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Noonan syndrome with multiple lentigines

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453: 414: 387: 430: 399: 372: 545:(incomplete, or unusual form) variant, an examination of all family members must be undertaken. As an autosomal dominant trait there is a fifty percent chance with each child that they will also be born with the syndrome. Although fully penetrant, since the syndrome has variable expressivity, one generation may have a mild expression of the syndrome, while the next may be profoundly affected. 622:(protrusion of lower jaw) in 1936. Sporadic descriptions were added through the years. In 1962, cardiac abnormalities and short stature were first associated with the condition. In 1966, three familial cases were added, a mother, her son and daughter. Another case of mother to two separate children, with different paternity of the two children, was added in 1968. 51: 491:
The presence of the disease can be confirmed with a genetic test. In a study of 10 infants with clinical indications of NSML prior to their first birthday, 8 (80%) patients were confirmed to have the suspected mutation. An additional patient with the suspected mutation was subsequently found to have
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gene), which is a previously unrecognized behavior for this class of mutations. This interferes with growth factor and related signalling. While further research confirms this mechanism, additional research is needed to determine how this relates to all of the observed effects of NSML.
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Due to the rarity of the syndrome itself, it is hard to determine whether certain additional diseases are actually part of the syndrome. With a base population of possibly less than one thousand individuals, one or two outlying cases can skew the statistical population very quickly.
116:). The disease is a complex of features, mostly involving the skin, skeletal and cardiovascular systems, which may or may not be present in all patients. The nature of how the mutation causes each of the condition's symptoms is not well known; however, research is ongoing. It is a 588:
In itself, NSML is not a life-threatening diagnosis, most people diagnosed with the condition live normal lives. Obstructive cardiomyopathy and other pathologic findings involving the cardiovascular system may be a cause of death in those whose cardiac deformities are profound.
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Various literature describes the syndrome as being "rare" or "extremely rare". There is no epidemiologic data available regarding how many individuals have the syndrome worldwide; however, there are approximately 200 cases described in medical literature.
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present there are 2 other symptoms observed, such as ECG abnormalities and ocular hypertelorism, or without lentigines, 3 of the above conditions are present, with a first-degree relative (i.e. parent, child, sibling) with a clinical diagnosis.
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Once a decision to have children is made, and the couple conceives, the fetus is monitored during the pregnancy for cardiac evaluation. If a gross cardiac malformation is found, parents receive counseling on continuing with the pregnancy.
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For those who are disturbed by the appearance of lentigines, cryosurgery may be beneficial. Due to the large number of lentigines this may prove time-consuming. An alternative treatment with tretinoin or hydroquinone creams may
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LEOPARD syndrome, cardiocutaneous syndrome, Gorlin syndrome II, lentiginosis profusa syndrome, progressive cardiomyopathic lentiginosis, Capute-Rimoin-Konigsmark-Esterly-Richardson syndrome, Moynahan syndrome
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Ahlbom BE, Dahl N, Zetterqvist P, Annerén G (1995). "Noonan syndrome with café-au-lait spots and multiple lentigines syndrome are not linked to the neurofibromatosis type 1 locus".
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It is recommended that those with the syndrome who are capable of having children seek genetic counseling before deciding to have children. As the syndrome presents frequently as a
386: 155:, originally coined in 1969, as the condition is characterized by some of the following seven conditions, the first letters of which spell LEOPARD, along with the characteristic " 538:
It is suggested that, once diagnosed, individuals be routinely followed by a cardiologist, endocrinologist, dermatologist, and other appropriate specialties as symptoms present.
2434: 1206: 429: 182:) generally occurring in a high number (10,000+) over a large portion of the skin, at times higher than 80% coverage. These can even appear inside the mouth ( 2167: 944:
Uçar C, Calýskan U, Martini S, Heinritz W (March 2006). "Acute myelomonocytic leukemia in a boy with LEOPARD syndrome (PTPN11 gene mutation positive)".
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Hanna N, Montagner A, Lee WH, et al. (2006). "Reduced phosphatase activity of SHP-2 in LEOPARD syndrome: consequences for PI3K binding on Gab1".
231:: Wideset eyes, which lead to a similar facial resemblance between patients. Facial abnormalities are the second highest occurring symptom after the 2019: 2424: 2346: 1765: 2409: 2098: 398: 286:: Slow, or stunted growth. Most newborns with this syndrome are of normal birth weight and length, but will often slow within the first year. 2439: 2374: 1882: 1837: 1775: 371: 1464: 571:
Drug therapies for those with cardiac abnormalities, as those abnormalities become severe enough to warrant the use of these therapies.
2236: 1706: 1686: 803: 1696: 2251: 688: 1946: 1755: 1711: 1390: 1750: 1649: 1088: 523: 519: 515: 511: 507: 469: 465: 420: 1274:"Multiple symmetrical moles, with psychic and somatic infantilism and genital hypoplasia: first male case of a new syndrome" 1210: 1954: 1902: 1820: 1569: 2172: 1770: 1139:
Digilio MC, Sarkozy A, de Zorzi A, et al. (2006). "LEOPARD syndrome: clinical diagnosis in the first year of life".
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Walther RJ, Polansky BJ, Grotis IA (1966). "Electrocardiographic abnormalities in a family with generalized lentigo".
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which seems to be a unique familial mutation, in that all other variants are caused by transition errors, rather than
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Voron DA, Hatfield HH, Kalkhoff RK (1976). "Multiple lentigines syndrome. Case report and review of the literature".
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is still sometimes used for diagnostic purposes, although it has been shown that the gene is not linked to the
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It was believed as late as 2002 that Noonan Syndrome with Multiple Lentigines (NSML) was related to
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37-year-old patient (second generation), exhibiting hypertelorism, broad nasal root, slight ptosis
2220: 2090: 1851: 1746: 1676: 1427: 1164: 1069: 989:"Diversity and functional consequences of germline and somatic PTPN11 mutations in human disease" 969: 572: 473: 457: 329: 242: 215: 99: 1245:
Zeisler EP, Becker SW (1936). "Generalized lentigo: its relation to systemic nonelevated nevi".
1801: 1527: 1498: 1419: 1373: 1338: 1303: 1156: 1110: 1061: 1018: 961: 926: 885: 850: 815: 784: 735: 684: 654: 503: 283: 128: 70: 1089:"PTPN11 (Shp2) mutations in LEOPARD syndrome have dominant negative, not activating, effects" 755:"Multiple lentigines syndrome (LEOPARD syndrome or progressive cardiomyopathic lentiginosis)" 2298: 2215: 2112: 2007: 1916: 1411: 1365: 1330: 1293: 1285: 1254: 1148: 1100: 1053: 1008: 1000: 953: 916: 877: 842: 774: 766: 725: 717: 615: 318: 246: 199: 75: 2210: 2177: 2104: 1815: 1671: 1538: 1189: 659: 405: 254: 132: 1605: 1258: 846: 1585: 1049: 2332: 2190: 2118: 1415: 1298: 1273: 1013: 988: 957: 779: 754: 730: 705: 269: 2403: 881: 611: 228: 91: 1431: 1168: 1073: 973: 139:(which was once thought to be related to NSML) is also common (1:3500); however, no 1785: 527: 439: 140: 63: 1118: 1057: 1600: 1492: 2161: 1969: 1544: 1522: 1369: 1334: 903:
Yagubyan M, Panneton JM, Lindor NM, Conti E, Sarkozy A, Pizzuti A (April 2004).
619: 236: 190:). These have irregular borders and range in size from 1 mm in diameter to 59: 17: 1580: 1289: 2279: 1549: 1503: 921: 904: 721: 277: 124: 2265: 1725: 1590: 1533: 1194: 706:"The RASopathies: developmental syndromes of Ras/MAPK pathway dysregulation" 576: 350: 305: 301: 273: 265: 225: 156: 117: 1307: 1160: 1114: 1105: 1065: 1022: 965: 930: 819: 804:"Neurofibromatosis-Noonan syndrome or LEOPARD Syndrome? A clinical dilemma" 739: 1423: 1377: 1342: 889: 854: 788: 50: 1152: 770: 357: 343: 339: 289: 211: 195: 152: 103: 1456: 2326: 2318: 2312: 2245: 2030: 833:
Gorlin RJ, Anderson RC, Blaw M (1969). "Multiple lentigenes syndrome".
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21-month-old, third generation patient, confirmed by genetic tests as
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Additional dermatologic abnormalities (axillary freckling, localized
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are mandatory prior to any surgical interventions, due to possible
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Three-quarter facial view, first-generation patient showing slight
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Tullu MS, Muranjan MN, Kantharia VC, et al. (1 April 2000).
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Matthews NL (1968). "Lentigo and electrocardiographic changes".
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Kontaridis MI, Swanson KD, David FS, Barford D, Neel BG (2006).
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lack a specific diagnosis code for NSML, the diagnosis code for
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fashion, although it can also arise due to spontaneous mutation.
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of thirty-seven-year-old, second-generation patient, exhibiting
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In 2004, a patient was reported with recurrent upper extremity
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Deficiencies of intracellular signaling peptides and proteins
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An alternative name of the condition, LEOPARD syndrome, is a
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Zeisler and Becker first described a syndrome with multiple
239:(protruding lower jaw), or low-set, possibly rotated, ears. 332:
is observed in about 30% of those affected by the syndrome
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Tartaglia M, Martinelli S, Stella L, et al. (2006).
253:. Other cardiac abnormalities may be present, including 194:, several centimeters in diameter. Also, some areas of 135:
is fairly common (1:1,000 to 1:2,500 live births), and
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James, William; Berger, Timothy; Elston, Dirk (2005).
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Other management is routine care as symptoms present:
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Rare autosomal dominant multi-system genetic condition
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Andrews' Diseases of the Skin: Clinical Dermatology
629:(von Recklinghausen syndrome). In fact, since both 69: 40: 35: 1391:National Library of Medicine MeSH: C05.660.207.525 235:. Abnormalities also include: broad nasal root, 556:For those with endocrine issues (low levels of 36:Noonan syndrome with multiple lentigines (NSML) 2390:intracellular signaling peptides and proteins 1628: 710:Current Opinion in Genetics & Development 476:of the SHP2 protein (the gene product of the 8: 1278:Proceedings of the Royal Society of Medicine 1184: 1182: 1180: 1178: 404:Thirty-seven-year-old patient demonstrating 1974: 1730: 1654: 1635: 1621: 1613: 1447: 1232:"Noonan syndrome with multiple lentigines" 464:In the two predominant mutations of NSML ( 356:In 2006, a NSML patient was reported with 304:is not needed for a diagnosis. A clinical 49: 32: 2252:EDARADD Hypohidrotic ectodermal dysplasia 1297: 1104: 1012: 920: 778: 729: 84:Noonan syndrome with multiple lentigines 2435:Neuro-cardio-facial-cutaneous syndromes 671: 367: 496:, following evaluation of the mother. 7: 1883:Neutrophil immunodeficiency syndrome 1766:Albright's hereditary osteodystrophy 1259:10.1001/archderm.1936.01470070112010 1234:. U.S. National Library of Medicine. 1141:American Journal of Medical Genetics 847:10.1001/archpedi.1969.02100030654006 377:Hand of 37-year-old patient showing 2237:Signal transducing adaptor proteins 1821:KRAS Cardiofaciocutaneous syndrome 1712:X-linked intellectual disability 1 1707:Juvenile primary lateral sclerosis 1416:10.1111/j.1399-0004.1995.tb04061.x 993:American Journal of Human Genetics 958:10.1097/01.mph.0000199590.21797.0b 704:Tidyman WE, Rauen KA (June 2009). 102:, multisystem disease caused by a 90:) which is part of a group called 25: 2168:Bannayan–Riley–Ruvalcaba syndrome 186:), or on the surface of the eye ( 1756:Progressive osseous heteroplasia 472:) the mutations cause a loss of 428: 412: 397: 385: 370: 2361:PRKCSH Polycystic liver disease 353:that required surgical repairs. 2425:Melanocytic nevi and neoplasms 2347:Wolff–Parkinson–White syndrome 1751:Pseudopseudohypoparathyroidism 1650:GTP-binding protein regulators 564:) drug therapy is recommended. 308:is considered made when, with 174:— Reddish-brown to dark brown 123:Noonan syndrome with multiple 1: 2410:Syndromes affecting the heart 1955:Cardiofaciocutaneous syndrome 1903:Chylomicron retention disease 1058:10.1016/j.febslet.2006.03.088 753:Coppin BD, Temple IK (1997). 338:(involuntary eye movements), 300:The presence of all of these 159:" of the skin, caused by the 110:, non-receptor type 11 gene ( 98:pathway syndromes, is a rare 2197:X-linked myotubular myopathy 882:10.1016/0002-9343(76)90764-6 618:(protruding breastbone) and 562:follicle stimulating hormone 108:protein tyrosine phosphatase 2440:Syndromes affecting hearing 1994:X-linked agammaglobulinemia 1838:Charcot–Marie–Tooth disease 1370:10.1056/NEJM196804042781410 1335:10.1056/NEJM196612012752203 759:Journal of Medical Genetics 683:(10th ed.). Saunders. 214:: Generally observed on an 163:that is reminiscent of the 2456: 1697:Marinesco–Sjögren syndrome 1290:10.1177/003591576205501112 946:J. Pediatr. Hematol. Oncol 358:acute myelogenous leukemia 2385: 2305:Neurofibromatosis type II 2139:Pseudohypoaldosteronism 2 1866:Griscelli syndrome type 2 1659:GTPase-activating protein 922:10.1016/j.jvs.2003.11.030 722:10.1016/j.gde.2009.04.001 127:is caused by a different 57: 48: 2173:Lhermitte–Duclos disease 1771:McCune–Albright syndrome 1761:Pseudohypoparathyroidism 1667:Neurofibromatosis type I 627:neurofibromatosis type I 456:NSML is inherited in an 1931:Bardet–Biedl syndrome 3 499:There are 5 identified 2079:Peutz–Jeghers syndrome 2065:Incontinentia pigmenti 2051:Li–Fraumeni syndrome 2 1702:Aarskog–Scott syndrome 1247:Arch Dermatol Syphilol 1106:10.1074/jbc.M513068200 506:responsible for NSML. 461: 143:data exists for NSML. 2183:Proteus-like syndrome 2037:Coffin-Lowry syndrome 455: 259:mitral valve prolapse 2091:Myotonic dystrophy 1 1581:Gorlin's syndrome II 1272:Moynahan EJ (1962). 1153:10.1002/ajmg.a.31156 771:10.1136/jmg.34.7.582 379:interdigital webbing 325:, hyperelastic skin) 323:interdigital webbing 206:Electrocardiographic 1050:2006FEBSL.580.2477H 245:: Narrowing of the 220:bundle branch block 137:neurofibromatosis 1 2221:Metachondromatosis 1917:Joubert syndrome 8 1852:Carpenter syndrome 1687:Guanine nucleotide 1677:Tuberous sclerosis 1514:External resources 1207:"LEOPARD Syndrome" 474:catalytic activity 462: 458:autosomal dominant 330:mental retardation 243:Pulmonary stenosis 216:electrocardiograph 192:cafĂ©-au-lait spots 147:Signs and symptoms 131:of the same gene. 100:autosomal dominant 2397: 2396: 2231: 2230: 2211:Noonan syndrome 1 2105:Seckel syndrome 1 1941: 1940: 1816:Noonan syndrome 3 1802:Costello syndrome 1720: 1719: 1559: 1558: 835:Am. J. Dis. Child 655:Neurofibromatosis 296:(nerve deafness). 129:missense mutation 81: 80: 30:Medical condition 16:(Redirected from 2447: 2216:LEOPARD syndrome 2119:Oguchi disease 2 2020:Serine/threonine 2008:ZAP70 deficiency 1975: 1731: 1655: 1637: 1630: 1623: 1614: 1550:LEOPARD Syndrome 1448: 1436: 1435: 1399: 1393: 1388: 1382: 1381: 1353: 1347: 1346: 1318: 1312: 1311: 1301: 1269: 1263: 1262: 1242: 1236: 1235: 1228: 1222: 1221: 1219: 1218: 1203: 1197: 1190:LEOPARD Syndrome 1186: 1173: 1172: 1136: 1130: 1129: 1127: 1126: 1117:. Archived from 1108: 1084: 1078: 1077: 1033: 1027: 1026: 1016: 984: 978: 977: 941: 935: 934: 924: 900: 894: 893: 865: 859: 858: 830: 824: 823: 799: 793: 792: 782: 750: 744: 743: 733: 701: 695: 694: 676: 616:pectus carinatum 432: 416: 401: 389: 374: 319:hypopigmentation 249:as it exits the 247:pulmonary artery 202:may be observed. 200:hypopigmentation 76:Medical genetics 53: 33: 21: 18:LEOPARD syndrome 2455: 2454: 2450: 2449: 2448: 2446: 2445: 2444: 2400: 2399: 2398: 2393: 2381: 2286: 2227: 2178:Cowden syndrome 2152: 2145: 2021: 2014: 1979:Tyrosine kinase 1959: 1937: 1780: 1716: 1689:exchange factor 1688: 1681: 1672:Watson syndrome 1644: 1641: 1560: 1555: 1554: 1539:article/1096445 1509: 1508: 1459: 1445: 1440: 1439: 1401: 1400: 1396: 1389: 1385: 1358:N. Engl. J. Med 1355: 1354: 1350: 1323:N. Engl. J. Med 1320: 1319: 1315: 1284:(11): 959–960. 1271: 1270: 1266: 1244: 1243: 1239: 1230: 1229: 1225: 1216: 1214: 1205: 1204: 1200: 1187: 1176: 1138: 1137: 1133: 1124: 1122: 1099:(10): 6785–92. 1086: 1085: 1081: 1044:(10): 2477–82. 1035: 1034: 1030: 986: 985: 981: 943: 942: 938: 902: 901: 897: 867: 866: 862: 832: 831: 827: 801: 800: 796: 752: 751: 747: 703: 702: 698: 691: 678: 677: 673: 668: 660:Noonan syndrome 651: 604: 595: 586: 536: 489: 450: 448:Pathophysiology 443: 433: 424: 417: 408: 406:hyperelasticity 402: 393: 390: 381: 375: 284:Retarded growth 255:aortic stenosis 149: 141:epidemiological 133:Noonan syndrome 31: 28: 23: 22: 15: 12: 11: 5: 2453: 2451: 2443: 2442: 2437: 2432: 2430:Enzyme defects 2427: 2422: 2420:Genodermatoses 2417: 2412: 2402: 2401: 2395: 2394: 2386: 2383: 2382: 2380: 2379: 2378: 2377: 2365: 2364: 2363: 2351: 2350: 2349: 2337: 2336: 2335: 2333:Carney complex 2323: 2322: 2321: 2309: 2308: 2307: 2294: 2292: 2288: 2287: 2285: 2284: 2283: 2282: 2270: 2269: 2268: 2256: 2255: 2254: 2241: 2239: 2233: 2232: 2229: 2228: 2226: 2225: 2224: 2223: 2218: 2213: 2201: 2200: 2199: 2187: 2186: 2185: 2180: 2175: 2170: 2157: 2155: 2147: 2146: 2144: 2143: 2142: 2141: 2123: 2122: 2121: 2109: 2108: 2107: 2095: 2094: 2093: 2083: 2082: 2081: 2069: 2068: 2067: 2055: 2054: 2053: 2041: 2040: 2039: 2026: 2024: 2016: 2015: 2013: 2012: 2011: 2010: 1998: 1997: 1996: 1983: 1981: 1972: 1961: 1960: 1958: 1957: 1951: 1949: 1943: 1942: 1939: 1938: 1936: 1935: 1934: 1933: 1921: 1920: 1919: 1907: 1906: 1905: 1888: 1887: 1886: 1885: 1871: 1870: 1869: 1868: 1856: 1855: 1854: 1842: 1841: 1840: 1826: 1825: 1824: 1823: 1818: 1806: 1805: 1804: 1790: 1788: 1782: 1781: 1779: 1778: 1773: 1768: 1763: 1758: 1753: 1739: 1737: 1728: 1722: 1721: 1718: 1717: 1715: 1714: 1709: 1704: 1699: 1693: 1691: 1683: 1682: 1680: 1679: 1674: 1669: 1663: 1661: 1652: 1646: 1645: 1642: 1640: 1639: 1632: 1625: 1617: 1609: 1608: 1603: 1598: 1588: 1577: 1557: 1556: 1553: 1552: 1541: 1530: 1518: 1517: 1515: 1511: 1510: 1507: 1506: 1495: 1484: 1460: 1455: 1454: 1452: 1451:Classification 1444: 1443:External links 1441: 1438: 1437: 1394: 1383: 1348: 1329:(22): 1220–5. 1313: 1264: 1237: 1223: 1198: 1174: 1131: 1079: 1028: 1005:10.1086/499925 979: 936: 915:(4): 897–900. 895: 860: 825: 808:J Postgrad Med 794: 745: 696: 689: 670: 669: 667: 664: 663: 662: 657: 650: 647: 603: 600: 594: 591: 585: 582: 581: 580: 569: 565: 535: 532: 488: 485: 449: 446: 445: 444: 434: 427: 425: 418: 411: 409: 403: 396: 394: 391: 384: 382: 376: 369: 362: 361: 354: 347: 333: 326: 298: 297: 287: 281: 272:(retention of 270:cryptorchidism 262: 240: 223: 203: 178:(surface skin 148: 145: 79: 78: 73: 67: 66: 55: 54: 46: 45: 42: 38: 37: 29: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 2452: 2441: 2438: 2436: 2433: 2431: 2428: 2426: 2423: 2421: 2418: 2416: 2413: 2411: 2408: 2407: 2405: 2392: 2391: 2384: 2376: 2373: 2372: 2371: 2370: 2366: 2362: 2359: 2358: 2357: 2356: 2352: 2348: 2345: 2344: 2343: 2342: 2338: 2334: 2331: 2330: 2329: 2328: 2324: 2320: 2317: 2316: 2315: 2314: 2310: 2306: 2303: 2302: 2301: 2300: 2296: 2295: 2293: 2289: 2281: 2278: 2277: 2276: 2275: 2271: 2267: 2264: 2263: 2262: 2261: 2257: 2253: 2250: 2249: 2248: 2247: 2243: 2242: 2240: 2238: 2234: 2222: 2219: 2217: 2214: 2212: 2209: 2208: 2207: 2206: 2202: 2198: 2195: 2194: 2193: 2192: 2188: 2184: 2181: 2179: 2176: 2174: 2171: 2169: 2166: 2165: 2164: 2163: 2159: 2158: 2156: 2154: 2148: 2140: 2137: 2136: 2135: 2134: 2129: 2128: 2124: 2120: 2117: 2116: 2115: 2114: 2110: 2106: 2103: 2102: 2101: 2100: 2096: 2092: 2089: 2088: 2087: 2084: 2080: 2077: 2076: 2075: 2074: 2070: 2066: 2063: 2062: 2061: 2060: 2056: 2052: 2049: 2048: 2047: 2046: 2042: 2038: 2035: 2034: 2033: 2032: 2028: 2027: 2025: 2023: 2017: 2009: 2006: 2005: 2004: 2003: 1999: 1995: 1992: 1991: 1990: 1989: 1985: 1984: 1982: 1980: 1976: 1973: 1971: 1967: 1962: 1956: 1953: 1952: 1950: 1948: 1944: 1932: 1929: 1928: 1927: 1926: 1922: 1918: 1915: 1914: 1913: 1912: 1908: 1904: 1901: 1900: 1899: 1898: 1893: 1890: 1889: 1884: 1881: 1880: 1879: 1878: 1873: 1872: 1867: 1864: 1863: 1862: 1861: 1857: 1853: 1850: 1849: 1848: 1847: 1843: 1839: 1836: 1835: 1834: 1833: 1828: 1827: 1822: 1819: 1817: 1814: 1813: 1812: 1811: 1807: 1803: 1800: 1799: 1798: 1797: 1792: 1791: 1789: 1787: 1783: 1777: 1774: 1772: 1769: 1767: 1764: 1762: 1759: 1757: 1754: 1752: 1748: 1744: 1741: 1740: 1738: 1736: 1735:Heterotrimeic 1732: 1729: 1727: 1723: 1713: 1710: 1708: 1705: 1703: 1700: 1698: 1695: 1694: 1692: 1690: 1684: 1678: 1675: 1673: 1670: 1668: 1665: 1664: 1662: 1660: 1656: 1653: 1651: 1647: 1638: 1633: 1631: 1626: 1624: 1619: 1618: 1615: 1611: 1607: 1604: 1602: 1599: 1597: 1596: 1592: 1589: 1587: 1586:Who Named It? 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Surg 906: 899: 896: 891: 887: 883: 879: 876:(3): 447–56. 875: 871: 864: 861: 856: 852: 848: 844: 841:(6): 652–62. 840: 836: 829: 826: 821: 817: 814:(2): 98–100. 813: 809: 805: 798: 795: 790: 786: 781: 776: 772: 768: 764: 760: 756: 749: 746: 741: 737: 732: 727: 723: 719: 715: 711: 707: 700: 697: 692: 690:0-7216-2921-0 686: 682: 675: 672: 665: 661: 658: 656: 653: 652: 648: 646: 644: 640: 636: 632: 628: 623: 621: 617: 613: 612:hypertelorism 609: 601: 599: 592: 590: 583: 578: 574: 570: 566: 563: 559: 555: 554: 553: 550: 546: 544: 539: 533: 531: 529: 525: 521: 517: 513: 509: 505: 502: 497: 495: 486: 484: 481: 480: 475: 471: 467: 459: 454: 447: 441: 437: 431: 426: 422: 415: 410: 407: 400: 395: 388: 383: 380: 373: 368: 366: 359: 355: 352: 348: 345: 341: 337: 334: 331: 327: 324: 320: 316: 315: 314: 311: 307: 303: 295: 294:Sensorineural 291: 288: 285: 282: 279: 275: 271: 267: 263: 260: 256: 252: 248: 244: 241: 238: 234: 230: 229:hypertelorism 227: 224: 221: 217: 213: 212:abnormalities 210: 207: 204: 201: 197: 193: 189: 185: 181: 177: 173: 170: 169: 168: 166: 162: 158: 154: 146: 144: 142: 138: 134: 130: 126: 121: 119: 115: 114: 109: 105: 101: 97: 93: 89: 85: 77: 74: 72: 68: 65: 61: 56: 52: 47: 43: 39: 34: 19: 2387: 2367: 2353: 2339: 2325: 2311: 2297: 2272: 2258: 2244: 2203: 2189: 2160: 2131: 2125: 2111: 2097: 2071: 2057: 2043: 2029: 2000: 1986: 1923: 1909: 1895: 1875: 1858: 1844: 1830: 1808: 1794: 1610: 1593: 1579: 1563: 1543: 1532: 1521: 1497: 1486: 1463: 1407: 1403: 1397: 1386: 1361: 1357: 1351: 1326: 1322: 1316: 1281: 1277: 1267: 1250: 1246: 1240: 1226: 1215:. 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Index

LEOPARD syndrome

prognathism
low set ears
Specialty
Medical genetics
Ras
MAPK
autosomal dominant
mutation
protein tyrosine phosphatase
PTPN11
RASopathy
lentigines
missense mutation
Noonan syndrome
neurofibromatosis 1
epidemiological
mnemonic
freckling
lentigines
large cat
Lentigines
macules
lesion
buccal
scleral
café-au-lait spots
vitiligo
hypopigmentation

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