suspected on the basis of our brother-and-sister pair.

(Am J Dis Child 132:667-671, 1978)

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