Revised Ghent Criteria For The Diagnosis of Marfan Syndrome (Last Updated - 2/3/2024) Wrist / Thumb Sign: Wrist Thumb Both Neither Pectus Carinatum / Excavatum Deformity or Chest Asymmetry: Pectus Carinatum Pectus Excavatum Chest Asymmetry None Hindfoot or Plan Pes Planus Deformity: Hindfoot Deformity Plain Pes Planus Neither Pneumothorax: Yes No Dural Ectasia: Yes No Protrusio Acetabuli: Yes No Reduced Upper Segment/Lower Segment Ratio & Increased Arm/Height & No Severe Scoliosis: Yes No Scoliosis or Thoracolumbar Kyphosis: Yes No Reduced Elbow Extension: Yes No Facial Features (3 out of 5) - Dolichocephaly / Enophthalmos / Downslanting Palpebral Fissures / Malar Hypoplasia / Retrognathia: Yes No Skin Striae: Yes No Myopia (More Than 3 Diopters): Yes No Mitral Valve Prolapse (MVP): Yes No Score: Maximum Score = 20 Score >= 7 Indicative ============================================== References: