“…Therefore, despite being a syndrome of difficult diagnosis due to its clinical variability , it is essential to do its investigation properly, because the prognosis and management of cases are distinct and influence the quality of life and survival of the patient (RODRIGUES et al, 2017) As mentioned before, it is a syndrome with a wide variability of clinical manifestations, among them: short stature, bone alterations, dental malocclusion, low ear implantation, wide nasal base, pterigium colli (winged neck), pulmonary valve stenosis, lymphatic dysplasia, mental retardation, short neck, hepatosplenomegaly, hearing problems, altered coagulogram, cryptorchidism, dermatological alterations, renal and cardiac abnormalities (DIAS et al, 2004).…”