Table 1.
Proteus syndrome diagnostic criteriaa | Individual OG194 | Individual OG111 |
---|---|---|
Mosaic distribution of lesions | Yes | Yes |
Sporadic occurrence | Yes | Yes |
Progressive course | Minimalb | Minimalb |
(A) Cerebriform connective tissue nevus | Yes | Yes |
(B) Linear epidermal nevus | No | No |
(B) Asymmetric, disproportionate overgrowth | Minimalb | Minimalb |
(B) Bilateral ovarian cystadenoma or parotid monomorphic adenoma before second decade | No | No |
(C) Dysregulated adipose tissue | Yes | No |
(C) Vascular malformations | No | No |
(C) Bullous lung disease | No | No |
(C) Facial phenotype | No | No |
aDiagnosis requires all three general criteria AND either one from (A), two from (B), or three from (C).
bThe history for progressive overgrowth was minimal in that they had some progressive overgrowth as an infant/toddler but little or none in the subsequent decades, which is quite different from the typical overgrowth of Proteus syndrome.