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. Author manuscript; available in PMC: 2014 Sep 22.
Published in final edited form as: Alcohol Clin Exp Res. 2009 Jul 1;33(10):1671–1689. doi: 10.1111/j.1530-0277.2009.01004.x

Figure 1.

Figure 1

A. FASD 4-Digit Diagnostic Code grid. FASD is defined by growth deficiency, specific FAS facial features, evidence of CNS damage and prenatal alcohol exposure. The 4-Digit Code ranks each of these areas on 4-point, case-defined, Likert scales. The 4-Digit Code (3444) inserted in the grid is 1 of 12 codes that meet the diagnostic criteria for FAS (Astley, 2004). B. FASD 4-Digit Code FAS facial phenotype. The Rank 4 FAS facial phenotype determined with the 4-Digit Diagnostic Code requires the presence of all 3 of the following anomalies: (1) palpebral fissure length 2 or more standard deviations below the norm; (2) smooth philtrum (Rank 4 or 5 on the Lip-Philtrum Guide), an (3) thin upper lip (Rank 4 or 5 on the Lip-Philtrum Guide). Examples of the Rank 4 FAS facial phenotype for Caucasian, Native American, African American, and Asian American children are shown.