Skeletal

The spine should be regularly monitored for scoliosis during childhood, and for spinal stenosis in late teen through adulthood.

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narrow spaces between the vertebrae (narrow intervertebral spaces)

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congenital spinal stenosis (a narrowing of the space around the spinal cord)

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delayed bone development (for example, the fontanelle, or "soft spot" on the baby's head will take longer than normal to close - often as late as two years of age)

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brittle bones

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pigeon chest or tunnel chest (pectus carinatum or pectus excavatum) - pectus deformity affects 80% of individuals.

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excessive backward and/or side-to-side curvature of the spine (kyphosis and/or scoliosis) (80% of individuals are affected).
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at least 47% of affected males have progressive kyphoscoliosis (32% of females) [Hunter 2002]

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respiratory compromise can happen due to this.

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short stature - 5th percentile for height (Affects 95% of individuals - Average height in reported adult males is approximately 143 cm - the shortening of stature is often exacerbated by a severe kyphoscoliosis. Females are less severely affected with approximately 50% lying above the 10th percentile.)