In most people with this condition, the middle section of the fifth (pinky) finger is shortened or absent. Hand abnormalities are another feature of Char syndrome. People with patent ductus arteriosus also have an increased risk of infection. In severe cases, it can lead to heart failure. If untreated, this heart defect causes infants to breathe rapidly, feed poorly, and gain weight slowly. This connection normally closes shortly after birth, but it remains open in babies with patent ductus arteriosus. Before birth, the ductus arteriosus forms a connection between two major arteries (the aorta and the pulmonary artery). Patent ductus arteriosus is a common heart defect in newborns, and it occurs in most babies with Char syndrome. Additional facial differences include a shortened distance between the nose and upper lip (a short philtrum), a triangular-shaped mouth, and thick, prominent lips. The eyes are wide-set with droopy eyelids ( ptosis ) and outside corners that point downward ( down-slanting palpebral fissures ). The tip of the nose is also flat and broad. Most people with Char syndrome have a characteristic facial appearance that includes flattened cheek bones and a flat nasal bridge (the area of the nose between the eyes). It is characterized by a combination of three major features: a distinctive facial appearance, a heart defect called patent ductus arteriosus, and hand abnormalities. Char syndrome is a condition that affects the development of the face, heart, and limbs.
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