Noonan syndrome (NS) should be suspected in individuals with the following key features:
•Characteristic facial features inncluding low-set, posteriorly rotated ears, vivid blue or blue-green irises, and eyes that are often wide-spaced, downslanted, and with epicanthal folds and fullness or droopiness of the upper eyelids (ptosis).
•Short stature
•Congenital heart defect, most commonly pulmonary valve stenosis, atrial septal defect, and/or hypertrophic cardiomyopathy
•Developmental delay
•Broad or webbed neck
•Unusual chest shape with superior pectus carinatum, inferior pectus excavatum
•Widely set nipples
•Cryptorchidism (descended testes) in males
Speak to a genetic counselor or a medical geneticist to learn more about getting tested for Noonan syndrome.