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. 2015 Dec 1;19(12):684–691. doi: 10.1089/gtmb.2015.0163

Table 4.

Clinical Diagnostic Criteria for SRS

  Lai et al. (1994) Price et al. (1999) Netchine et al. (2007) Bartholdi et al. (2009) Dias et al. (2013)
Minimal score for clinical diagnosis of SRS 3 of 5 4 of 5 Prenatal growth retardation plus 3 of 5 8 of 15 3 of 4
Prenatal growth parameters Birth weight ≤ −2 SD Birth weight ≤ −2 SD Birth weight and/or length ≤ −2 SD Birth weight and length ≤10th ct Birth weight < −2 SD
Postnatal growth parameters Height ≤ −2 SD Height ≤ −2 SD Height ≤ −2 SD at 2 years of age Height ≤3rd ct, normal head circumference (3rd–97th ct) Height < −2 SD after 2 years of age
Relative macrocephaly   + + (at birth) + (at birth) +
Body and/or limb asymmetry + + + + (3 points) +
Facial phenotype Classical Classical Prominent forehead Prominent forehead, triangular face and other features  
Clinodactyly +     +  
Feeding difficulties     +    
Normal cognitive development       +  
Genital abnormalities       +  
Other features       +