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Clinical Features. Progression of facial signs, A to C. Index Case 1 at 52 years (A), 57 years (B) and at 59 years-old (C) after 1 year on salbutamol 4 mg/tid. D and E, Case 2, at 55 years (D) after blepharoplasty and at 60 years old (E); F, Case 3 at 57 years old. Note the mild ptosis on the right eyelid. Scoliosis. Case 1 (G) and Case 2 (H) presented scoliosis since childhood. Retrospectively, this was the first sign of the syndrome.
