PMC10333532_01
Clinical features of the patient at the age of 2 years: thick eyebrows, broad and flat nasal bridge, flared nares, short columella, wide philtrum, and protruding upper lip (A), large and low-set ears (B).
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F1
Several dysmorphic features were also found in the subsequent physical examination, including thick eyebrows, blue sclera, ocular hypotelorism, prominent eyes, large and low-set ears, broad and flat nasal bridge, flared nares, short columella, wide philtrum and mouth and protruding upper lip (Figures 1A,B).
Cardiac MRI: obstructive hypertrophic cardiomyopathy with heterogeneous left ventricular hypertrophy. Cardiac magnetic resonance cine images from mid-ventricular short-axis and four-chamber views at end-diastole (A) and end-systole (B); Cardiac magnetic resonance cine images (C); Bulls-eye plot representing the thickness of the left ventricle (D); Lateral nasopharyngeal x-ray: adenoidal hypertrophy and tonsil hypertrophy (E).
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F2
Later, she often snores because of adenoid hypertrophy (Figure 2E), which may also be the cause of her poor sleep.
PMC10333532_02
Cardiac MRI: obstructive hypertrophic cardiomyopathy with heterogeneous left ventricular hypertrophy. Cardiac magnetic resonance cine images from mid-ventricular short-axis and four-chamber views at end-diastole (A) and end-systole (B); Cardiac magnetic resonance cine images (C); Bulls-eye plot representing the thickness of the left ventricle (D); Lateral nasopharyngeal x-ray: adenoidal hypertrophy and tonsil hypertrophy (E).
fped-11-1198906-g002.jpg
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F2
Later, she often snores because of adenoid hypertrophy (Figure 2E), which may also be the cause of her poor sleep.
Timeline with relevant data from the episode of care.
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F3
In addition, her last visit was at 34 months for an allergy caused by eating crab, which improved after treatment (Figure 3).
PMC10333532_03