Marfan's syndrome physical examination

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Editors-In-Chief: William James Gibson, C. Michael Gibson, M.S., M.D.

Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [1] ; Assistant Editor-In-Chief: Cassandra Abueg, M.P.H. [2]

Physical Examination

Appearance of the Patient

Many individuals with Marfan Syndrome grow to above average height.

Vital Signs

Within normal limits.

Skin

• Unexplained stretch marks on the skin

Head

• Symptomatic high palates and small jaws.

Extremities

• Some have long slender limbs with fingers and toes that are also abnormally long and slender (arachnodactyly).
• An individual's arms may be disproportionately long.
• Abnormal joint flexibility
• Flat feet, stooped shoulders

Other signs include abnormal joint flexibility, a high palate, malocclusions, flat feet, stooped shoulders, and unexplained stretch marks on the skin. Some people with Marfans have speech disorders resulting from symptomatic high palates and small jaws.

Neurologic

• Some people with Marfans have speech disorders

Other

• Abnormal curvature of the spine (scoliosis) is common, as is abnormal indentation (pectus excavatum) or protrusion (pectus carinatum) of the sternum.