A detailed, systematic approach to diagnosis of a dysmorphic child. View enhanced pdf access article on wiley online library html view download pdf for offline viewing. For hall, children s play was essentially acting out this history, for example an infant crawling reflected a point in human evolution when humans walked on all fours. Department of health and human services, administration for children and families, childrens bureau, and office of planning, research and evaluation. However, the child with dysmorphism often does not. Making a diagnosis in a child with dysmorphic features will enable providers to. An approach to the identification of anomalies and etiologies in neonates with. Making a diagnosis in such children can provide parents and. Reaching an accurate diagnosis for children with dysmorphic signs is important to their families, because it makes available all the. The pii approach administration for children and families. Building implementation and evaluation capacity in child welfare rev. Copeland, md author disclosure drs rose and copeland did not disclose any. The approach to making a diagnosis of a dysmorphic neonate is fundamentally. Dr vogiatzi has been an invited speaker for the eli lilly company.
A child with dysmorphic signs may be at risk from the stress of birth, and later delay may be erroneously attributed to birth injury. The birth of a child with dysmorphic features is a difficult and unsettling experience for the family, the physician. Though genetic testing has advanced in recent times, the first step is clinical evaluation. Urine rbcs can be dysmorphic but not indicate glomerular bleeding, such as these b commonly found crenated rbcs, caused by osmotic shifts in rbc water acanthocytes dysmorphic rbc. The top 10 dysmorphic syndromes childrens national hospital. A general pediatric approach to evaluating a short child. Introduction to child development 3 his theory of play, in which he argued that children s play emerged in a way that reflected the evolutionary history of the human species. A dysmorphic neonate is a cause of concern and anxiety for the parents and the physician. Facial dysmorphism american academy of pediatrics textbook of. Making a clinical diagnosis allows a targeted search for a genetic aetiology in order to correctly delineate the healthcare requirements of the infant and also allows the parents to search for and join a support group.