TABLE 5.
Dysmorphology Scoring System
| Feature | Points |
|---|---|
| Height <10% | 1 |
| Weight <10% | 2 |
| Occipitofrontal circumference <10% | 3 |
| Inner canthal distance <10% | 0 |
| Palpebral fissure length <10% | 3 |
| Attention-deficit/hyperactivity disorder | 1 |
| Fine motor dysfunction | 1 |
| Midfacial hypoplasia | 2 |
| “Railroad track” ears | 1 |
| Strabismus | 0 |
| Ptosis | 2 |
| Epicanthal folds (nonracial) | 1 |
| Flat nasal bridge | 1 |
| Anteverted nares | 2 |
| Long philtrum | 2 |
| Smooth philtrum | 3 |
| Thin vermilion border of upper lip | 3 |
| Prognathism cardiac murmur | 0 |
| Cardiac malformation (confirmed) | 1 |
| Hypoplastic nails | 0 |
| Decreased pronation/supination of elbow | 2 |
| Clinodactyly of fifth fingers | 1 |
| Camptodactyly | 1 |
| “Hockey stick” palmar creases | 1 |
| Hirsutism | 1 |
| Total possible dysmorphology score | 36 |
The dysmorphology score is a weighted calculation based on assigning points to clinical findings characteristic of FASD (the highest point values are assigned to the cardinal findings of FAS, ie., growth deficiency, microcephaly, short palpebral fissures, smooth philtrum, and thin upper lip). The score provides an objective method of quantifying dysmorphologic features but is not used in assigning clinical diagnoses in the FASD continuum.