XXXXY Syndrome 1
General: 49 chromosome anomaly; characterized by mental retardatio 828b13i n; hypoplastic male genitalia; proximal radioulnar synostosis.
Ocular: Upward slanting of palpebral fissures; strabismus; hypertelorism.
Clinical: Microcephaly; mongoloid facies; high-arched palate; cubitus valgus; in-curving fifth fingers and toes; depressed nasal bridge; nasal speech; prominent lower lip; broad chin; round face conuration; small chest; depressed sternum; wide-spaced nipples; genu valgum; flat feet; no facial or pubic hair; small testes; poor scrotal development; girdle obesity; tremor; excessive dribbling; withdrawal; irritability; proximal radioulnar synostosis; vertebral anomalies; parkinsonism.
Hecht F. Observation on the natural history of 49 XXXXY individuals. Am J Med Genet 1982; 8:220.
Singh TH, Rajkowa S. 49 XXXXY chromosome anomaly: an unusual variant of Klinefelter's syndrome. Br J Psychiatry 1986; 148:209-210.
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