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Table 2 Ghent nosology

From: Optimising the mutation screening strategy in Marfan syndrome and identifying genotypes with more severe aortic involvement

 

Examined population (n = 136)

Mutation identified (n = 84)

No mutation identified (n = 52)

Ghent nosology (%)

Mitral valve prolapse

66

74

54

Dilation or dissection of descending aorta

4

5

4

Pectus carinatum

43

45

40

Pectus excavatum requiring surgery

9

12

4

Reduced upper to lower segment ratio

19

21

15

Increased arm span to height ratio

23

27

15

Wrist sign

81

82

79

Thumb sign

85

92

73

Scoliosis of > 20° or spondylolisthesis

68

74

60

Severe scoliosis

29

36

17

Reduced extension at the elbows

6

10

0

Medial displacement of the medial malleolus causing pes planus

46

51

37

Heel deformity

20

19

21

Protrusion acetabulae

0.7

1

0

Pectus excavatum of moderate severity

22

26

15

Asymetric chest

46

50

40

Joint hypermobility

47

57

31

Highly arched palate with crowding of teeth

60

65

50

Dolichocephaly

21

24

15

Enophtalmos

14

15

12

Downslanting palpebral fissure

28

31

23

Malar hypoplasia

13

17

6

Retrognathia

40

48

29

Ectopia lentis

21

32

4

Myopia over 3 diopter

40

45

31

Abnormally flat cornea

0.7

1

0

Increased axial length of globe

2

4

0

Hypoplastic iris

1.5

2

0

Spontaneous pneumothorax

7

5

10

Apical blebs, bullae

1.5

2

0

Lumbosacral dural ectasia

3

2

4

Striae atrophicae (stretch marks)

65

65

65

  1. This table shows the Ghent nosology features of the examined cohort with and without an identified (likely) pathogenic sequence variant