Skip to main content
Log in

Studies of malformation syndromes of man XXXXIA: anatomical studies in the Hanhart syndrome —A pathogenetic hypothesis

  • Published:
European Journal of Pediatrics Aims and scope Submit manuscript

Abstract

Two infants with the Hanhart syndrome, i.e. micrognathia, microglossia, terminal deficiency of all limbs and imperforate anus in one, were dissected and studied in detail. The interrelationships of the muscular and skeletal defects suggested that they were the result of incomplete rather than abnormal morphogenesis. We speculate that the oral and limb abnormalities resulted from deficient mesodermal proliferation caused by disturbances in the ectodermal-mesodermal interactions beginning about the 4th week of development. The imperforate anus may also relate to the proposed defect.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Bardeen, C. R.: Development and variation of the nerves and musculature of the inferior extremity and the neighboring regions of the trunk in man. Amer. J. Anat. 6, 259–387 (1907)

    Google Scholar 

  • Baume, L. J., Holz, J.: Ontogenesis of the human temporomandibular joint. 2. Development of temporal components. J. dent. Res. 49, 864–875 (1970)

    Google Scholar 

  • Blechschmidt, E.: Die frühembryonale Lageentwicklung der Gliedmaßen. (Entwicklung der Extremitäten beim Menschen. Teil I.) Z. Anat. Entwickl.-Gesch. 15, 529–540 (1951)

    Google Scholar 

  • Gorlin, R. L., Cohen, M. M., Pindborg, J. J.: Syndromes of the head and neck, 2nd ed. New York: McGraw-Hill Co. 1975 (in press)

    Google Scholar 

  • Grüneberg, H.: A ventral ectodermal ridge of the tail in the mouse. Nature (Lond.) 177, 787–788 (1956)

    Google Scholar 

  • Grüneberg, H.: The pathology of development, New York: John Wiley and Sons 1963

    Google Scholar 

  • Harpman, J. A., Woollard, H. H.: The tendon of the lateral pterygoid muscle. J. Anat. (Lond.) 73, 112–115 (1938)

    Google Scholar 

  • Landolt, A. M.: Über eine ektodermale Leiste des Schwanzes menschlicher Embryonen. Z. Anat. Entwickl.-Gesch. 121, 337–347 (1959)

    Google Scholar 

  • Lewis, W. H.: The development of the arm in man. Amer. J. Anat. 1, 145–184 (1902)

    Google Scholar 

  • McKay, D. G., Hertig A. T., Adams, E. C., Danziger, S.: Histochemical horizons in human embryos. I. Five millimeter embryo—Streeter horizon XIII. Anat. Rec. 122, 125–144 (1955)

    Google Scholar 

  • McKay, D. G., Hertig, A. T., Adams, E. C., Danziger, S.: Histochemical horizons in human embryos. II. 6 and 7 millimeter embryos—Streeter horizon XIV. Anat. Rec. 126, 433–464 (1956)

    Google Scholar 

  • Meckel, Fr.: Beschreibung zweier, durch sehr ähnliche Bildungsabweichungen entstellter Geschwister. Dtsch. Arch. Physiol. 7, 79–172 (1822)

    Google Scholar 

  • Milaire, J.: Some histochemical considerations of limb development. In: Limb development and deformity: Problems of evaluation and rehabilitation (ed. C. A. Swinyard), pp. 70–77. Springfield: C. C. Thomas 1968

    Google Scholar 

  • Moffett, B. C.: The prenatal development of the human temporomandibular joint. Contr. Embryol. Carneg. Instn 36, 21–28 (1957)

    Google Scholar 

  • Mortensen, O., Pettersen, J. C.: The musculature. In: Morris' human anatomy (ed. B. J. Anson), 12th ed. New York: McGraw-Hill Book Co. 1966

    Google Scholar 

  • O'Rahilly, R., Gardner, E., Gray, D. J.: The ectodermal thickening and ridge in the limbs of staged human embryos. J. Embryol. exp. Morph. 4, 254–264 (1956)

    Google Scholar 

  • Pashayan, H. M., Pruzansky, S., Solomon, L.: The EEC syndrome. Birth Defects Original Article Series X/7, 105–127 (1974)

    Google Scholar 

  • Saunders, J. W.: The proximo-distal sequence of origin of the parts of the chick wing and the role of the ectoderm. J. exp. Zool. 108, 363–403 (1948)

    Google Scholar 

  • Smith, D. W.: Recognizable patterns of human malformations. Philadelphia: W. B. Saunders and Co. 1971

    Google Scholar 

  • Streeter, G. L.: Developmental horizons in human embryos. Descriptions of age groups XV, XVI, XVII, XVIII being the third issue of a survey of the Carnegie collection. Contr. Embryol. Carneg. Instn 32, 133–203 (1948)

    Google Scholar 

  • Strube, W.: Der Bau des Ektoderms bei menschlichen Embryonen des I. bis II. Entwicklungsmonats. Dissertation, Göttingen 1950

  • Symons, N. B. B.: The development of the human mandibular joint. J. Anat. (Lond.) 86, 326–333 (1952)

    Google Scholar 

  • Yuodelis, R. A.: The morphogenesis of the human temporomandibular joint and its associated structures. J. dent. Res. 45, 182–191 (1966)

    Google Scholar 

  • Zwilling, E.: Effects of contact between mutant (wingless) limb buds and those of genetically normal chick embryos: confirmation of an hypothesis. Develop. Biol. 39, 37–48 (1974)

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Supported by USPHS/NIH Grants GM 15422, 5-KO4-HD 18982, and GM 20 130; and NIH GM 00723-14, Anatomy Training Grant. Contributed, in part, as Paper No. 1883 from the University of Wisconsin Genetics Laboratory

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bersu, E.T., Pettersen, J.C., Charboneau, W.J. et al. Studies of malformation syndromes of man XXXXIA: anatomical studies in the Hanhart syndrome —A pathogenetic hypothesis. Eur J Pediatr 122, 1–17 (1976). https://doi.org/10.1007/BF00445029

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00445029

Key words

Navigation