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. 2013 Apr 1;7(4):700–703. doi: 10.7860/JCDR/2013/5656.2885

[Table/Fig-1]:

Systemic score (revised Ghent nosology for the Marfan syndrome)

Systemic Score
Characteristic Score
Wrist and thumb sign 3
Wrist or thumb sign 1
Bulging chest 2
Hollow chest or thoracic asymmetry 1
Deformity of the rear foot 2
Flat foot 1
Spontaneous pneumothorax 2
Dural ectasia 2
Protrusion of the acetabulum 2
Reduction in the ratio between the length of the upper skeletal segment/lower skeletal segment and increased ratio between the length of the upper limb/lower limb and non grave scoliosis. 1
Scoliosis or thoracolumbar kyphosis 1
Reduced elbow extension 1
Cutaneous striae 1
Myopia > 3 diopters 1
Prolapse of the mitral valve (of all types) 1
Cranio-facial aspects (3/5) from: dolicocephaly, malar hypoplasia, retrognathia, enophthalmos and reduction of the palpebral rima 1