- Growth retardation (below 3rd % on growth charts)
- The average adult height of males is ~4 feet 11 inches (151.2 cm) and that of females is 4 feet 7 inches (139.9 cm.)
- Growth is typically proportionate
- However, most individuals with RSS have a short arm span.
- Slow growth in utero is an essential feature of RSS.
- Limb, body, and facial asymmetry may be present
- Limb length asymmetry most common
- Children may have different foot sizes
- Characteristic facial features
- Triangular shaped face
- Prominent forehead
- Small, narrow chin
- Motor, speech, and/or cognitive delays
- Hypoglycemia (low blood sugar)
- Children with RSS have little subcutaneous fat, are quite thin, and often have poor appetites.
- They are at risk for hypoglycemia with any prolonged fast, including surgery.
- Excessive sweating is often associated with hypoglycemia
- Gastrointestinal findings
- Reflux
- Food aversions
- Constipation
- Skin pigment changes
- Including café au lait spots
- Kidney problems
- Teeth crowding
- Important to have good oral hygiene
- Fingers and toes
- 5th finger curved
- Short, stubby fingers and toes