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Recent studies have reported a better than expected outcome in some patients; however, the conclusions of these studies have been confounded to some extent by their inclusion criteria. We report follow\u2010up of 17 patients with CHARGE association in whom the diagnosis was based on clinical findings present in <jats:italic>early<\/jats:italic> infancy, before developmental patterns were established. Of the 7 survivors, all had motor delay, and 6 had feeding difficulties during infancy. Psychometric assessment at follow\u2010up (age range 2 years, 10 months, to 15 years) showed that 2 were functioning in the normal range, 3 had specific language delay, one had moderate mental retardation, and one had severe mental retardation. Feeding problems persisted in only the 2 youngest patients. After initial failure to thrive, normal height was reached in 4 of 5 children older than age 3 years. The effects of visual and hearing deficits, their management, and the effects of physical illness are discussed with respect to developmental outcome. Our results suggest that some infants with CHARGE association who survive early infancy have a better prognosis for feeding difficulties, growth, and mental development than may be expected from early performance and better than that generally predicted from the current literature. The prompt management of sensory deficits is emphasized.<\/jats:p>","DOI":"10.1002\/ajmg.1320390112","type":"journal-article","created":{"date-parts":[[2005,6,12]],"date-time":"2005-06-12T03:17:45Z","timestamp":1118546265000},"page":"48-55","source":"Crossref","is-referenced-by-count":47,"title":["CHARGE association: Clinical manifestations and developmental outcome"],"prefix":"10.1002","volume":"39","author":[{"given":"A. 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