RT Book, Section A1 Bissonnette, Bruno A1 Luginbuehl, Igor A1 Engelhardt, Thomas SR Print(0) ID 1164070602 T1 Geleophysic Dysplasia T2 Syndromes: Rapid Recognition and Perioperative Implications, 2e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259861789 LK accessanesthesiology.mhmedical.com/content.aspx?aid=1164070602 RD 2024/03/28 AB A very rare disorder characterized by a child with happy face (gelios = happy, and physis = nature). The facial signs include a small nose, anteverted nostrils, broad nasal bridge, and long thin upper lip with flat and long philtrum. This condition is believed to be a “focal” mucopolysaccharidosis. The presence of dysostosis multiplex-like changes, predominantly in the hands and feet, associated with cardio- and hepatomegaly has been reported. Right ventricular hypertrophy, usually mild (can also be severe) mitral and tricuspid valve stenosis and aortic valve regurgitation is reported as the patient ages. Airway obstruction as a result of progressive tracheal narrowing is reported.