Congenital chylothorax as the initial presentation of PTPN11-associated Noonan syndrome

D Ebrahimi-Fakhari, E Freiman, MH Wojcik… - The Journal of …, 2017 - jpeds.com
An 8-week old male infant presented with failure to thrive in the setting of persistent
postprandial emesis. He was born at full term (birth weight 3 kg [14th percentile]); his
postnatal course was uncomplicated. Family history was significant for Tourette syndrome in
his father and paternal uncle. At 4 weeks of age, he developed recurrent, nonbloody,
nonbilious vomiting after feeding and demonstrated persistent irritability and progressive
weight loss. Abdominal ultrasound imaging showed no intra-abdominal pathology, but …