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Cited by 365

The DOI matches its Crossref record; 26 of the 26 references it cites were found in a registry or an index.

Noonan syndrome

Open access
van der Burgt, Ineke·2007·Orphanet Journal of Rare Diseases

Abstract

Noonan Syndrome (NS) is characterised by short stature, typical facial dysmorphology and congenital heart defects. The incidence of NS is estimated to be between 1:1000 and 1:2500 live births. The main facial features of NS are hypertelorism with down-slanting palpebral fissures, ptosis and low-set posteriorly rotated ears with a thickened helix. The cardiovascular defects most commonly associated with this condition are pulmonary stenosis and hypertrophic cardiomyopathy. Other associated features are webbed neck, chest deformity, mild intellectual deficit, cryptorchidism, poor feeding in infancy, bleeding tendency and lymphatic dysplasias. The syndrome is transmitted as an autosomal dominant trait. In approximately 50% of cases, the disease is caused by missense mutations in the PTPN11 gene on chromosome 12, resulting in a gain of function of the non-receptor protein tyrosine phosphatase SHP-2 protein. Recently, mutations in the KRAS gene have been identified in a small proportion of patients with NS. A DNA test for mutation analysis can be carried out on blood, chorionic villi and amniotic fluid samples. NS should be considered in all foetuses with polyhydramnion, pleural effusions, oedema and increased nuchal fluid with a normal karyotype. With special care and counselling, the majority of children with NS will grow up and function normally in the adult world. Management should address feeding problems in early childhood, evaluation of cardiac function and assessment of growth and motor development. Physiotherapy and/or speech therapy should be offered if indicated. A complete eye examination and hearing evaluation should be performed during the first few years of schooling. Preoperative coagulation studies are indicated. Signs and symptoms lessen with age and most adults with NS do not require special medical care.

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Metadata

Authors
van der Burgt, I.
Venue
Orphanet Journal of Rare Diseases
Published
2007-01-14
Volume
2
Issue
1
Pages
4-4
ISSN
1750-1172 (ISSN-L)
OpenAlex
W3191443166
Cited by
365
References
26
FWCI
5.39
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Noonan syndrome. https://app.cochat.ai/papers/10.1186/1750-1172-2-4
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van der Burgt, I. (2007). Noonan syndrome. Orphanet Journal of Rare Diseases. https://doi.org/10.1186/1750-1172-2-4

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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