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Children With Gigantism, Hypotonia, and an Unusual Facial Appearance

Oct 9, 2010
Volume: 
9
  • ADHD

The two children shown here have the same congenital condition. This disorder presents with increased birth weight, length, and head size, with subsequent rapid growth. Both of these children had early hypotonia with severe motor delays and subsequent clumsy gait, mildly delayed speech-language development, and distinctive craniofacial features—as shown in the Figure. They also had early tooth eruption (their bone age assessed by hand/hemiskeletal radiographs would be accelerated). Their height and weight measurements were at the 97th percentile for age; their head circumference measurement, significantly above the 97th percentile, which provoked concerns about hydrocephalus. Although head size remains large, height and weight often normalize with early pubertal development.

• WHAT IS THE DIAGNOSIS?
• WHAT MEDICAL COMPLICATIONS CAN BE EXPECTED?

Click here for the answer

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References: 

REFERENCES:
1. Cole TR, Hughes HE. Sotos syndrome: a study of the diagnostic criteria and
natural history. J Med Genet. 1994;31:20-32.
2. Tatton-Brown K, Douglas J, Coleman K, et al. Genotype-phenotype associations
in Sotos syndrome: an analysis of 266 individuals with NSD1 aberrations. Am J Hum Genet. 2005;77:193-204.
3. Opitz JM, Weaver DW, Reynolds JF Jr. The syndromes of Sotos and Weaver:
reports and review. Am J Med Genet. 1998;79:294-304.
4. Finegan JK, Cole TR, Kingwell E, et al. Language and behavior in children
with Sotos syndrome. J Am Acad Child Adolesc Psychiatry. 1994;33:1307-1315.
5. Wilson GN, Cooley WC. Preventive Health Care for Children With Genetic
Conditions. Providing a Primary Care Medical Home. 2nd ed. New York:
Cambridge University Press; 2006.
6. Schaefer GB, Bodensteiner JB, Buehler BA, et al. The neuroimaging findings
in Sotos syndrome. Am J Med Genet. 1997;68A:462-465.

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