Abstract
The authors report two cases of the rare concurrence of intestinal aganglionosis and Waardenburg syndrome in Japanese infants. The patients were a 1-month-old girl and a 3-month-old boy at diagnosis, and both of them had either short segment or ultra-short segment aganglionosis. A review of 48 cases in the literature showed that the extent of the aganglionic segment is quite variable, from nearly total to ultra-short. The clinical features of aganglionosis in Waardenburg syndrome would appear to bear similarity in sex ratio and the extent of aganglionosis with those of Hirschsprung’s disease associated with Ondine’s curse, another type of neurocristopathy.
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Waardenburg PJ (1951) A new syndrome combining developmental anomalies of the eyelids, eyebrows, and nose root with pigmentary defects of the iris and head hair and with congenital deafness. Am J Hum Genet 3:195
Shah KN, Dalal SJ, Desai MP et al. (1981) White forelock, pigmentary disorder of irides, and long segment Hirschsprung’s disease: possible variant of Waardenburg syndroma. J Pediatr 99:432–435
El-Halaby E, Coran AG (1994) Hirschsprung’s disease associated with Ondine curse: report of three cases and review of the literature. J Pediatr Surg 29:530–535
Nakahara S, Yokomori K, Tamura K et al. (1995) Hirschsprung’s disease associated with Ondine’s curse: a special subgroup? J Pediatr Surg 30:1481–1484
Matsumoto K, Arima T, Izaki T et al. (2002) Ondine’s curse associated with Hirschsprung’s disease and ganglioneuroblastoma. J Pediatr Gastroenterol Nutr 34:83–86
Inoue K, Tanabe Y, Lupski JR (1999) Myelin deficiencies in both the central and peripheral nervous systems associated with a SOX10 mutation. Ann Neurol 46:313–318
McKusick VA (1973) Congenital deafness and Hirschsprung’s disease. N Engl J Med 288:691
Omenn GS, McKusick VA (1979) The association of Waardenburg syndrome and Hirschsprung megacolon. Am J Med Genet 3:217–223
Hofstra RM, Osinga J, Tan-Sindhunata G et al. (1996) A homozygous mutation in the endothelin-3 gene associated with a combined Waardenburg type 2 and Hirschsprung phenotype (Shah-Waardenburg syndrome). Nat Genet 12:445–447
Edery P, Attie T, Amiel J et al. (1996) Mutation of the endothelin-3 gene in the Waardenburg-Hirschsprung disease (Shah-Waardenburg syndrome). Nat Genet 12:442–444
Pingault V, Bondurand N, Kuhlbrodt K et al. (1998) SOX10 mutations in patients with Waardenburg-Hirschsprung disease. Nat Genet 18:17̄̄1–173
Tanabe Y, Arii J, Inoue K (1999) A case of Waardenburg-Hirschsprung syndrome with SOX10 gene mutation. Brain Dev 31:S240
Hirabayashi S, Inoue K (2000) A case of Waardenburg-Hirschsprung syndrome associated with SOX10 gene mutation and hypoplasia of the central and peripheral nerve sheath. Brain Dev 32:S245
Branski D, Denis NR, Neale JM et al. (1979) Hirschsprung’s disease and Waardenburg’s syndrome. Pediatrics 63:803–805
Fried K, Beer S (1980) Waardenburg’s syndrome and Hirschsprung’s disease in the same patient. Clin Genet 19:91–92
Mahakrishnan A, Srinivasan MS (1980) Piebaldness with Hirschsprung’s disease. Arch Dermatol 116:1102
Woodyear LL, Boulesteix J, Rutkowski J et al. (1980) Waardenburg’s syndrome associated with Hirschsprung’s disease and other anomalies. Pediatrics 65:368–369
Kelley RI, Zackai EH (1981) Congenital deafness, Hirschsprung’s and Waardenburg’s syndrome. Am J Hum Genet 33:65A
Ambani LM (1983) Waardenburg and Hirschsprung syndromes. J Pediatr 102:802
Farndon PA, Bianchi A (1983) Waardenburg’s syndrome associated with total aganglionosis. Arch Dis Child 58:932–933
Liang JC, Juarez CP, Golgberg MF (1983) Bilateral bicolored irides with Hirschsprung’s disease: a neural crest syndrome. Arch Ophthalmol 101:69–73
Mallory SB, Wiener E, Nordlund JJ (1986) Waardenburg’s syndrome with Hirschsprung’s disease: a neural crest defect. Pediatr Dermatol 3:119–124
Currie ABM, Haddad M, Honeyman M et al. (1986) Associated developmental abnormalities of the anterior end of the neural crest: Hirschsprung’s disease-Waardenburg’s syndrome. J Pediatr Surg 21:248–250
Meire F, Standaert L, De Laey JJ et al. (1997) Waardenburg syndrome, Hirschsprung megacolon, and Marcus Gunn ptosis. Am J Med Genet 27:683–686
Ohgami H, Nagasaki A, Hukushige T et al. (1988) Hirschsprung’s disease associated with Waardenburg’s syndrome. Nihon Rinshou Gekaigakkai Zasshi 49:1708
Santos H, Mateus J, Leal MJ (1988) Hirschsprung’s disease associated with polydactyly, unilateral renal agenesis, hypertelorism, and congenital deafness: a new autosomal recessive syndrome. J Med Genet 25:204–208
Kaplan P, Chaderevian JP de (1988) Piebaldism-Waardenburg syndrome, histopathologic evidence for a neural crest syndrome. Am J Med Genet 31:679–688
Kitagawa A, Tamaki K, Yokoyama T et al. (1989) A case of Waardenburg’s syndrome associated with Hirschsprung’s disease. Folia Ophthalmol Jpn 40:1111–1114
Taniai N, Onda M, Egami K et al. (1991) A case of Waardenburg syndrome associated with Hirschsprung’s disease. J Jpn Soc Pediatr Surg 27:1008–1012
Takanashi J, Fujimoto N, Sugita K et al. (1992) Two cases of Waardenburg’s syndrome. Pediatr Diagn Treat 55:241–244
Ozeki T, Shirai S, Yamamoto Y et al. (1995) Ophthalmologic changes in Hirschsprung’s disease. Clin Ophthalmol 49:1007–1010
Bonnet JP, Till M, Edery P et al. (1996) Waardenburg-Hirschsprung disease in two sisters: a possible clue to the genetics of this association? Eur J Pediatr Surg 6:245–248
Hirata A, Imaizumi S, Matsumoto M et al. (1996) Skeletal changes associated with copper deficiency in an infant with hypohidrotic ectodermal dysplasia, Waardenburg syndrome, and Hirschsprung’s disease on prolonged parenteral nutrition. Jpn J Pediatr Surg 28:1217–1222
Mukai M, Hayashi A, Kamagata S et al. (1997) A case of Shah-Waardenburg syndrome. Jpn J Neonatol 33:749
Shim WKT, Derieg M, Powell BR et al. (1999) Near total aganglionosis in the Waardenburg-Shah syndrome. J Pediatr Surg 34:1853–1855
Kleinhaus S, Boley S, Sheran M et al. (1979) Hirschsprung’s disease: a survey of the members of the surgical section of the American Academy of Pediatrics. J Pediatr Surg 14:588–597
Inoue K, Shilo K, Boerkoel CF et al. (2002) Congenital hypomyelinating neuropathy, central dysmyelination, and Waardenburg-Hirschsprung disease: phenotypes linked by SOX10 mutation. Ann Neurol 52:836–842
Pignault V, GuiochonMante A, Bondurand N et al. (2000) Peripheral neuropathy with hypomyelination, chronic intestinal pseudo-obstruction and a deafness: a developmental “neural crest syndrome” related to SOX10 mutation. Ann Neurol 48:671–676
Tomiyama H, Shimotake T, Ono S et al. (2001) Relationship between the type of RET/GDNF/NTN or SOX10 gene mutations and long-term results after surgery for total colonic aganglionosis with small bowel involvement. J Pediatr Surg 36:1685–1688
Sham MH, Lui VC, Fu M et al. (2001) SOX10 is abnormally expressed in aganglionic bowel of Hirschsprung’s disease infants. Gut 4:220–226
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Toki, F., Suzuki, N., Inoue, K. et al. Intestinal aganglionosis associated with the Waardenburg syndrome: report of two cases and review of the literature. Ped Surgery Int 19, 725–728 (2003). https://doi.org/10.1007/s00383-003-1057-7
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DOI: https://doi.org/10.1007/s00383-003-1057-7