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Have you considered a connective tissue disorder such as Marfan Syndrome? A missing xyphoid process has been documented and is associated with pectus excavatum. Prior to modern medicine, the life expectancy of an individual with Marfan Syndrome was less than 40 years.

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Marfan syndrome is an inherited disease that affects your body's connective tissue, which gives strength, support, and elasticity to tendons, cartilage, heart valves, blood vessels, and other vital parts of your body.

Explanation:

correct me if im wrong please

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