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Our patient had normal stature, although his height was high relative to his target height. Most of the features described above are shared by both variants and 47,XXY variant 2 Table 1. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact. Round face, facial asymmetries, epicanthal folds, upslanting palpebral fissures, orbital hypertelorism, broad nasal bridge, micrognathia, narrow shoulders. However, the increased frequency of endocrine, skeletal and neuropsychological abnormalities distinguishes them from 47,XXY. Normal heart and lung sounds on auscultation.

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