TABLE 4

Dysmorphology Scoring System (a Weighted Score Based on Analysis of the Frequency of Growth Restriction and Minor Anomalies in 370 Children With FAS)

FeatureScore
OFC ≤10%3
Growth deficiency
 Height ≤10%2
 Weight ≤10%1
Short PFL (≤10%)3
Smooth philtrum3
Thin vermilion3
Hypoplastic midface2
Epicanthal folds2
Decreased IPD or ICD (≤25%)2
Flat nasal bridge2
Altered palmar crease2
Fifth-finger clinodactyly2
Long philtrum (≥90%)2
Anteverted nares2
Camptodactyly2
Ptosis1
“Railroad track” ears1
Heart murmur or confirmed CHD1
Strabismus1
Limited elbow supination1
Hypoplastic nails1
Prognathism1
Hypertrichosis1
Total possible score41
  • Adapted from Hoyme HE, Kalberg WO, Elliott AJ, et al. Updated clinical guidelines for diagnosing fetal alcohol spectrum disorders. Pediatrics. 2016;138(2):e20154256. CHD, congenital heart disease; ICD, intercanthal distance; IPD, interpupillary distance; PFL, palpebral fissure length.