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. 2021 Mar 17;23(7):1296–1304. doi: 10.1038/s41436-021-01132-x

Table 1.

MFS characteristic frequencies according to the type of pathogenic FBN1 variant.

Characteristic Total PTC In-frame pathogenic variants
Total (−Cys) (+Cys) (noCys)
Population N (%) 1,575 (100) 627 (40) 948 (60) 352 (37) 114 (12) 482 (51)
Age year, mean (SD) 34.1 (17.8) 32.3 (16.3) 35.4 (18.7) 33.0 (17.9) 36.2 (20.0) 36.9 (18.8)
Males, N (%) 771 (49) 312 (50) 459 (48) 165 (47) 56 (49) 238 (49)
Familial, N (%) 1089 (69) 406 (65) 683 (72) 210 (59) 83 (73) 390 (81)
Proband, N (%) 815 (52) 355 (57) 460 (48) 212 (60) 53 (46) 195 (40)
Cardiovascular
  Aortic root diameter, mm, mean (SD) 37.8 (6.7) 37.8 (6.7) 37.0 (6.7) 37.3 (6.7) 34.7 (6.9) 37.2 (6.5)
  Aortic dissection, N (%) 139 (9) 72 (11) 67 (7) 27 (8) 6 (5) 34 (7)
  Preventive aortic surgery, N (%) 316 (20) 154 (25) 162 (17) 83 (24) 5 (4) 74 (15)
  Mitral valve surgery, N (%) 93 (6) 41 (7) 52 (5) 21 (6) 3 (3) 28 (6)
Ophthalmologic
  Ectopia lentis, N (%) 896 (57) 334 (53) 562 (59) 261 (74) 78 (68) 223 (46)
  Ectopia lentis surgery, N (%) 400 (25) 83 (13) 317 (33) 151 (43) 55 (48) 111 (23)
Skeletal
  Facial dysmorphia,a N (%) 672 (43) 306 (49) 366 (39) 169 (48) 27 (24) 170 (35)
  Teeth, N (%) 519 (33) 227 (36) 292 (31) 129 (37) 29 (25) 134 (28)
  Arched palate, N (%) 991 (63) 443 (71) 548 (58) 226 (64) 56 (49) 266 (55)
  Pectus, N (%) 725 (46) 347 (55) 376 (40) 178 (50) 20 (18) 180 (37)
  Arachnodactyly, N (%) 609 (39) 419 (67) 432 (46) 202 (57) 67 (59) 230 (48)
  Elbow extension <170°, N (%) 137 (9) 45 (7) 92 (10) 43 (12) 14 (12) 35 (7)
  Flat feet, N (%) 619 (39) 295 (47) 324 (34) 135 (38) 21 (18) 168 (35)
  Hypermobility, N (%) 74 (5) 45 (7) 29 (3) 8 (2) 1 (1) 20 (4)
  Scoliosis, N (%) 712 (45) 327 (52) 385 (41) 159 (45) 18 (16) 208 (43)
  Spondylolisthesis, N (%) 95 (6) 44 (7) 51 (5) 21 (6) 3 (3) 27 (6)
  Acetabular protrusion, N (%) 417 (26) 188 (30) 229 (24) 110 (31) 17 (15) 102 (21)
Other
  Skin striae, N (%) 1038 (66) 459 (73) 579 (61) 325 (69) 40 (35) 304 (63)
  Recurrent hernia, N (%) 86 (5) 44 (7) 42 (4) 17 (5) 5 (4) 20 (4)
  Pneumothorax, N (%) 108 (7) 65 (10) 43 (5) 17 (5) 3 (3) 23 (5)
  Dural ectasia, N (%) 293 (19) 151 (24) 142 (15) 67 (26) 7 (6) 68 (14)

Percentage were rounded to the nearest whole number.

(−Cys) pathogenic variant associated with a cysteine loss, (+Cys) pathogenic variant with a cysteine addition, (noCys) pathogenic variant with no cysteine modification, MFS Marfan syndrome, PTC premature termination codon variants.

aFacial dysmorphia (3/5: dolichocephaly, enophthalmos, downslanting palpebral fissures, malar hypoplasia, retrognathia).