0
August 1987, Vol 141, No. 8 >
Article | August 1987

Picture of the Month FREE

Murray Feingold, MD
[+] Author Affiliations

Accepted for publication March 18, 1987.

Reprint requests to National Birth Defects Center, Kennedy Memorial Hospital, 30 Warren St, Brighton, MA 02135 (Dr Feingold).


Am J Dis Child. 1987;141(8):905-906. doi:10.1001/archpedi.1987.04460080091036.
Text Size: A A A
Published online
Article
References
Comments

The statements listed below are best associated with which of the above figures:

  • (a) Chromosomal analysis should be strongly considered.

  • (b) Evaluation of the renal system is indicated.

  • (c) The presence of a dissecting aneurysm should be investigated.

  • (d) Cardiac and other congenital anomalies occur in approximately 20% of these patients.

Denouement and Discussion  Fig 1.—Asymmetric crying faces due to absence or hypoplasia of depressor anguli oris muscle.Fig 2.—Upward and outward slant of palpebral fissures, broad bridge of nose, and epicanthal folds in infant with Down's syndrome.Fig 3.—Thumb sign (thumb protruding beyond ulnar border with hand held in fistlike position) in patient with Marfan's syndrome.Fig 4.—Deficiency of abdominal muscles.(a) The physical findings in Fig 2 are present in patients with Down's syndrome. Chromosomal analysis differentiates among the three types of Down's syndrome: (1) trisomy 21 (occurs in approximately 96% of patients, (2) translocation, and (3) mosaicism.

REFERENCES

1 +
Lenarsky C, Shewmon AD, Shaw A, et al:  Occurrence of neuroblastoma and asymmetric crying faces: Case report and review of the literature . J Pediatr 1985;;107:268-270.
Link to Article
2 +
Solomons G, Zellweger H, Jahnke PG, et al:  Four common eye signs in mongolism . AJDC 1965;;110:46-50.
3 +
Pyeritz RE, McKusick VA:  The Marfan syndrome: Diagnosis and management . N Engl J Med 1979;;300:772-777.
Link to Article
4 +
Rogers LW, Ostrow PT:  The prune belly syndrome . J Pediatr 1973;;83:786-793.
Link to Article

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Lenarsky C, Shewmon AD, Shaw A, et al:  Occurrence of neuroblastoma and asymmetric crying faces: Case report and review of the literature . J Pediatr 1985;;107:268-270.
Link to Article
2 +
Solomons G, Zellweger H, Jahnke PG, et al:  Four common eye signs in mongolism . AJDC 1965;;110:46-50.
3 +
Pyeritz RE, McKusick VA:  The Marfan syndrome: Diagnosis and management . N Engl J Med 1979;;300:772-777.
Link to Article
4 +
Rogers LW, Ostrow PT:  The prune belly syndrome . J Pediatr 1973;;83:786-793.
Link to Article

Correspondence

Submit a Letter
CME
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Clear Answers | Save For Later
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Compression-Only CPR: Pushing the Science Forward
Cone
AAM 2010;304:1493-1495.
All you need to read in the other general journals
BMJ 2010;341:c5893-c1494.
Submit a Comment

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

© 2013 American Medical Association. All Rights Reserved.
Powered bySilverchair Information Systems