Archibald Garrod—and the Individuality of Man

Skeletal malformations and polycystic kidney diseaseThe infant reported by Turco et al' in the journal has features consistent with Haas type polysyndactyly.2Rambaud-Cousson et aP reported a similar case with tibial agenesis from a family where at least six other subjects in three generations had hand and foot abnor- malities but with normal tibiae.Haas type polysyndactyly typically presents with com- plete syndactyly of the fingers.Radiographs may show five metacarpals but there may be a larger number of terminal phalanges and nails.It would be important to have more details of the hand abnormalities in the case reported by Turcot et al.' Renal cysts have not been reported in Haas type polysyndactyly to my knowledge.