Noonan syndrome (NS) was described by Noonan and Ehmke as a multi-system disorder, which is typically evident at birth. The incidence of this syndrome is estimated to be one per 1000 to one per 2500 and affects both genders. While the clinical manifestations of Noonan syndrome have been well documented, the oral manifestations have not been extensively discussed. The purpose of the present study is to a) review the physical manifestations of Noonan syndrome reported in the literature andb) describing one case report of female of Noonan syndrome, who was presented with short stature, hypo plastic uterus problems along with various problems like shielded chest, no development secondary sexual characters and reduced hormone levels. Based on this case study we concluded that many physical anomalies may have possible relationships with Noonan syndrome and also the patient has pineal gland epidermoid cyst which led to disturbances in the circadian rhythms of the patient, it’s rare complication, which require multidisciplinary treatment planning and timely management. The importance of physical findings in Noonan syndrome has largely gone unnoticed and it is essential to consider physical manifestations as scoring criteria in the diagnosis of Noonan syndrome.
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