Thoracic Empyema Secondary to Congenital Chylothorax in a 14-Month-Old Boy with Noonan Syndrome

Table 1

Diagnostic scoring of Noonan syndrome.

Feature A = major B = minor
(1) Facial	Typical face dysmorphology	Suggestive face dysmorphology
(2) Cardiac	Pulmonary valve stenosis, hypertrophic obstructive cardiomyopathy, and/or ECG typical of NS	Other defects
(3) Height	<P3	<P10
(4) Chest wall	Pectus carinatum/excavatum	Broad thorax
(5) Family history	First degree relative with definite NS	First degree relative with suggestive NS
(6) Others	Mental retardation, cryptorchidism, and lymphatic dysplasia	One of mental retardation, cryptorchidism, and lymphatic dysplasia

Definitive NS: 1 “A” plus one other major sign or two minor signs; 1 “B” plus two major signs or three minor signs. The patient’s symptoms are shown in bold. P3 and P10 refer to percentile lines for height according to age, with the normal range of variation defined as P3–P97 inclusive. Referenced and modified from Table 1 of [14].