December 1971

Sisters With Low Birth Weight, Dwarfism, Congenital Anomalies, and Dysgammaglobulinemia

Author Affiliations

From the departments of medical genetics (Drs. Christian and Johnson), medicine (Dr. Biegel), pediatrics (Dr. Gresham), and the Pediatric Section (Dr. Rosenberg), Methodist Hospital, Indiana University Medical Center, Indianapolis.

Am J Dis Child. 1971;122(6):529-534. doi:10.1001/archpedi.1971.02110060099018

Two sisters had low birth weight dwarfism, psychomotor retardation, and congenital anomalies including hyperextensible joints, brachydactyly, clinodactyly, low total ridge counts, bilateral simian creases, and calcaneovalgus foot deformities. In addition, both girls had repeated bacterial infections and elevated serum IgA levels. The older sister had no immune response to intradermal antigens and did not develop a protective level of diphtheria antitoxin following two series of diphtheria and tetanus toxoids and pertussis vaccine injections and three Schick tests. These sisters represent a newly described genetic syndrome, most probably an autosomal recessive trait.