Noonan syndrome with multiple lentigines: when to get help
Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Seek emergency help for:
Fainting, especially during exercise
Severe or sudden breathing difficulty
Chest pain that is severe, persistent, or occurs with faintness
A rapid or irregular heartbeat with collapse or marked weakness
Blue or grey lips, severe unresponsiveness, or difficulty waking
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Contact the usual medical team promptly for new palpitations, worsening breathlessness, reduced ability to exercise, swelling of the legs, or repeated dizziness.
An infant who becomes sweaty, breathless, or unusually tired during feeding also needs prompt assessment.
These symptoms do not always mean there is a serious heart problem, but they should be assessed without delay.
3
Does any of this apply?
Book an appointment
Arrange a routine appointment if you notice gradual changes such as reduced hearing, slower growth, feeding problems, school difficulties, delayed puberty, or new concerns about skin spots.
These issues are not usually emergencies, but they deserve assessment.
Every sign above is quoted from the sofidex article on Noonan syndrome with multiple lentigines. If you are not sure, err upward — it is always reasonable to be checked.