RT Book, Section A1 Bissonnette, Bruno A1 Luginbuehl, Igor A1 Engelhardt, Thomas SR Print(0) ID 1164073763 T1 Immunodeficiency Centromeric Instability and Facial Anomalies Syndrome T2 Syndromes: Rapid Recognition and Perioperative Implications, 2e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259861789 LK accesspediatrics.mhmedical.com/content.aspx?aid=1164073763 RD 2024/04/19 AB Syndrome characterized by immune deficiency associated with recurrent infections and facial dysmorphism. The dysmorphic facial features are variable and include a broad flat nasal bridge, hypertelorism, and epicanthic folds. The presence of micrognathia and macroglossia is a significant consideration in anesthesia. Other features include mental retardation and neurologic defects in about one-third and one-fifth of the patients, respectively. Slow cognitive and motor development as well as psychomotor impairment such as ataxic gait and muscular hypotonia.