Skip to main content

Table 2 Revised Ghent nosology

From: Possible extracardiac predictors of aortic dissection in Marfan syndrome

P

Systemic involvement (>7 point)

Diagnostic scenarios

3

OR

Wrist AND thumb sign

I

Aortic involvement AND Ectopia lentis

1

Wrist OR thumb sign

II

Aortic involvement AND FBN1 mutation

2

OR

Pectus carinatum

III

Aortic involvement AND Systemic involvement

1

Pectus excavatum OR chest asymmetry

IV

Aortic involvement AND Family history

2

OR

Hindfoot deformity

V

Ectopia lentis AND FBN1 mutation

1

Plain pes planus

VI

Ectopia lentis AND Family history

2

 

Pneumothorax

VII

Systemic involvement AND Family history

2

 

Dural ectasia

  

2

 

Protusio acetabuli

  

1

 

USLS↓ AND ASHR↑ AND no scoliosis

  

1

 

Scoliosis OR thoracolumbar kyphosis

  

1

 

Reduced elbow extension

  

1

 

Facial abnormalitis (see above)

  

1

 

Striae atrophicae

  

1

 

Myopia > 3 diopters

  

1

 

Mitral valve prolapse

  
  1. Revised Ghent nosology (P: systemic score point; ASHR: arm span to height ratio, USLS: upper segment to lower segment ratio, FBN1: fibrillin-1 gene).