Table 5: Kabuki Syndrome phenotypic scoring system.

Phenotypes

Clinical finding

Possible score

Scored features

Facial features

0-5 points |

Abnormal dentition.

Arched eyebrows, sparse lateral one-third.

Blue sclerae.

Broad nasal root.

Everted lower eyelids.

Flat nasal tip.

High or cleft palate.

Large dysplastic ears.

Lip nodules.

Long palpebral fissures.

Micrognathia.

Oiigodontia.

Plosis.

Strabismus.

Thin vermillion of the upper lip and full lower lip.

Limb/extremity features

Up to 1 point

Brachydactyiy or clinodactyly.

Hip dislocation.

Lax joints.

Persistent fetal pads.

Heart

1 point

 

Kidney

1 Point

 

Microcephaly

1 Point

 

Short stature

1 Point

 

Sum

0-10 Points

 

Adapted from Makrythanasis, et al. [12] 10-3 features = 1 Point; 4-6 features = 2 Points; 7-9 features = 3 Points; 10-12 features = 4 Points; 13-15 features = 5 Points; 0-1 features = 0 Point; 2-4 features = 1 Point.