Table 1

Scoring system for Noonan syndrome (NS) #

Feature
A = Major
B = Minor

1 Facial
Typical face dysmorphology
Suggestive face dysmorphology
2 Cardiac
Pulmonary valve stenosis, HOCM and/or ECG typical of NS
Other defect
3 Height
<P3*
<P10*
4 Chest wall
Pectus carinatum/excavatum
Broad thorax
5 Family history
First degree relative with definite NS
First degree relative with suggestive NS
6 Other
Mental retardation, cryptorchidism and lymphatic dysplasia
One of mental retardation, cryptorchidism, lymphatic dysplasia

HOCM: hypertrophic obstructive cardiomyopathy;

*P3 and P10 refer to percentile lines for height according to age, with the normal range of variation defined as P3-P97 inclusive

Definitive NS: 1 "A" plus one other major sign or two minor signs; 1 "B" plus two major signs or three minor signs

# adapted from [2]

van der Burgt Orphanet Journal of Rare Diseases 2007 2:4   doi:10.1186/1750-1172-2-4