PTLS clinical features:
• Brain developmental findings:
o Decreased muscle tone as a baby (floppy infant)
o Difficulty swallowing
o Decreased growth as a baby
o Delayed childhood milestones
o Learning difficulties
o Speech delay
o Communication disorder with speech-sound difficulty
o Issues with speech patterns and tone
o Snoring and loud breathing during sleep
o Autism spectrum disorder
o Hyperactive behaviors
o Difficulties with coordinated movement (like walking upstairs, escalators)
• Heart birth defects:
o Slower blood flow through the left side of the heart
o Abnormal connection between heart chambers
o Irregular heartbeats
o Enlarged aorta
• Muscle and bone problems:
o Increased joint movement, hypermobility
o Curved upper back
o Flat feet
o Long fingers and toes
• Other findings:
o Far-sighted eyesight
o Mild inner ear hearing loss affecting consonants
o Teeth crowding and shifting
