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Caudal regression syndrome - Wikipedia

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class="interlanguage-link-target"><span>العربية</span></a></li><li class="interlanguage-link interwiki-de mw-list-item"><a href="https://de.wikipedia.org/wiki/Kaudales_Regressionssyndrom" title="Kaudales Regressionssyndrom – German" lang="de" hreflang="de" data-title="Kaudales Regressionssyndrom" data-language-autonym="Deutsch" data-language-local-name="German" class="interlanguage-link-target"><span>Deutsch</span></a></li><li class="interlanguage-link interwiki-el mw-list-item"><a href="https://el.wikipedia.org/wiki/%CE%A3%CF%8D%CE%BD%CE%B4%CF%81%CE%BF%CE%BC%CE%BF_%CE%BF%CF%85%CF%81%CE%B1%CE%AF%CE%B1%CF%82_%CF%85%CF%80%CE%BF%CF%83%CF%84%CF%81%CE%BF%CF%86%CE%AE%CF%82" title="Σύνδρομο ουραίας υποστροφής – Greek" lang="el" hreflang="el" data-title="Σύνδρομο ουραίας υποστροφής" data-language-autonym="Ελληνικά" data-language-local-name="Greek" class="interlanguage-link-target"><span>Ελληνικά</span></a></li><li class="interlanguage-link interwiki-es mw-list-item"><a href="https://es.wikipedia.org/wiki/S%C3%ADndrome_de_regresi%C3%B3n_caudal" title="Síndrome de regresión caudal – Spanish" lang="es" hreflang="es" data-title="Síndrome de regresión caudal" data-language-autonym="Español" data-language-local-name="Spanish" class="interlanguage-link-target"><span>Español</span></a></li><li class="interlanguage-link interwiki-fa mw-list-item"><a href="https://fa.wikipedia.org/wiki/%D8%B3%D9%86%D8%AF%D8%B1%D9%85_%D9%BE%D8%B3%D8%B1%D9%81%D8%AA_%D8%AF%D9%85%DB%8C" title="سندرم پسرفت دمی – Persian" lang="fa" hreflang="fa" data-title="سندرم پسرفت دمی" data-language-autonym="فارسی" data-language-local-name="Persian" class="interlanguage-link-target"><span>فارسی</span></a></li><li class="interlanguage-link interwiki-fr mw-list-item"><a href="https://fr.wikipedia.org/wiki/Syndrome_de_r%C3%A9gression_caudale" title="Syndrome de régression caudale – French" lang="fr" hreflang="fr" data-title="Syndrome de régression caudale" data-language-autonym="Français" 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data-mw-deduplicate="TemplateStyles:r1257001546">.mw-parser-output .infobox-subbox{padding:0;border:none;margin:-3px;width:auto;min-width:100%;font-size:100%;clear:none;float:none;background-color:transparent}.mw-parser-output .infobox-3cols-child{margin:auto}.mw-parser-output .infobox .navbar{font-size:100%}@media screen{html.skin-theme-clientpref-night .mw-parser-output .infobox-full-data:not(.notheme)>div:not(.notheme)[style]{background:#1f1f23!important;color:#f8f9fa}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .infobox-full-data:not(.notheme) div:not(.notheme){background:#1f1f23!important;color:#f8f9fa}}@media(min-width:640px){body.skin--responsive .mw-parser-output .infobox-table{display:table!important}body.skin--responsive .mw-parser-output .infobox-table>caption{display:table-caption!important}body.skin--responsive .mw-parser-output .infobox-table>tbody{display:table-row-group}body.skin--responsive .mw-parser-output .infobox-table tr{display:table-row!important}body.skin--responsive .mw-parser-output .infobox-table th,body.skin--responsive .mw-parser-output .infobox-table td{padding-left:inherit;padding-right:inherit}}</style><table class="infobox ib-medical-condition"><tbody><tr><th colspan="2" class="infobox-above" style="background:#ccc">Caudal regression syndrome</th></tr><tr><th scope="row" class="infobox-label">Other names</th><td class="infobox-data">Sacral regression sequence, Sacral agenesis</td></tr><tr style="background-color: #f8f9fa;"><td colspan="2" class="infobox-full-data"><span class="mw-default-size" typeof="mw:File/Frameless"><a href="/wiki/File:Sacral_agenesis.svg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/2/2b/Sacral_agenesis.svg/220px-Sacral_agenesis.svg.png" decoding="async" width="220" height="305" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/2/2b/Sacral_agenesis.svg/330px-Sacral_agenesis.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/2/2b/Sacral_agenesis.svg/440px-Sacral_agenesis.svg.png 2x" data-file-width="441" data-file-height="611" /></a></span></td></tr><tr><td colspan="2" class="infobox-full-data">Sacral agenesis</td></tr><tr><th scope="row" class="infobox-label"><a href="/wiki/Medical_specialty" title="Medical specialty">Specialty</a></th><td class="infobox-data"><a href="/wiki/Medical_genetics" title="Medical genetics">Medical genetics</a>&#160;<span class="penicon autoconfirmed-show"><span class="mw-valign-text-top" typeof="mw:File/Frameless"><a href="https://www.wikidata.org/wiki/Q1129947?uselang=en#P1995" title="Edit this on Wikidata"><img alt="Edit this on Wikidata" src="//upload.wikimedia.org/wikipedia/en/thumb/8/8a/OOjs_UI_icon_edit-ltr-progressive.svg/10px-OOjs_UI_icon_edit-ltr-progressive.svg.png" decoding="async" width="10" height="10" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/8/8a/OOjs_UI_icon_edit-ltr-progressive.svg/15px-OOjs_UI_icon_edit-ltr-progressive.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/8/8a/OOjs_UI_icon_edit-ltr-progressive.svg/20px-OOjs_UI_icon_edit-ltr-progressive.svg.png 2x" data-file-width="20" data-file-height="20" /></a></span></span></td></tr></tbody></table> <p><b>Caudal regression syndrome</b>, or <b>sacral agenesis</b> (or <a href="/wiki/Hypoplasia" title="Hypoplasia">hypoplasia</a> of the <a href="/wiki/Sacrum" title="Sacrum">sacrum</a>), is a rare birth defect. It is a <a href="/wiki/Congenital_disorder" class="mw-redirect" title="Congenital disorder">congenital disorder</a> in which the <a href="/wiki/Fetal_development" class="mw-redirect" title="Fetal development">fetal development</a> of the lower <a href="/wiki/Vertebral_column" title="Vertebral column">spine</a>—the <a href="/wiki/Caudal_(anatomical_term)" class="mw-redirect" title="Caudal (anatomical term)">caudal</a> partition of the spine—is abnormal.<sup id="cite_ref-1" class="reference"><a href="#cite_note-1"><span class="cite-bracket">&#91;</span>1<span class="cite-bracket">&#93;</span></a></sup> It occurs at a rate of approximately one per 60,000 live births.<sup id="cite_ref-medlineplus_2-0" class="reference"><a href="#cite_note-medlineplus-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup> </p><p>Some babies are born with very small differences compared to typical development, and others have significant changes. Most grow up to be otherwise typical adults who have difficulty with walking and incontinence. </p> <meta property="mw:PageProp/toc" /> <div class="mw-heading mw-heading2"><h2 id="Signs_and_symptoms">Signs and symptoms</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Caudal_regression_syndrome&amp;action=edit&amp;section=1" title="Edit section: Signs and symptoms"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>This condition exists in a variety of forms, ranging from partial absence of the <a href="/wiki/Tail_bone" class="mw-redirect" title="Tail bone">tail bone</a> regions of the spine to absence of the lower vertebrae, pelvis and parts of the thoracic and/or lumbar areas of the spine. In some cases, where only a small part of the spine is absent, there may be no outward sign of the condition. In cases where more substantial areas of the spine are absent, there may be fused, webbed or smaller lower extremities and paralysis. Bowel and bladder control is usually affected.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (October 2020)">citation needed</span></a></i>&#93;</sup> </p> <div class="mw-heading mw-heading2"><h2 id="Cause">Cause</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Caudal_regression_syndrome&amp;action=edit&amp;section=2" title="Edit section: Cause"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/File:Caudal_regression_syndrome_radiograph.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/9/9c/Caudal_regression_syndrome_radiograph.jpg/220px-Caudal_regression_syndrome_radiograph.jpg" decoding="async" width="220" height="349" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/9/9c/Caudal_regression_syndrome_radiograph.jpg/330px-Caudal_regression_syndrome_radiograph.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/9/9c/Caudal_regression_syndrome_radiograph.jpg/440px-Caudal_regression_syndrome_radiograph.jpg 2x" data-file-width="1200" data-file-height="1901" /></a><figcaption>Antero-posterior radiographic view, showing missing ribs, absent lumbosacral vertebrae, hypoplastic pelvis and "frog-like" position of the lower extremities</figcaption></figure> <p>The condition arises from some factor or set of factors present during approximately the 3rd week to 7th week of fetal development. Formation of the sacrum/lower back and corresponding nervous system is usually nearing completion by the 4th week of development. Due to abnormal gastrulation, the mesoderm migration is disturbed. This disturbance results in symptoms varying from minor lesions of the lower vertebrae to more severe symptoms such as complete fusion of the lower limbs. While the exact cause is unknown, it has been speculated that the condition has a combination of environmental and genetic causes, and that various types of the condition may have differing causes.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (October 2020)">citation needed</span></a></i>&#93;</sup> </p><p>Sacral agenesis syndrome (a type of caudal regression syndrome involving agenesis of the <a href="/wiki/Lumbar_spine" class="mw-redirect" title="Lumbar spine">lumbar spine</a>, sacrum, and <a href="/wiki/Coccyx" title="Coccyx">coccyx</a>, and hypoplasia of the lower extremities) is a well-established congenital anomaly associated with maternal <a href="/wiki/Diabetes" title="Diabetes">diabetes</a> mellitus.<sup id="cite_ref-3" class="reference"><a href="#cite_note-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-4" class="reference"><a href="#cite_note-4"><span class="cite-bracket">&#91;</span>4<span class="cite-bracket">&#93;</span></a></sup> Other causes are presumably involved, as demonstrated by the rare overall incidence of caudal regression syndrome (1:60,000) compared to diabetes; however, the condition does have a greatly increased incidence among infants born to mothers with diabetes, estimated at 1 in 350 newborns of mothers with diabetes.<sup id="cite_ref-medlineplus_2-1" class="reference"><a href="#cite_note-medlineplus-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup> </p><p>The dominant inherited sacral agenesis (also referred to as <a href="/wiki/Currarino_syndrome" title="Currarino syndrome">Currarino syndrome</a>) is very often correlated with a <a href="/wiki/Mutation" title="Mutation">mutation</a> in the Hb9 (also called HlxB9) gene (shown by Sally Ann Lynch, 1995, Nature Genetics).<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (October 2020)">citation needed</span></a></i>&#93;</sup> </p><p>It was previously thought to be related to <a href="/wiki/Sirenomelia" title="Sirenomelia">sirenomelia</a> ("Mermaid syndrome") but has now been determined not to be related to this condition.<sup id="cite_ref-5" class="reference"><a href="#cite_note-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Prognosis">Prognosis</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Caudal_regression_syndrome&amp;action=edit&amp;section=3" title="Edit section: Prognosis"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>There are four levels (or types) of malformation. The least severe indicates partial deformation (unilateral) of the sacrum. The second level indicates a bilateral (uniform) deformation. The most severe types involve a total absence of the sacrum.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (October 2020)">citation needed</span></a></i>&#93;</sup> </p><p>Depending on the type of sacral agenesis, bowel or urinary bladder deficiencies may be present. A permanent <a href="/wiki/Colostomy" title="Colostomy">colostomy</a> may be necessary in the case of <a href="/wiki/Imperforate_anus" title="Imperforate anus">imperforate anus</a>. Incontinence may also require some type of continence control system (e.g., self-catheterization) to be utilized. The condition often impacts the formation of the knees, legs or feet that is sometimes addressed through surgery. For some with tightly webbed, bent knees or knees that are fused straight, disarticulation surgery at the knee may be a viable option to maximize mobility options.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (October 2020)">citation needed</span></a></i>&#93;</sup> </p><p>Before more comprehensive medical treatment was available, full amputation of the legs at the hip was often performed. More recently, the amputation (actually a disarticulation because no cutting of the bone is involved) is done at the knee for those who have bent knee positions and webbing between thigh and calf to enable more ease of mobility and better seating. Some children with knee disarticulation use prosthetic legs to walk. Prosthetics for children without substantial hip and <a href="/wiki/Trunk_(anatomy)" class="mw-redirect" title="Trunk (anatomy)">trunk</a> control is usually abandoned in favor of faster and easier wheelchair mobility as the child's weight and age increase. Children may walk on their hands and generally are able to climb and move about to accomplish whatever they need and want to accomplish. Children more mildly affected may have normal gait and no need for assistive devices for walking. Others may walk with bracing or crutches.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (August 2021)">citation needed</span></a></i>&#93;</sup> </p><p>There is typically no cognitive impairment associated with this disability. Adults with this disability live independently, attend college, and have careers in various fields. In 2012, <a href="/wiki/Spencer_West" title="Spencer West">Spencer West</a>, a man with sacral agenesis and both legs amputated, climbed <a href="/wiki/Mount_Kilimanjaro" title="Mount Kilimanjaro">Mount Kilimanjaro</a> using only his hands.<sup id="cite_ref-6" class="reference"><a href="#cite_note-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup> In 2021, athlete <a href="/wiki/Zion_Clark" title="Zion Clark">Zion Clark</a> broke the Guinness World Record 20 m running on hands.<sup id="cite_ref-7" class="reference"><a href="#cite_note-7"><span class="cite-bracket">&#91;</span>7<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Society_and_culture">Society and culture</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Caudal_regression_syndrome&amp;action=edit&amp;section=4" title="Edit section: Society and culture"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <div class="mw-heading mw-heading3"><h3 id="Notable_people">Notable people</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Caudal_regression_syndrome&amp;action=edit&amp;section=5" title="Edit section: Notable people"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <ul><li><a href="/wiki/Zion_Clark" title="Zion Clark">Zion Clark</a>, American track athlete and wrestler, 2022 Guinness World Record holder (20 m hand sprint in 4.78 seconds)</li> <li><a href="/wiki/Rebecca_Dubber" title="Rebecca Dubber">Rebecca Dubber</a>, New Zealand para-swimmer and Rio 2016 Paralympic bronze medalist</li> <li><a href="/wiki/Kenny_Easterday" title="Kenny Easterday">Kenny Easterday</a>, played a fictionalized version of himself in the film <i><a href="/wiki/Kenny_(1988_film)" title="Kenny (1988 film)">Kenny</a></i></li> <li><a href="/wiki/Johnny_Eck" title="Johnny Eck">Johnny Eck</a>, American freak show performer</li> <li><a href="/wiki/Kurt_Fearnley" title="Kurt Fearnley">Kurt Fearnley</a>, Australian wheelchair racer</li> <li><a href="/wiki/Chloe_Cooper_Jones" title="Chloe Cooper Jones">Chloé Cooper Jones</a>, American philosopher and author</li> <li><a href="/wiki/Bobby_Martin_(American_football)" title="Bobby Martin (American football)">Bobby Martin</a>, American football player</li> <li><a href="/wiki/Kevin_McKee_(sledge_hockey)" title="Kevin McKee (sledge hockey)">Kevin McKee</a>, two-times Olympic champion and two-times world champion in sledge hockey</li> <li><a href="/wiki/Sainimili_Naivalu" title="Sainimili Naivalu">Sainimili Naivalu</a>, Fijian wheelchair table tennis medallist and disability rights activist</li> <li><a href="/wiki/Victoria_Pendergast" title="Victoria Pendergast">Victoria Pendergast</a>, first female Australian sit-skier at Winter Paralympics</li> <li><a href="/wiki/Jessica_Rogers" title="Jessica Rogers">Jessica Rogers</a>, American wheelchair racer and swimmer, founder and President of iSACRA (International Caudal Regression Syndrome Association)</li> <li><a href="/wiki/Rose_Siggins" title="Rose Siggins">Rose Siggins</a>, actress (<i><a href="/wiki/American_Horror_Story:_Freak_Show" title="American Horror Story: Freak Show">American Horror Story: Freak Show</a></i>)<sup id="cite_ref-8" class="reference"><a href="#cite_note-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup></li> <li><a href="/wiki/Spencer_West" title="Spencer West">Spencer West</a>, Mountain climber, "Man Climbs Mt. Kilimanjaro On Hands". ABC News. 22 June 2012.</li> <li><a href="/wiki/Ghanim_Al-Muftah" title="Ghanim Al-Muftah">Ghanim Al-Muftah</a>, a Qatari businessman, opened the 2022 Mondial ceremony as well as the 2022 FIFA World Cup with <a href="/wiki/Morgan_Freeman" title="Morgan Freeman">Morgan Freeman</a>.</li> <li><a href="/w/index.php?title=Piyah_Martell&amp;action=edit&amp;redlink=1" class="new" title="Piyah Martell (page does not exist)">Piyah Martell</a>, a transgender woman who is a social media personality and musician who appeared on RuPaul's Drag Race season 4.</li> <li><a href="/wiki/Ethereal_(musician)" title="Ethereal (musician)">Ethereal</a>, American rapper and record producer</li></ul> <div class="mw-heading mw-heading2"><h2 id="References">References</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Caudal_regression_syndrome&amp;action=edit&amp;section=6" title="Edit section: References"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1239543626">.mw-parser-output .reflist{margin-bottom:0.5em;list-style-type:decimal}@media screen{.mw-parser-output .reflist{font-size:90%}}.mw-parser-output .reflist .references{font-size:100%;margin-bottom:0;list-style-type:inherit}.mw-parser-output .reflist-columns-2{column-width:30em}.mw-parser-output .reflist-columns-3{column-width:25em}.mw-parser-output .reflist-columns{margin-top:0.3em}.mw-parser-output .reflist-columns ol{margin-top:0}.mw-parser-output .reflist-columns li{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .reflist-upper-alpha{list-style-type:upper-alpha}.mw-parser-output .reflist-upper-roman{list-style-type:upper-roman}.mw-parser-output .reflist-lower-alpha{list-style-type:lower-alpha}.mw-parser-output .reflist-lower-greek{list-style-type:lower-greek}.mw-parser-output .reflist-lower-roman{list-style-type:lower-roman}</style><div class="reflist"> <div class="mw-references-wrap"><ol class="references"> <li id="cite_note-1"><span class="mw-cite-backlink"><b><a href="#cite_ref-1">^</a></b></span> <span class="reference-text"><style data-mw-deduplicate="TemplateStyles:r1238218222">.mw-parser-output cite.citation{font-style:inherit;word-wrap:break-word}.mw-parser-output .citation q{quotes:"\"""\"""'""'"}.mw-parser-output .citation:target{background-color:rgba(0,127,255,0.133)}.mw-parser-output .id-lock-free.id-lock-free a{background:url("//upload.wikimedia.org/wikipedia/commons/6/65/Lock-green.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-limited.id-lock-limited a,.mw-parser-output .id-lock-registration.id-lock-registration a{background:url("//upload.wikimedia.org/wikipedia/commons/d/d6/Lock-gray-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-subscription.id-lock-subscription a{background:url("//upload.wikimedia.org/wikipedia/commons/a/aa/Lock-red-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .cs1-ws-icon a{background:url("//upload.wikimedia.org/wikipedia/commons/4/4c/Wikisource-logo.svg")right 0.1em center/12px no-repeat}body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-free a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-limited a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-registration a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-subscription a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .cs1-ws-icon a{background-size:contain;padding:0 1em 0 0}.mw-parser-output .cs1-code{color:inherit;background:inherit;border:none;padding:inherit}.mw-parser-output .cs1-hidden-error{display:none;color:var(--color-error,#d33)}.mw-parser-output .cs1-visible-error{color:var(--color-error,#d33)}.mw-parser-output .cs1-maint{display:none;color:#085;margin-left:0.3em}.mw-parser-output .cs1-kern-left{padding-left:0.2em}.mw-parser-output .cs1-kern-right{padding-right:0.2em}.mw-parser-output .citation .mw-selflink{font-weight:inherit}@media screen{.mw-parser-output .cs1-format{font-size:95%}html.skin-theme-clientpref-night .mw-parser-output .cs1-maint{color:#18911f}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .cs1-maint{color:#18911f}}</style><cite id="CITEREFSonekGabbeLandonStempel1990" class="citation journal cs1">Sonek JD, Gabbe SG, Landon MB, Stempel LE, Foley MR, Shubert-Moell K (March 1990). "Antenatal diagnosis of sacral agenesis syndrome in a pregnancy complicated by diabetes mellitus". <i>Am. J. Obstet. Gynecol</i>. <b>162</b> (3): 806–8. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1016%2F0002-9378%2890%2991015-5">10.1016/0002-9378(90)91015-5</a>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/2180307">2180307</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Am.+J.+Obstet.+Gynecol.&amp;rft.atitle=Antenatal+diagnosis+of+sacral+agenesis+syndrome+in+a+pregnancy+complicated+by+diabetes+mellitus&amp;rft.volume=162&amp;rft.issue=3&amp;rft.pages=806-8&amp;rft.date=1990-03&amp;rft_id=info%3Adoi%2F10.1016%2F0002-9378%2890%2991015-5&amp;rft_id=info%3Apmid%2F2180307&amp;rft.aulast=Sonek&amp;rft.aufirst=JD&amp;rft.au=Gabbe%2C+SG&amp;rft.au=Landon%2C+MB&amp;rft.au=Stempel%2C+LE&amp;rft.au=Foley%2C+MR&amp;rft.au=Shubert-Moell%2C+K&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ACaudal+regression+syndrome" class="Z3988"></span></span> </li> <li id="cite_note-medlineplus-2"><span class="mw-cite-backlink">^ <a href="#cite_ref-medlineplus_2-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-medlineplus_2-1"><sup><i><b>b</b></i></sup></a></span> <span class="reference-text">Medline Plus. Caudal Regression Syndrome.<a rel="nofollow" class="external free" href="https://medlineplus.gov/genetics/condition/caudal-regression-syndrome/#frequency">https://medlineplus.gov/genetics/condition/caudal-regression-syndrome/#frequency</a></span> </li> <li id="cite_note-3"><span class="mw-cite-backlink"><b><a href="#cite_ref-3">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFAl_KaissiKlaushoferGrill2008" class="citation journal cs1">Al Kaissi, Ali; Klaushofer, Klaus; Grill, Franz (19 December 2008). <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2614953">"Caudal regression syndrome and popliteal webbing in connection with maternal diabetes mellitus: a case report and literature review"</a>. <i>Cases Journal</i>. <b>1</b> (1): 407. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://doi.org/10.1186%2F1757-1626-1-407">10.1186/1757-1626-1-407</a></span>. <a href="/wiki/PMC_(identifier)" class="mw-redirect" title="PMC (identifier)">PMC</a>&#160;<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2614953">2614953</a></span>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/19099562">19099562</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Cases+Journal&amp;rft.atitle=Caudal+regression+syndrome+and+popliteal+webbing+in+connection+with+maternal+diabetes+mellitus%3A+a+case+report+and+literature+review&amp;rft.volume=1&amp;rft.issue=1&amp;rft.pages=407&amp;rft.date=2008-12-19&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC2614953%23id-name%3DPMC&amp;rft_id=info%3Apmid%2F19099562&amp;rft_id=info%3Adoi%2F10.1186%2F1757-1626-1-407&amp;rft.aulast=Al+Kaissi&amp;rft.aufirst=Ali&amp;rft.au=Klaushofer%2C+Klaus&amp;rft.au=Grill%2C+Franz&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC2614953&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ACaudal+regression+syndrome" class="Z3988"></span></span> </li> <li id="cite_note-4"><span class="mw-cite-backlink"><b><a href="#cite_ref-4">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFZawStone2002" class="citation journal cs1">Zaw, Win; Stone, David G. (March 2002). <a rel="nofollow" class="external text" href="https://doi.org/10.1038%2Fsj.jp.7210614">"Caudal Regression Syndrome in Twin Pregnancy With Type II Diabetes"</a>. <i>Journal of Perinatology</i>. <b>22</b> (2): 171–174. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://doi.org/10.1038%2Fsj.jp.7210614">10.1038/sj.jp.7210614</a></span>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/11896527">11896527</a>. <a href="/wiki/S2CID_(identifier)" class="mw-redirect" title="S2CID (identifier)">S2CID</a>&#160;<a rel="nofollow" class="external text" href="https://api.semanticscholar.org/CorpusID:10374738">10374738</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Journal+of+Perinatology&amp;rft.atitle=Caudal+Regression+Syndrome+in+Twin+Pregnancy+With+Type+II+Diabetes&amp;rft.volume=22&amp;rft.issue=2&amp;rft.pages=171-174&amp;rft.date=2002-03&amp;rft_id=https%3A%2F%2Fapi.semanticscholar.org%2FCorpusID%3A10374738%23id-name%3DS2CID&amp;rft_id=info%3Apmid%2F11896527&amp;rft_id=info%3Adoi%2F10.1038%2Fsj.jp.7210614&amp;rft.aulast=Zaw&amp;rft.aufirst=Win&amp;rft.au=Stone%2C+David+G.&amp;rft_id=https%3A%2F%2Fdoi.org%2F10.1038%252Fsj.jp.7210614&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ACaudal+regression+syndrome" class="Z3988"></span></span> </li> <li id="cite_note-5"><span class="mw-cite-backlink"><b><a href="#cite_ref-5">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://rarediseases.org/rare-diseases/sirenomelia/">"Sirenomelia"</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&amp;rft.genre=unknown&amp;rft.btitle=Sirenomelia&amp;rft_id=https%3A%2F%2Frarediseases.org%2Frare-diseases%2Fsirenomelia%2F&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ACaudal+regression+syndrome" class="Z3988"></span></span> </li> <li id="cite_note-6"><span class="mw-cite-backlink"><b><a href="#cite_ref-6">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://abcnews.go.com/International/man-climbs-mt-kilimanjaro-hands/story?id=16622673">"Man Climbs Mt. Kilimanjaro On Hands"</a>. <i>ABC News</i>. 22 June 2012.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=unknown&amp;rft.jtitle=ABC+News&amp;rft.atitle=Man+Climbs+Mt.+Kilimanjaro+On+Hands&amp;rft.date=2012-06-22&amp;rft_id=https%3A%2F%2Fabcnews.go.com%2FInternational%2Fman-climbs-mt-kilimanjaro-hands%2Fstory%3Fid%3D16622673&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ACaudal+regression+syndrome" class="Z3988"></span></span> </li> <li id="cite_note-7"><span class="mw-cite-backlink"><b><a href="#cite_ref-7">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.guinnessworldrecords.com/news/2021/9/no-excuses-zion-clark-achieves-record-for-fastest-20m-on-hands-676320">"Zion Clark achieves record for fastest 20m on hands"</a>. <i>Guinness World Records</i>. 22 September 2021.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=unknown&amp;rft.jtitle=Guinness+World+Records&amp;rft.atitle=Zion+Clark+achieves+record+for+fastest+20m+on+hands&amp;rft.date=2021-09-22&amp;rft_id=https%3A%2F%2Fwww.guinnessworldrecords.com%2Fnews%2F2021%2F9%2Fno-excuses-zion-clark-achieves-record-for-fastest-20m-on-hands-676320&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ACaudal+regression+syndrome" class="Z3988"></span></span> </li> <li id="cite_note-8"><span class="mw-cite-backlink"><b><a href="#cite_ref-8">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFKarimiSutton2015" class="citation web cs1">Karimi, Faith; Sutton, Joe (13 December 2015). <a rel="nofollow" class="external text" href="http://www.cnn.com/2015/12/13/entertainment/actress-rose-siggins-dead/">"<span class="cs1-kern-left"></span>'American Horror Story' actress Rose Siggins dead at 43"</a>. <i>CNN</i>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=unknown&amp;rft.jtitle=CNN&amp;rft.atitle=%27American+Horror+Story%27+actress+Rose+Siggins+dead+at+43&amp;rft.date=2015-12-13&amp;rft.aulast=Karimi&amp;rft.aufirst=Faith&amp;rft.au=Sutton%2C+Joe&amp;rft_id=http%3A%2F%2Fwww.cnn.com%2F2015%2F12%2F13%2Fentertainment%2Factress-rose-siggins-dead%2F&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ACaudal+regression+syndrome" class="Z3988"></span></span> </li> </ol></div></div> <div class="mw-heading mw-heading2"><h2 id="External_links">External links</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Caudal_regression_syndrome&amp;action=edit&amp;section=7" title="Edit section: External links"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <div class="navbox-styles"><style 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title="Discuss this template">t</abbr></a></li><li class="nv-edit"><a href="/wiki/Special:EditPage/Template:Congenital_abnormality_syndromes" title="Special:EditPage/Template:Congenital abnormality syndromes"><abbr title="Edit this template">e</abbr></a></li></ul></div><div id="Congenital_abnormality_syndromes" style="font-size:114%;margin:0 4em"><a href="/wiki/Congenital_abnormality" class="mw-redirect" title="Congenital abnormality">Congenital abnormality</a> syndromes</div></th></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Craniofacial_abnormality" title="Craniofacial abnormality">Craniofacial</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Acrocephalosyndactyly" title="Acrocephalosyndactyly">Acrocephalosyndactyly</a> <ul><li><a href="/wiki/Apert_syndrome" title="Apert syndrome">Apert syndrome</a></li> <li><a href="/wiki/Carpenter_syndrome" title="Carpenter syndrome">Carpenter syndrome</a></li> <li><a href="/wiki/Pfeiffer_syndrome" title="Pfeiffer syndrome">Pfeiffer syndrome</a></li> <li><a href="/wiki/Saethre%E2%80%93Chotzen_syndrome" title="Saethre–Chotzen syndrome">Saethre–Chotzen syndrome</a></li> <li><a href="/wiki/Sakati%E2%80%93Nyhan%E2%80%93Tisdale_syndrome" title="Sakati–Nyhan–Tisdale syndrome">Sakati–Nyhan–Tisdale syndrome</a></li> <li><a href="/wiki/Bonnet%E2%80%93Dechaume%E2%80%93Blanc_syndrome" title="Bonnet–Dechaume–Blanc syndrome">Bonnet–Dechaume–Blanc syndrome</a></li></ul></li> <li>Other <ul><li><a href="/wiki/Baller%E2%80%93Gerold_syndrome" title="Baller–Gerold syndrome">Baller–Gerold syndrome</a></li> <li><a href="/wiki/Cyclopia" title="Cyclopia">Cyclopia</a></li> <li><a href="/wiki/Goldenhar_syndrome" title="Goldenhar syndrome">Goldenhar syndrome</a></li> <li><a href="/wiki/Moebius_syndrome" title="Moebius syndrome">Moebius syndrome</a></li> <li><a href="/wiki/Pierre_Robin_sequence" title="Pierre Robin sequence">Pierre Robin sequence</a></li></ul></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Short_stature" title="Short stature">Short stature</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/1q21.1_deletion_syndrome" title="1q21.1 deletion syndrome">1q21.1 deletion syndrome</a></li> <li><a href="/wiki/Aarskog%E2%80%93Scott_syndrome" title="Aarskog–Scott syndrome">Aarskog–Scott syndrome</a></li> <li><a href="/wiki/Cockayne_syndrome" title="Cockayne syndrome">Cockayne syndrome</a></li> <li><a href="/wiki/Cornelia_de_Lange_syndrome" title="Cornelia de Lange syndrome">Cornelia de Lange syndrome</a></li> <li><a href="/wiki/Dubowitz_syndrome" title="Dubowitz syndrome">Dubowitz syndrome</a></li> <li><a href="/wiki/Noonan_syndrome" title="Noonan syndrome">Noonan syndrome</a></li> <li><a href="/wiki/Robinow_syndrome" title="Robinow syndrome">Robinow syndrome</a></li> <li><a href="/wiki/Silver%E2%80%93Russell_syndrome" title="Silver–Russell syndrome">Silver–Russell syndrome</a></li> <li><a href="/wiki/Seckel_syndrome" title="Seckel syndrome">Seckel syndrome</a></li> <li><a href="/wiki/Smith%E2%80%93Lemli%E2%80%93Opitz_syndrome" title="Smith–Lemli–Opitz syndrome">Smith–Lemli–Opitz syndrome</a></li> <li><a href="/wiki/Snyder%E2%80%93Robinson_syndrome" title="Snyder–Robinson syndrome">Snyder–Robinson syndrome</a></li> <li><a href="/wiki/Turner_syndrome" title="Turner syndrome">Turner syndrome</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Congenital_limb_deformities" title="Congenital limb deformities">Limbs</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Adducted_thumb_syndrome" title="Adducted thumb syndrome">Adducted thumb syndrome</a></li> <li><a href="/wiki/Holt%E2%80%93Oram_syndrome" title="Holt–Oram syndrome">Holt–Oram syndrome</a></li> <li><a href="/wiki/Klippel%E2%80%93Tr%C3%A9naunay_syndrome" title="Klippel–Trénaunay syndrome">Klippel–Trénaunay syndrome</a></li> <li><a href="/wiki/Nail%E2%80%93patella_syndrome" title="Nail–patella syndrome">Nail–patella syndrome</a></li> <li><a href="/wiki/Rubinstein%E2%80%93Taybi_syndrome" title="Rubinstein–Taybi syndrome">Rubinstein–Taybi syndrome</a></li> <li><a href="/wiki/Gastrulation" title="Gastrulation">Gastrulation</a>/<a href="/wiki/Mesoderm" title="Mesoderm">mesoderm</a>: <ul><li><a class="mw-selflink selflink">Caudal regression syndrome</a></li> <li><a href="/wiki/Ectromelia" title="Ectromelia">Ectromelia</a></li> <li><a href="/wiki/Sirenomelia" title="Sirenomelia">Sirenomelia</a></li> <li><a href="/wiki/VACTERL_association" title="VACTERL association">VACTERL association</a></li></ul></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Overgrowth_syndrome" title="Overgrowth syndrome">Overgrowth syndromes</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Bannayan%E2%80%93Riley%E2%80%93Ruvalcaba_syndrome" title="Bannayan–Riley–Ruvalcaba syndrome">Bannayan–Riley–Ruvalcaba syndrome</a></li> <li><a href="/wiki/Beckwith%E2%80%93Wiedemann_syndrome" title="Beckwith–Wiedemann syndrome">Beckwith–Wiedemann syndrome</a></li> <li><a href="/wiki/Benign_symmetric_lipomatosis" title="Benign symmetric lipomatosis">Benign symmetric lipomatosis</a></li> <li><a href="/wiki/Klippel%E2%80%93Tr%C3%A9naunay_syndrome" title="Klippel–Trénaunay syndrome">Klippel–Trénaunay syndrome</a></li> <li><a href="/wiki/Neurofibromatosis_type_I" title="Neurofibromatosis type I">Neurofibromatosis type I</a></li> <li><a href="/wiki/Perlman_syndrome" title="Perlman syndrome">Perlman syndrome</a></li> <li><a href="/wiki/Proteus_syndrome" title="Proteus syndrome">Proteus syndrome</a></li> <li><a href="/wiki/Sotos_syndrome" title="Sotos syndrome">Sotos syndrome</a></li> <li><a href="/wiki/Tatton-Brown%E2%80%93Rahman_syndrome" title="Tatton-Brown–Rahman syndrome">Tatton-Brown–Rahman syndrome</a></li> <li><a href="/wiki/Weaver_syndrome" title="Weaver syndrome">Weaver syndrome</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Laurence–Moon–Bardet–Biedl</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Bardet%E2%80%93Biedl_syndrome" title="Bardet–Biedl syndrome">Bardet–Biedl syndrome</a></li> <li><a href="/wiki/Laurence%E2%80%93Moon_syndrome" title="Laurence–Moon syndrome">Laurence–Moon syndrome</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Combined/other,<br />known locus</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><i><a href="/wiki/Chromosome_2_(human)" class="mw-redirect" title="Chromosome 2 (human)">2</a></i> (<a href="/wiki/Feingold_syndrome" title="Feingold syndrome">Feingold syndrome</a>)</li> <li><i><a href="/wiki/Chromosome_3_(human)" class="mw-redirect" title="Chromosome 3 (human)">3</a></i> (<a href="/wiki/Zimmermann%E2%80%93Laband_syndrome" title="Zimmermann–Laband syndrome">Zimmermann–Laband syndrome</a>)</li> <li><i><a href="/wiki/Chromosome_4_(human)" class="mw-redirect" title="Chromosome 4 (human)">4</a>/<a href="/wiki/Chromosome_13_(human)" class="mw-redirect" title="Chromosome 13 (human)">13</a></i> (<a href="/wiki/Fraser_syndrome" title="Fraser syndrome">Fraser syndrome</a>)</li> <li><i><a href="/wiki/Chromosome_8_(human)" class="mw-redirect" title="Chromosome 8 (human)">8</a></i> (<a href="/wiki/Branchio-oto-renal_syndrome" title="Branchio-oto-renal syndrome">Branchio-oto-renal syndrome</a>, <a href="/wiki/CHARGE_syndrome" title="CHARGE syndrome">CHARGE syndrome</a>)</li> <li><i><a href="/wiki/Chromosome_12_(human)" class="mw-redirect" title="Chromosome 12 (human)">12</a></i> (<a href="/wiki/Keutel_syndrome" title="Keutel syndrome">Keutel syndrome</a>, <a href="/wiki/Timothy_syndrome" title="Timothy syndrome">Timothy syndrome</a>)</li> <li><i><a href="/wiki/Chromosome_15_(human)" class="mw-redirect" title="Chromosome 15 (human)">15</a></i> (<a href="/wiki/Marfan_syndrome" title="Marfan syndrome">Marfan syndrome</a>)</li> <li><i><a href="/wiki/Chromosome_19_(human)" class="mw-redirect" title="Chromosome 19 (human)">19</a></i> (<a href="/wiki/Donohue_syndrome" title="Donohue syndrome">Donohue syndrome</a>)</li> <li>Multiple <ul><li><a href="/wiki/Fryns_syndrome" title="Fryns syndrome">Fryns syndrome</a></li></ul></li></ul> </div></td></tr></tbody></table></div> <!-- NewPP limit report Parsed by mw‐web.codfw.main‐847495b4dd‐ccnq7 Cached time: 20241128131128 Cache expiry: 2592000 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