title: Radial ray defects, renal ectopia, duodenal atresia and hydrocephalus: the extended spectrum for Fanconi anaemia.
abstract: We present two families with a striking concordance of multiple anomalies. These include duodenal and other bowel atresia, radial ray defects especially absent or vestigial thumb, renal ectopia and hydrocephalus. The presence of diagnostically raised sensitivity to mitomycin C in the first family has confirmed Fanconi anaemia. This has further increased the spectrum of abnormalities in Fanconi anaemia and highlights the importance of mitomycin C analysis if elements of this spectrum are encountered.
authors.affiliation: Department of Medical Genetics, St Mary's Hospital, Manchester, UK.
authors.forename: D G
authors.initials: DG
authors.lastname: Evans
authors.forename: H C
authors.initials: HC
authors.lastname: Rees
authors.forename: A
authors.initials: A
authors.lastname: Spreadborough
authors.forename: D J
authors.initials: DJ
authors.lastname: Campbell
authors.forename: G S
authors.initials: GS
authors.lastname: Gau
authors.forename: E
authors.initials: E
authors.lastname: Pickering
authors.forename: S
authors.initials: S
authors.lastname: Hamilton
authors.forename: J
authors.initials: J
authors.lastname: Clayton-Smith
mesh_terms: D001842:Bone and Bones / Q000002:abnormalities; D002828:Choristoma; D002869:Chromosome Aberrations; D003241:Consanguinity; D004386:Duodenum / Q000002:abnormalities*; D005199:Fanconi Anemia / Q000150:complications*; D005260:Female; D005333:Fetus; D005385:Fingers / Q000002:abnormalities; D006801:Humans; D006849:Hydrocephalus / Q000150:complications*; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000150:complications*; D007668:Kidney; D008297:Male; D016685:Mitomycin; D009152:Mutagenicity Tests; D011884:Radius / Q000002:abnormalities*
chemical_list: D016685:Mitomycin