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Polydactyly - an infant's hand
Polydactyly - an infant's hand


Rubinstein-Taybi syndrome

Alternative Names:
Rubinstein syndrome

Symptoms:
  • Broad thumbs and great toes
  • Slow development of both cognitive and motor skills with low muscle tone
  • Mental retardation
  • Short stature that is noticeable after birth
  • Excess hair on body (hirsutism)
  • Heart defects possibly requiring surgery (about 40% of patients)  
  • Constipation


Signs and tests:
  • Hypoplastic (underdeveloped) maxilla (bone in the midface), narrow palate, crowded teeth
  • An unsteady or stiff walking gait
  • Downward-slanted eyes
  • Low-set ears or malformed ears
  • Drooping eyelid (ptosis )
  • Cataract
  • Coloboma (a defect in the iris of the eye)
  • Cryptorchidism or other testicular problems
  • Macrocephaly (excessively large head) or microcephaly (excessively small head)
  • Skeletal (limb) abnormalities including the last segment of the other fingers and toes, appearing broad on x-rays or physical examination
  • Thick and arched eyebrows with long eyelashes
  • Narrow, small, or recessed mouth with crowded teeth
  • Prominent or "beaked" nose
  • Absent or extra kidney, and other problems with kidney or bladder
  • Genetic or mutation testing, including deletion testing to see if the CREBBP gene is missing



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