A child with Marfan syndrome features should be referred for which reason?

Ophthalmology follow-up only

Routine pediatric check-ups

Genetic counseling referral

Marfan syndrome is inherited in an autosomal dominant pattern, meaning a child with the features has a 50% chance of passing the condition to each future child and other family members may be affected as well. Because of this, genetic counseling is essential to explain how the condition runs in the family, discuss who should be tested (cascade testing), interpret test results, and explore reproductive options and surveillance for relatives.

A referral for genetic counseling best addresses the hereditary and family-planning implications of Marfan syndrome, guiding informed decisions for the patient and relatives. While ophthalmology follow-up and routine pediatric care are important parts of overall management, they do not address the familial risk and testing considerations as directly. No action would miss crucial information about inheritance and family planning.

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