Welcome to Clinical Eye Openers (CEO)
Some dysmorphic syndromes are associated with reduced longitudinal growth of the palate conducive to a reduced size of the oral cavity and a propensity for a normal size tongue to protrude, difficulties with nasal respiration, and oral respiration (mouth breathing). Another association often seen in dysmorphic syndromes is muscular hypotonia and laxity of connective tissues.
In this patient, there is a concurrence of both of the above clinical features. The consequence is chronic drooling of saliva associated with cheilitis. These signs in combination of others are suggestive of Down syndrome (DS)
This image is a detail of a companion image demonstrating the followng features:
ocular hypertelorism, a flat nasal bridge, a small short nose, sparse scalp hair, open mouth … cheilitis (inflamed lip mucosa).