In adolescents, skeletal abnormalities become apparent, like short stature, and a broad chest with widely spaced nipples, low-set ears and arms that turn outward at the elbows, also called cubitus valgus.

在青少年中，骨骼（体格）异常变得明显，如身材矮小、胸部宽大、乳头间距大、低位耳以及手臂肘部外翻，也称为肘外翻。